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Access to free article PDF downloads. Save your search. Customize your interests. While cases of life-threatening hyperkalemia associated with the use of ACE inhibitors have been described previously, in no instance was dialysis required. Herein, we report a case of acute hyperkalemia in a patient with congestive heart failure and renal insufficiency, the resolution of which required hemodialysis.
The hyperkalemia in this case occurred without an increase in the patient's azotemia. Whether zinc supplementation will prevent ACE inhibitor-induced zinc deficiency has not been examined, but it seems reasonable to think that taking extra zinc might help.
Generally, zinc supplements should also contain copper to prevent zinc-induced copper deficiency. Iron supplements: a common cause of drug interactions. Br J Clin Pharmacol. Licorice-induced hypertension and syndromes of apparent mineralocorticoid excess. Endocrinol Metab Clin North Am. Licorice-induced pseudoaldosteronism. Am J Hosp Pharm. Tobacco chewer's hypokalemia: licorice revisited. N Engl J Med.
Diet and serum potassium in patients on ACE inhibitors [letter]. Hyperkalemia resulting from captopril administration. Captopril: reversible renal failure with severe hyperkalaemia [letter]. Combined therapy with captopril and potassium supplementation.
A potential for hyperkalemia. Arch Intern Med. Severe hyperkalemia during very-low-calorie diets and angiotensin converting enzyme use. Zinc metabolism in patients treated with captopril versus enalapril. Effects of captopril and enalapril on zinc metabolism in hypertensive patients. J Am Coll Nutr. Iron supplementation inhibits cough associated with ACE inhibitors. Please be aware that this information is provided to supplement the care provided by your physician.
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