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 JJ, Wise  JC. By continuing to use our site, or clicking "Continue," you are agreeing to our 2020 American Medical Association. References Often a report of high blood potassium isn't true hyperkalemia. The low rate of hyperkalemia may encourage more health care professionals to consider the use of this highly effective drug in their clinical practice.Goodfellow  A, Scheman  S, Behairy  J, Carter Consuming a diet rich in potassium may help you protect your kidney and heart, states a new study.People who substitute sodium based salt with potassium based salt or rack salt have lower blood pressure.Eat more potassium rich foods and lower your risk for high blood pressure and kidney stones. The objective of this retrospective study was to measure the rate of hyperkalemia in a large population of healthy young women taking spironolactone for acne or for an endocrine disorder with associated acne to determine whether potassium monitoring is clinically indicated in this population.All medical records from December 1, 2000, through March 31, 2014, at Brigham and Women’s Hospital and Massachusetts General Hospital (Boston) were evaluated using the Research Patient Data Repository, a clinical data registry that captures comprehensive information about patients seen within the Partners HealthCare system in Boston. Routine potassium monitoring is unnecessary for healthy women taking spironolactone for acne.© 2020 American Medical Association. Shaw We analyzed rates of hyperkalemia in 974 healthy young women taking spironolactone for acne. Aldactone (spironolactone) is an aldosterone receptor antagonist that causes the kidneys to remove water and sodium from the body, with reduced losses of potassium. Dermatologists had the lowest rates of potassium monitoring, whereas internal medicine subspecialties, whose patient panel was enriched with endocrine disorders, had higher rates. Of these, 13 measurements were between 5.1 and 6.0 mEq/L, indicating a 0.72% rate of mild hyperkalemia (To determine the baseline rate of hyperkalemia in our population, we calculated the rate of hyperkalemia using all serum potassium measurements available to us, including values obtained when taking and not taking spironolactone. Weng

To convert serum potassium level to millimoles per liter, multiply by 1.0.Customize your JAMA Network experience by selecting one or more topics from the list below.Plovanich M, Weng QY, Mostaghimi A. Sato  BB, Alyarim The ruptured cells leak their potassium into the sample.  et al.  PH, Sharma Data in the repository include clinic visits, inpatient admissions, laboratory data, operative notes, and pathology reports.Our search parameters identified patients who were female, 18 to 45 years old, diagnosed as having acne, given a prescription for spironolactone, and seen in an outpatient setting at Brigham and Women’s Hospital or Massachusetts General Hospital.  S, Shaker We collected all serum potassium data available in this cohort, including values obtained when taking and not taking spironolactone.The normal range of serum potassium measurements was defined as 3.5 to 5.0 mEq/L, which is the standard reference range for the institutions at which this study was conducted. Anti-androgenic therapy using oral spironolactone for acne vulgaris in Asians. In total, 1559 patients were initially identified through the Research Patient Data Repository query.  et al. Low Usefulness of Potassium Monitoring Among Healthy Young Women Taking Spironolactone for Acne. Krunic  N.  Potassium abnormalities in a pediatric intensive care unit: frequency and severity. Sato The information should not be used for either diagnosis or treatment or both for any health related problem or disease. It can be life-threatening unless promptly reversed.Mindfulness With Paced Breathing Helps Lower Blood PressureWorking Together to Prevent Suicide- World Suicide Prevention Day(http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1413606/)(http://www.mayoclinic.org/symptoms/hyperkalemia/basics/when-to-see-doctor/sym-20050776)(http://emcrit.org/wp-content/uploads/Management_of_severe_hyperkalemia.18.pdf)

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