It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



High & Low Blood Pressure Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 01-11-2008, 09:58 AM   #1
Junior Member
(female)
 
Join Date: Dec 2006
Location: NY, NY, USA
Posts: 25
Zoraa HB User
Potassium Chloride K-Tabs?

My doctor prescribed potassium chloride K-tabs 10 MEQ 2x a day to take along with hydrochlorothiazide 25 mgs once a day. The potassium is upsetting my stomach a bit. Do I really need this twice a day? I eat a very good diet of potassium rich foods. I don't use salt substitute and I'm following the directions to the letter taking it with food. My husband and sister both take the same diuretic and they're not taking this potassium prescription.

Maybe twice a day is too much? One tab a day should do it.

Any feedback is appreciated.

Thanks

Last edited by Zoraa; 01-11-2008 at 10:01 AM. Reason: trying to edit subject, but it doesn't appear possible.

 
Old 01-11-2008, 10:20 PM   #2
Senior Veteran
(female)
 
flowergirl2day's Avatar
 
Join Date: Apr 2007
Location: Canada
Posts: 3,171
flowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB User
Re: Potassium Chloride K-Tabs?

Hi Zora,

The diuretics most commonly prescribed for blood pressure control tend to deplete our potassium levels. What was your most recent K level? It would appear your doctor believes it to be low, or wants to prevent your serum potassium levels from becoming low. That is why you were told to take the potassium supplements. The amount of potassium a person needs to replace the potassium lost depends on the current K levels, weight, kidney function and other factors.

The dietary potassium (though very good for us!!!) does not correct the potassium loss associated with chloride depletion from diuretics or vomiting. The dietary potassium is coupled to phosphate, not chloride. Doctors prescribe potassium supplements for prevention of hypokalemia. K supplementation is also the safest way to treat mild to moderate hypokalemia. Apparently, 20mEq/day should be enough for prevention of hypokalemia, 40-100mEq/day over a period of days to weeks is needed to treat hypokalemia and restore healthy potassium levels. Your dosage appears to be for prevention.

Our bodies have about 50mEq/kg of potassium. Almost all of it is intracellular. Each decrease by 1mEq in serum K concentration below a level 4.0 results in a loss of 4-5mEq/kg.
It took me months to build up my potassium levels using two or three potassium sparing meds at a time. I can't take the supplements because of a reduced kidney function. Over the course of the last several months, the Hctz has caused a decrease in my K level. I am hoping it won't be reduced any further. I am also on 25g of a potassium-sparing diuretic, Spironolactone, which helps a little bit. I can't take a higher dose.

Taking your supplement twice a day is probably easier on your stomach. If 1/2 of your daily dose upsets your stomach, as you say, twice the amount taken in one dose would make you feel even worse.
I don't know anything about K supplementation because I haven't had to research it. Perhaps other posters can help.

Good luck!
flowergirl

Last edited by flowergirl2day; 01-11-2008 at 10:28 PM.

 
Sponsors Lightbulb
   
Old 01-12-2008, 05:46 AM   #3
Senior Veteran
(female)
 
Join Date: Mar 2007
Location: us
Posts: 1,693
famnd HB User
Re: Potassium Chloride K-Tabs?

First, I would call the Dr's office & ask for a copy of my lab tests to see what your potassium level is. Also, ask why you need to take potassium. If the Dr. always prescribes potassium supplements with HCTZ whether or not blood tests show a need, then I would tell the Dr. that you are willing to be conscientious about eating a potassium rich diet. You need to find out what your daily potassium intake is by listing the foods you normally eat & the amount of potassium you consume on a daily basis. This is what I did & found out that I was right on target.

You may be able to lower your HCTZ dose to 12.5mg which most Dr's agree is enough for most patients.

It is hard to get one's stomach back to normal once it gets very irritated. Fam

Last edited by famnd; 01-12-2008 at 05:48 AM.

 
Old 01-12-2008, 06:42 PM   #4
Senior Veteran
(female)
 
flowergirl2day's Avatar
 
Join Date: Apr 2007
Location: Canada
Posts: 3,171
flowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB Userflowergirl2day HB User
Re: Potassium Chloride K-Tabs?

An excellent advice.

What if you don't need to take any potassium?
Should the diuretic deplete your K levels over a period of time, it is easily corrected (in most people).

Quote:
It is hard to get one's stomach back to normal once it gets very irritated
That's an understatement. Fam is right. One can develop various disorders from both prescription and OTC meds. Some are permanent.

 
Old 01-14-2008, 10:27 PM   #5
Junior Member
(female)
 
Join Date: Dec 2006
Location: NY, NY, USA
Posts: 25
Zoraa HB User
Re: Potassium Chloride K-Tabs?

Thanks for the replies. I was offline a couple of days. I'm having bloodwork done this week for my next appt. and will ask for my potassium levels then.

 
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Managing anemia and general pain due to isotretinoin; how can I get more potassium? hmj211 Chronic Fatigue 2 03-19-2010 08:12 PM
Help me uderstand potassium brutus77 High & Low Blood Pressure 8 06-17-2007 04:42 AM
Potassium question....?? fusionqueen Vitamins & Supplements 7 02-27-2007 04:11 PM
Advise please on use of Potassium supplement yanksgirl Heart Disorders 11 01-17-2007 10:20 AM
Potassium Citrate PikaB Osteoporosis 3 10-15-2006 07:56 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Join Our Newsletter

Stay healthy through tips curated by our health experts.

Whoops,

There was a problem adding your email Try again

Thank You

Your email has been added




Top 10 Drugs Discussed on this Board.
(Go to DrugTalk.com for complete list)
Atenolol
Benicar
Clonidine Cozaar
Diovan
  Lisinopril
Lotrel
Norvasc
Potassium
Toprol




TOP THANKED CONTRIBUTORS



Machaon (55), atengnr (48), JJ (35), soflsun (29), Flutterbye77 (17), flowergirl2day (16), flitz (16), zuzu8 (15), cartner (12), rudiraven (12)

Site Wide Totals

teteri66 (1164), MSJayhawk (997), Apollo123 (898), Titchou (833), janewhite1 (823), Gabriel (758), ladybud (745), sammy64 (666), midwest1 (665), BlueSkies14 (610)



All times are GMT -7. The time now is 11:16 AM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!