aums

Lithium & Diuretics

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A 60-year-old gentleman has a diagnosis of bipolar affective disorder and is on Lithium carbonate. He has recently developed systemic hypertension. Which one among the following is the most appropriate drug to treat his hypertension?

Select one:
Bendroflumethiazide
Amiloride
Captopril
Furosemide
Chlorthalidone
 
If you guys say answer is furosemide (loop), why not amiloride(K+)? It's also relatively safe with lithium no?
Edited by aums

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6 hours ago, jasonhptan said:

 the answer is amiloride... unless it's not given in the choice then i would go for the next available which is furosemide.. 

http://jasn.asnjournals.org/content/10/3/666.short

thats a good explaination jasonhptan thanks alot. 

Edited by aums
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Diuretics and ACE inhibitors may be administered to patients taking lithium when 10-to 12-hour postdose levels are obtained 5 to 6 days following medication initiation or dosage change, with psychiatric follow-up.

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what is contra indication in prescribing for high BP-beta blockers

risk taking behaviour lessened in communities-with initiation ceremonies

 

finger nose test-cerebellar

 

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On 04/12/2015 at 23:41, aums said:

A 60-year-old gentleman has a diagnosis of bipolar affective disorder and is on Lithium carbonate. He has recently developed systemic hypertension. Which one among the following is the most appropriate drug to treat his hypertension?

Select one:
Bendroflumethiazide
Amiloride
Captopril
Furosemide
Chlorthalidone
 
If you guys say answer is furosemide (loop), why not amiloride(K+)? It's also relatively safe with lithium no?

Was it not that they asked 'which is the most contra indicated?''

cos i thought ans seemed to be captopril

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56 minutes ago, psychiatry2014 said:

Was it not that they asked 'which is the most contra indicated?''

cos i thought ans seemed to be captopril

this is not an exam question. check the date i posted it before exam. and i also answered captopril in exam.

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Answer is ACE inhibitor, as answered by RANZCP in one of their exams.

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ACE I are drug of choice in htn with renal problems

bc in addition to lower bp

there is evidence to suggest that they improve renal perfusion also

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true but when ur creatinine level is more than the normal range, ACE-i is contraindicated

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