I know Telmisartan causes us to reatain potassium and that hyperkylemia is a concern. I cannot find anywhere after extensive searching how that fact impacts how much we should consume. 4.5 grams is the recommended amount. I think this would be very helpful to understand especially given that statins are taken due to steroids impact on the RAAS system which electrolytes play a huge part in. You want high potassium to avoid bloat and you take Telmisartan for bp/bloat but high potassium could kill you. Say your 100kg and on 40 mg Telmisartan and 12mh HCTZ how much potassium is too much?
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How much potassium is too much on 40mg Telmisartan?
- Thread starter Guna
- Start date
BamaCrazy
Member
not working wasn’t my concern. It was working too well that worried me. I was taking a lot of GSE last December when I doubled my Telmisartan dosage. The Telmisartan alone might have raised my potassium out of range, or the GSE might have caused Telmisartan to linger longer and raise my potassium. I’ll never know because I lowered my dosage and stopped GSE supplementation at the same time.The Mayo clinic's current guidance:
View attachment 317248
Amlodipine and atorvastatin (oral route)
www.mayoclinic.org
The diabetes from 120g+ of sugar from 1.2 liters of grapefruit juice daily will probably kill you first
Similar potential grapefruit juice interactions for hundreds of drugs, including telmisartan, nebivolol, cialis, and all the related drugs in those classes.
Basically if the med you're using isn't working as expected, lay off the damn grapefruit,
espresso123
Member
Guess bloodwork is the only way to find out.
Done several tests of potassium in the blood for different reasons in the past. (Extra systolic heartbeats were the reasons) and it happened they got worse the lower my potassium levels have been. According to that I added it as a supplement and had to adjust everything step by step (hot summers, cold winters differ etc etc).
Since using Telmisartan I was able to skip that or take way less. So yea, I would not underestimate its effect on your potassium levels.
However, I wouldnt play the lottery overdoing anything without bloodwork especially if you are prone to any type of irregular heartbeat/arrythmia at all.
Takes time and micro management especially if you have some sort of these issues.
Dont know about other ARBs effect regarding that topic. But better safe than sorry Id say.
Done several tests of potassium in the blood for different reasons in the past. (Extra systolic heartbeats were the reasons) and it happened they got worse the lower my potassium levels have been. According to that I added it as a supplement and had to adjust everything step by step (hot summers, cold winters differ etc etc).
Since using Telmisartan I was able to skip that or take way less. So yea, I would not underestimate its effect on your potassium levels.
However, I wouldnt play the lottery overdoing anything without bloodwork especially if you are prone to any type of irregular heartbeat/arrythmia at all.
Takes time and micro management especially if you have some sort of these issues.
Dont know about other ARBs effect regarding that topic. But better safe than sorry Id say.
xrayphoton13
Member
People probably won't like my answer but I don't change my potassium on telmisartan. I try to stay in the 5-9gram a day range. Haven't noticed any side effects. Never tested on labs either. I don't think telmisartan comes with a potassium warning
BamaCrazy
Member
I’ll have to go look at the papers they give me with my prescription but here is what WebMD says under serious side effects.
High Potassium Level (Hyperkalemia). Telmisartan can cause a high potassium level (hyperkalemia), which can be serious and may lead to death. Your healthcare provider will check your potassium levels, especially if you take certain other medicines. Call your healthcare provider if you have any of the following symptoms of a high potassium level.
Losartan never gave me issues. But when I doubled my dose of Telmisartan from 20 to 40 my potassium got out of range. On Meso no one else has reported issues except me I believe.
It does lol
bigMoJo
Member
1. Hyperkalemia is definitely an established side-effect of Telmisartan. This is from a medication insert off the FDA website...
"5.3 Hyperkalemia Hyperkalemia may occur in patients on ARBs, particularly in patients with advanced renal impairment, heart failure, on renal replacement therapy, or on potassium supplements, potassium-sparing diuretics, potassium-containing salt substitutes or other drugs that increase potassium levels. Consider periodic determinations of serum electrolytes to detect possible electrolyte imbalances, particularly in patients at risk."
Here is the link to the full pdf from the FDA website... lists all other sides (other than bro science):
2. Even Type-IIx has mentioned hyperkalemia is a Telmi side...
bigMoJo
Member
You and I have similar issues (we discussed before) with RBC/H&H and now Telmi and potassium.
I've been taking 60mg Telmi for over 3 months... my bloods teeter in rhe low 5's.
Latest blood: 5.1, previous: 5.2. It's been higher, At 5.3 I believe, if not higher. I'm "ok" if it stays here, but just picked up Amlodipine 2.5 to see if I can control BP with that and 20 or 40mg Telmi.
We also talked about Nattokinase, GSE, and other supplements for our RBC/H&H... I'm getting a little bit more BP control since adding those... 3 to 5 points sys & dias.
I log everything daily, and my plan was to present all this info on our other thread for RBC/H&H. I'm still curious how effective Hemo-Flow has been. Some of these things just take too much time to self-research.
BamaCrazy
Member
I remember us discussing our RBC/hematocrit. I don’t think I was aware of your potassium. Mine got up to 5.7 in December. I dropped my dose and concentrated on avoiding potassium. On 2/8 my potassium dropped to 4.7. I’ve been meaning to ask the PCT sources if they can get a drug called patiromer. It can lower potassium after only one dose.
AlexDavis43
Member
This is not medical advice.
People here are monitoring diet, lifestyle, and blood pressure.
Not the same as sedentary people with obesity, eating fast food, and swallowing their blood pressure medications with a full Coca Cola.
Thank you for attending my Ted Talk.
People here are monitoring diet, lifestyle, and blood pressure.
Not the same as sedentary people with obesity, eating fast food, and swallowing their blood pressure medications with a full Coca Cola.
Thank you for attending my Ted Talk.
We're still a years away from an at home potassium monitoring kit..
If you do notice it elevated by bloodwork and are worried u can get calcium polystyrene from any of the pct guys on this board. It binds to potassium and u poop it out.
If you do notice it elevated by bloodwork and are worried u can get calcium polystyrene from any of the pct guys on this board. It binds to potassium and u poop it out.
Efficacy and safety of calcium polystyrene sulfonate in patients with hyperkalemia and stage 3–5 non-dialysis chronic kidney disease: a single-center randomized controlled trial - PMC
To observe the clinical efficacy and safety of the short-term administration of different doses of calcium polystyrene sulfonate in the treatment of hyperkalemia in patients with stage 3–5 non-dialysis chronic kidney disease. A prospective, open, ...
pmc.ncbi.nlm.nih.gov
lukiss96
Member
I see it as a plus (person dependent), I don't need so much to try and balance out sodium/potassium ratio because I use Telmisartan. Besides it's awesome medication.
I don't feel bloated at all, just usual Test only look with the right body fat % and diet. Feeling good. Not missing anything or doing much harm.
I don't feel bloated at all, just usual Test only look with the right body fat % and diet. Feeling good. Not missing anything or doing much harm.
upandcoming
New Member
How much will grapefruit lower it honestly? 1% or 10%?
There is a thread on here where someone tracked how much 1 grapefruit a day lowered his and some friends hct. If you look you can find it I can’t remember but I think it was 4 point on average
BamaCrazy
Member
Yep. What Guna said. I couldn’t continue with grapefruit or GSE because of the effects it was having on some of my medications. There are interactions with many medications.
Liter O' Test
Member
grapefruit influences the enzyme in the liver that affects how MANY drugs and medicines are metabolized, like most of them, this is concerning for many of us who do polypharmacy with bp meds, statins etc. you have to check everything you take because this enzyme basically makes the medicine it effects more potent, for example I had a 50%+ increase in liver enzymes due to taking NSAID with grapefruit juice for a few weeks. it is a large effect that can be used to amplify some oral steroids but it also causes more liver damage/strain.. so it makes all these medicines more potent, so you dont want that, for example if it effected a BP med or a psych med you are on. IIRC it slow down the metabolism so it hangs around longer and has a stronger effect
do. not. do. low. sodium.
you will have bad pumps, no energy, fuck up your RAAS system and a cheat meal will have you gain 10lbs of water which can be unhealthy. no reason to do low sodium, keep sodium consistent and your body will adjust, the low sodium idea only comes from the fact if you are eating a regular amount of sodium then cut back sodium for a day or two, you will piss out the sodium and lose retention, but this is just normal adjustment, we actually need even more sodium on a low carb diet because less insulin signaling means less sodium storage signaling , something like that, trust me ive been there, felt like shit, no pumps, tried to reintrduce sodium safely, still ended up gaining 10lbs overnight on day 3 from just 4,000mg sodium after the previus days being 2,000mg and 3,000mg. its basically minor refeeding syndrome and my face swelled up like hell and it puts tremendous strain on the body and can even cause serious effects for the brain. I reccomend you do reseearch on this topic and gradually add in satlt to your meals by measuring your salt and adding throughout the day
. even if you dont care abut any of this, low soidum will not make you lose more fat and you will feel 10x better and perform 10x better in the gym with sodium.
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