利尿剂会降低钾水平吗?
回答 Michelle Brodin, Pharm.D., R.Ph.
是的。一些利尿剂(也称为水丸)会降低血液中的钾水平。
利尿剂常用于治疗高血压。该药物帮助身体通过尿液排出钠和水,从而降低血压。一些利尿剂也可能使身体通过尿液排出更多钾,导致血液中的钾水平过低(低钾血症)。
钾水平过低的症状包括:
- 感到非常疲惫。
- 心律不齐(心律失常)。
- 肌肉痛性痉挛。
- 无力。
钾水平低的治疗方法可能包括:
如果采取升钾措施后钾水平仍然较低,请咨询医护团队。您可能需要进行检查,以帮助确定原因。
保钾利尿剂不会降低钾水平。这类药物包括阿米洛利(Midamor)、螺内酯(Aldactone、Carospir)、依普利酮(Inspra)和氨苯蝶啶(Dyrenium)。但这些药物也许会升高钾水平。医护团队会在治疗期间检查您的钾水平。
With
Michelle Brodin, Pharm.D., R.Ph.
显示参考文献
- Mount DB. Causes of hypokalemia in adults. https://www.uptodate.com/contents/search. Accessed Feb. 17, 2024.
- Types of blood pressure medications. American Heart Association. https://www.heart.org/en/health-topics/high-blood-pressure/changes-you-can-make-to-manage-high-blood-pressure/types-of-blood-pressure-medications. Accessed Feb. 17, 2024.
- Mount DB. Clinical manifestations and treatment of hypokalemia in adults. https://www.uptodate.com/contents/search. Accessed Feb. 17, 2024.
- AskMayoExpert. Hypokalemia. Mayo Clinic; 2022.
- AskMayoExpert. Hypertension (adult). Mayo Clinic; 2023.
- Hypokalemia. Merck Manual Professional Version. https://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/electrolyte-disorders/hypokalemia. Accessed Feb. 18, 2024.
- Goldman L, et al., eds. Potassium disorders. In: Goldman-Cecil Medicine. 27th ed. Elsevier; 2024. https://www.clinicalkey.com. Accessed Feb. 18, 2024.
- Neverman K (expert opinion). Mayo Clinic. March 6, 2024.
April 25, 2024Original article: https://www.mayoclinic.org/zh-hans/diseases-conditions/high-blood-pressure/expert-answers/blood-pressure/faq-20058432