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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Often Must My Mother's Urea And Electrolyte Levels Be Checked?

Dear Doctor
My mum has congestive heart failure and has been taking as a diuretic Frusemide 40mg daily. Just recently the nurse at the heart failure clinic added in Spironolactone 12.5mg daily but the Frusemide dose is the same. Is it normal that 2 different diuretics are prescribed to be taken concurrently and also will this have any reaction with the Candesartan that she takes as well? How often must her urea & electrolyte levels be checked now?
Thankyou for your help.
Mon, 4 May 2015
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Cardiologist,  's  Response
Hi,

If your mother doesn't have kidney failure, it is a good idea to prescribe Spironolactone and Furosemide together. Spironolactone will not let to a big drop in potassium levels. It is Ok to take them together with Candesartan.
I would advise you to check electrolytes once monthly, after 3 months, if they are stable, then you can check it once in a 3 months.

Hope I could help you

Wishing you good health

In case of further questions don't hesitate to ask

Regards,
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How Often Must My Mother's Urea And Electrolyte Levels Be Checked?

Hi, If your mother doesn t have kidney failure, it is a good idea to prescribe Spironolactone and Furosemide together. Spironolactone will not let to a big drop in potassium levels. It is Ok to take them together with Candesartan. I would advise you to check electrolytes once monthly, after 3 months, if they are stable, then you can check it once in a 3 months. Hope I could help you Wishing you good health In case of further questions don t hesitate to ask Regards,