J**G
发帖数: 3310 | 1 妈妈有轻度高血压。在国内的时候吃寿比山，是一种Indapamide种类的药。吃这种
药的时候妈妈的potassium level就会比较低。在美国看了一个医生，给开了avopro,
150mg.
这个美国医生说妈妈之前吃的indapamide的一个副作用就是导致potassium level低。
现在吃avopro.在这里想问问大家。这个avopro跟indapamide的工作原理不同。不知道
长期服用是否有别的什么side effects.妈妈抱怨有点累吃了这个药。 | l*h
发帖数: 4124 | 2 avapro is an ARB. it doesn't have effects on blood sodium and potassium
levels.
indapamide is a thiazide diuretic, which expels excessive sodium (and also
potassium) from the body. thiazide diuretic is the recommended first line
for most people, especially for those who have high sodium intake, such as
most Chinese people and African Americans. for long term use, potassium
supplement or a potassium-conserving diuretic should be taken at the same
time. this will require the patient's kidney function are normal. dose
adjustment may be required for potassium-conserving diuretic, which needs
periodic blood draw, until an optimal dose is found. some family physicians
or patients may not want to go through the hassle.
【在 J**G 的大作中提到】
: 妈妈有轻度高血压。在国内的时候吃寿比山，是一种Indapamide种类的药。吃这种
: 药的时候妈妈的potassium level就会比较低。在美国看了一个医生，给开了avopro,
: 150mg.
: 这个美国医生说妈妈之前吃的indapamide的一个副作用就是导致potassium level低。
: 现在吃avopro.在这里想问问大家。这个avopro跟indapamide的工作原理不同。不知道
: 长期服用是否有别的什么side effects.妈妈抱怨有点累吃了这个药。
| J**G
发帖数: 3310 | 3 谢谢你的回答。妈妈就是检查血，发现potassium level有点低。医生然后说给吃
avapro.但是不这个avapro有什么坏处吗？跟indapamide比。
physicians
【在 l*h 的大作中提到】
: avapro is an ARB. it doesn't have effects on blood sodium and potassium
: levels.
: indapamide is a thiazide diuretic, which expels excessive sodium (and also
: potassium) from the body. thiazide diuretic is the recommended first line
: for most people, especially for those who have high sodium intake, such as
: most Chinese people and African Americans. for long term use, potassium
: supplement or a potassium-conserving diuretic should be taken at the same
: time. this will require the patient's kidney function are normal. dose
: adjustment may be required for potassium-conserving diuretic, which needs
: periodic blood draw, until an optimal dose is found. some family physicians
| m*****o
发帖数: 165 | 4
这两个药原理不一样，没有很大的可比性。一般来说indapamide用于轻度高血压，在没
有其他并发症的情况下，主要原理是让一些多余的钠排出体内来降低血压，作用原理比
较单一；但是avapro作用于肾防止血管收缩，钠和水的再吸收等等。有时avapro会引起
高钾的状况。但是这个药有很多优点，在患者同时有diabete或者CHF的情况下对病情有
很好的辅助作用。
需要注意的是：
1。如果用任何potassium supplements需要在医生的指导下使用
2。如果出现任何肿胀的症状，需要马上联系医生，特别是嘴唇，脸部和舌头部位。
【在 J**G 的大作中提到】
: 谢谢你的回答。妈妈就是检查血，发现potassium level有点低。医生然后说给吃
: avapro.但是不这个avapro有什么坏处吗？跟indapamide比。
:
: physicians
| l*h
发帖数: 4124 | 5 general speaking, a higher percentage of patients experience some side
effects of ARB than thiazide diuretics, but the vast majority is very minor.
in patients with normal kidney functions, avapro does not have an effect on
blood potassium levels. from the mechanism of its actions, it is a kidney
function modifier. so you should report to your physician immediately any
signs suggesting reduced kidney functions.
thiazide diuretics are important in hypertension management. they are used
alone (or with some potassium supplements) in mild to moderate cases. also
in severe hypertension with sodium overload, other drugs often don't work
well without a diuretic to expel excessive sodium.
don't take any drugs without consulting with a physician, unless you
yourself have sufficient training and are willing to take the risk. as a
general rule, patients are expected to tell the physician everything s/he is
taking, including nutrient supplements and OTC drugs. this is important. in
China, some patients take powerful drugs without telling the doctor
thinking they are not related, which is very dangerous.
【在 J**G 的大作中提到】
: 谢谢你的回答。妈妈就是检查血，发现potassium level有点低。医生然后说给吃
: avapro.但是不这个avapro有什么坏处吗？跟indapamide比。
:
: physicians
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