Evidence for an extrarenal action of chlorothiazide on serum potassium

D. Ezra, A. Iaina, S. Kapuler, S. Almog, A. Eshkol, S. Gavendo, H. E. Eliahou, J. Gafni

Research output: Contribution to journalArticlepeer-review

Abstract

The effects of chlorothiazide and furosemide on serum potassium were studied in 9 fasting anuric patients maintained by chronic hemodialysis and compared to a control period when no drug was administered. Serum potassium levels were significantly lower following oral chlorothiazide (15 mg/kg body weight) than during the control period. After intravenous furosemide (1 mg/kg body weight), potassium levels were midway between those of the chlorothiazide and control periods, but statistical significance was not attained. Comparing the three study periods, there were no significant differences in the changes in body weight, blood pressure, blood pH, hematocit, urea, glucose, sodium, albumin, insulin, plasma renin activity and aldosterone. This suggests that an extrarenal action of chlorothiazide on the cell membrane promotes cellular uptake of potassium.

Original languageEnglish
Pages (from-to)285-291
Number of pages7
JournalMineral and Electrolyte Metabolism
Volume7
Issue number6
StatePublished - 1982

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