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10.1097/HJH.0000000000001278

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suck abstract from ncbi


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pmid28129247
      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]
  • |Constipation/chemically induced [MESH]
  • |Diuretics/*therapeutic use [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Hyperkalemia/blood/*drug therapy/etiology [MESH]
  • |Hypertension/complications/*drug therapy [MESH]
  • |Hypokalemia/chemically induced [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Polymers/adverse effects/*therapeutic use [MESH]
  • |Potassium/blood [MESH]


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