Magnesium depletion in patients on long-term chlorthalidone therapy for essential hypertension.

Abstract:

:Sixty patients were treated for 1 year for essential uncomplicated hypertension, 30 with beta-blockers alone (BB) and 30 with BB and chlorthalidone (CTD). BB did not affect serum K+ or Mg++. In the BB-group there was a statistically significant trend towards retention of Mg++ in a loading test, but the effect was clinically marginal. BB + CTD reduced serum K+ and Mg++ and caused significant Mg++ depletion, as shown by the Mg++ loading test. All the effects were highly significant and were clinically important. The metabolic perturbations due to CTD are potentially dangerous and make this drug unattractive as 'first choice' treatment for hypertension.

journal_name

Eur J Clin Pharmacol

authors

Cocco G,Iselin HU,Strozzi C,Cesana B,Baumeler HR

doi

10.1007/BF00543964

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

335-8

issue

4

eissn

0031-6970

issn

1432-1041

journal_volume

32

pub_type

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