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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Hypertens
2017 ; 35 Suppl 1
(Suppl 1
): S57-S63
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Effectiveness of patiromer in the treatment of hyperkalemia in chronic kidney
disease patients with hypertension on diuretics
#MMPMID28129247
Weir MR
; Mayo MR
; Garza D
; Arthur SA
; Berman L
; Bushinsky D
; Wilson DJ
; Epstein M
J Hypertens
2017[May]; 35 Suppl 1
(Suppl 1
): S57-S63
PMID28129247
show ga
OBJECTIVE: Recurrent hyperkalemia frequently limits use of
renin-angiotensin-aldosterone system inhibitors (RAASi) in chronic kidney disease
(CKD) patients with hypertension, diabetes, and/or heart failure. Patiromer is a
sodium-free, nonabsorbed potassium (K)-binding polymer approved by the US Food
and Drug Administration for the treatment of hyperkalemia. This post-hoc analysis
of OPAL-HK examined the effectiveness and safety of patiromer in reducing serum K
in hyperkalemic CKD patients on RAASi, with hypertension, receiving diuretic
therapy versus those not on diuretics. METHODS: Depending on the degree of
hyperkalemia at baseline, CKD patients with serum K from 5.1 to less than
6.5?mmol/l on RAASi (n?=?243) were assigned to a patiromer of total dose 8.4 or
16.8?g, divided twice daily. Changes in serum K, and tolerability and safety were
assessed over 4 weeks in patients on and not on diuretics. RESULTS: At baseline,
132 patients used diuretics and 111 were not on diuretics, mean age was 64.3 and
64.0 years, respectively, and 63 and 51% were men. Similar reductions in serum K
were seen over 4 weeks in both subgroups. At week 4, serum K fell by
-0.95?±?0.04?mmol/l with any diuretic and -1.04?±?0.05?mmol/l with no diuretic.
Patiromer was well tolerated, with mild-to-moderate constipation reported as the
most common adverse event (7.6 and 14.4% of patients on any diuretic or no
diuretic, respectively). Hypokalemia (s-K <3.5?mEq/l) was reported in 2.3% of
patients on any diuretic and in 3.7% not on diuretics. CONCLUSION: The serum
K-lowering efficacy and safety profile of patiromer in hyperkalemia patients with
CKD was not compromised by diuretic therapy.
|Aged
[MESH]
|Angiotensin Receptor Antagonists/therapeutic use
[MESH]
|Angiotensin-Converting Enzyme Inhibitors/therapeutic use
[MESH]
|Chelating Agents/adverse effects/*therapeutic use
[MESH]