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Telmisartan +Hctz

Huehnerbruestchen

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Has anyone tried a mild diuretic like hctz in addition to Telmisartan?

Im currently taking 40mg Telmisartan but my potassium gets ridicously high at 80mg and I'm looking for a solution. My doc prescribed 80mg/12,5mg Telmisartan+HCTZ.
 

Reload

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80mg? What does this mean?
Blood K+ range is 3.5-5.0 (mmol/L)
 

whacked

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Yup. 80mg of Telmisartan

I always forget which of the diuretics push which electrolytes out (Na+, K+, etc)
 

beastmode121

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If your doctor prescribing you a potassium sparing diuretics; why isn’t he checking your K levels? That’s a horrible doctor

I’d talk to him or look for another
 

whacked

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So it should pair well with Telmisartan based on this below. Perhaps this is why the combo is often Rx’d(?).

“Hydrochlorothiazide acts on the distal convoluted tubules and inhibits the sodium chloride co-transporter system. This action leads to a diuretic action which lowers blood pressure, but there is also a loss of potassium in the urine.”
 

MasteroniPepperoni

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If your doctor prescribing you a potassium sparing diuretics; why isn’t he checking your K levels? That’s a horrible doctor

I’d talk to him or look for another
HCTZ is not potassium sparing

dyazide (probably what you’re thinking of)is HCTZ with triamterene. triamterene is potassium sparing
 

Huehnerbruestchen

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He is checking my potassium levels, also last time he put me on 80mg Telmisartan a day it went so high (5,8 and above) that I got heart arrythmia. So this time we are trying the new combination to combat the high potassium.

If anyone has any experience with HTCZ feel free to share.
 

[email protected]

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you wont feel very much from the HTCZ.
Before my current medication i was on candesartan + htcz (32/12,5).
I took a half of it daily. Potassium slightly dropped but if i remember right only about 0.2 points.
Ive never had issues in the past regarding my potassium, even with a full dosage of candesartan (also an ARB) without HTCZ.
You are not taking any potassium supplements, correct? I would check every multi etc. i take for potassium.
 

whacked

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You are not taking any potassium supplements, correct? I would check every multi etc. i take for potassium.

Agreed. Also important if due to your BP, your are eating an any low sodium spices or foods as they typically replace the salt w K-Chloride.

Some keto and vegan products use soy as well. Soy can have high K+ levels.
 

foxman101

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I take HTCZ … 12.5 a day now was at 25…
Don’t feel much .. unless I take it in the evening then I’m peeing thru the night , I try to always take it between 11am-2pm..

I keep my amino acids and electrolytes high tho to help
 

Huehnerbruestchen

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I take HTCZ … 12.5 a day now was at 25…
Don’t feel much .. unless I take it in the evening then I’m peeing thru the night , I try to always take it between 11am-2pm..

I keep my amino acids and electrolytes high tho to help
Thanks for sharing your knowledge. My doc as well said to take it earlier in the day bc it will make me pee more for about 6 hours after taking it.
 

Huehnerbruestchen

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you wont feel very much from the HTCZ.
Before my current medication i was on candesartan + htcz (32/12,5).
I took a half of it daily. Potassium slightly dropped but if i remember right only about 0.2 points.
Ive never had issues in the past regarding my potassium, even with a full dosage of candesartan (also an ARB) without HTCZ.
You are not taking any potassium supplements, correct? I would check every multi etc. i take for potassium.
No, there is no added potassium as supplement or any potassium in my salt grinder or anything else.
 

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