Telsartan 80 causing hyponatremia

Question

Asked for Female, 56 Years

My mother was previously consuming tazloc-H 40 twice a day. She then suffered from severe hyponatremia. The local physician stopped tazloc-H 40 and adviced cilacar-10 twice a day and metXL-25 once after lunch, but after consuming cilacar-10 her ankles and feet started swelling. So a cardiologist changed the bp tablets to telsartan-80 which is again a angiotensin ii receptor blocker(ARB). Looking at her and the symptoms I feel she is again into gradual hyponatremia. We checked her serum sodium levels it had come to 135 from 138 after consuming telsartan-80 for just 1 week. I am helpless. Please help me.

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Dr. Rajesh Jain

General Physician 28 yrs exp Jalgaon

Please Don't worry Don't depend on medicines only Go for morning and evening walk daily for good digestion and easy defication Do meditation regularly Take salads and fruits more Take vegetables juices and soups more Take Natrum moor 30 Liquid Homeopathic medicine 5 drops in 50 ml water Twice a day for 3 weeks Continue her telmisartan plan without hydrochlorothizide Check her blood pressure and electrolytes Send me report

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Dr. Asad Raza General Physician 12 yrs exp Hyderabad · Accepted Answer

Dr. Asad Raza

General Physician 12 yrs exp Hyderabad

ARB (tazloc-H) to a Calcium Channel blocker (cilacar) and Beta Blocker (metXL). Then back to an ARB (telsartan). A quick remedy would be to increase the salt intake in her diet. But that may increase her BP, so this is a challenge. A good idea is to have her kidney function checked by testing her BUN and creatinine levels. Therefore in order to control her BP, it may be a good idea to switch to another BP med. Here are some choices: HCTZ 12.5 to 50 mg orally once daily, OR Benazepril 10-40 mg orally once daily (Diabetic patient, inc MAU), OR Metoprolol 50 mg orally (regular-release) twice daily (if HR is high), OR Amlodipine 2.5 mg PO QD (older patient, PVD, CAD).