Spironolactone and Furosemide

[Driven2lift]

Anyone have exp. with or knowledge of these two prescription diuretics? Doctor has me using 25 mg spiro and 40 mg furosemide in an attempt to alleviate some symptoms associated with some medical issues I'm going through.

My question would be what supplements I should be avoiding while using these, doctors were vague and not particularly knowledgable in the world of supplements.

both help expel fluid and Furo also lowers BP

If anyone knows any tip/advice at all please post or PM me. I know this is more of a medical question but I know some members are experienced with diuretics for pre-contest periods

 

[mpaquett]

I would think creatine and electrolytes. If you tell us what you're supplementing with it may be an easier course of action.

 

[Driven2lift]

I would think creatine and electrolytes. If you tell us what you're supplementing with it may be an easier course of action.

Alphamine
Forskolin
Creatine
Orange Triad
Digestive enzymes (anabolic designs ravenous)
CL Omega-3 caps
Various preWO's
GDA mix of recompadrol + ALA + agmatine
Erase
Protein powders/BCAA's

 

[jimbuick]

I would think creatine and electrolytes. If you tell us what you're supplementing with it may be an easier course of action.

And nitrates probably, or other NO ingredients that could lower BP.

I would probably just drop all supps to be safe.


*disclaimer* these are non-medical opinions and should not be viewed as medical advice.

 

[Driven2lift]

Yeah I'm not looking for a professional medical opinion on the forum here no worries just was curious if any users had experience with heavy duty diuretics and had a pointer.

Interestingly enough even this dose hasn't had much if any effect on me yet, I'm pretty screwed up I guess

 

[criticalbench]

Is he using aldactone to help offset potassium loss? I'm not a big fan of aldactone and I don't personally see why he would prescribe it unless you are suffering from cardiac issues at this time. Are you taking your lasix once daily, twice, or three times? Once daily, will really hinder workouts as it can leave you flat very bad. I take HCTZ for blood pressure and I have to take a baby dose several times a day to prevent flattening out but this is done under physician supervision so don't change anything without asking. I started with a 12.5mg pill once daily, now I break it into 4.

 

[Driven2lift]

Is he using aldactone to help offset potassium loss? I'm not a big fan of aldactone and I don't personally see why he would prescribe it unless you are suffering from cardiac issues at this time. Are you taking your lasix once daily, twice, or three times? Once daily, will really hinder workouts as it can leave you flat very bad. I take HCTZ for blood pressure and I have to take a baby dose several times a day to prevent flattening out but this is done under physician supervision so don't change anything without asking. I started with a 12.5mg pill once daily, now I break it into 4.

Spiro one a day with breakfast,
Furo twice daily once with breakfast one with lunch

And yes as I still have no diagnosis I believe they felt including the potassium sparing one would be safest.

Doc never advised whether he wants me drinking more or less while on these. Keeping water intake moderate until I see him again, and low sodium of course but I always try to keep to +/- 2g a day.

 

[Whey]

I was diagnose with Congestive Heart Failure and i take 25 mg spiro and 40 mg furosemide. I also have to consume no more then 2000mg of sodium a day and keep fluids under 2 liters a day.

I more interested in getting a diagnosis for your condition. Then work from there... it could be serious.

 

[Driven2lift]

I was diagnose with Congestive Heart Failure and i take 25 mg spiro and 40 mg furosemide. I also have to consume no more then 2000mg of sodium a day and keep fluids under 2 liters a day.

I more interested in getting a diagnosis for your condition. Then work from there... it could be serious.

Thank you for the interest. I really should call my GP as I have kept my water intake at about 5l daily. Maybe that is why it is currently proving ineffective...

 

[Driven2lift]

And my BP just checked in at 111/45

Strangely i was feeling normal. Well, as ****ty as I always do since this all started.
Assumed machine was broken but my wife/
mother got normal readings

I'm avoiding the BP lowering one until tomorrow when im back in the hospital to inquire. That's scary if I feel normal at that BP, makes me wonder how often it has been this low...

 

[haiz69]

Any side-effects?

I'm surprised he has you on both. I wouldn't dream of it. Both a potassium sparing and loop diuretic would suggest to me he is giving you the potassium sparing one (spiro) to offset the potassium loss of Lasix. He could have also given Lasix-K (added potassium).

 

[criticalbench]

Any side-effects?

I'm surprised he has you on both. I wouldn't dream of it. Both a potassium sparing and loop diuretic would suggest to me he is giving you the potassium sparing one (spiro) to offset the potassium loss of Lasix. He could have also given Lasix-K (added potassium).

I believe the aldactone is more for cardiac issues, rather than its diuretic purposes but i could be wrong.

OP, you should have some clue what is wrong with you.. you may not know the exact diagnosis, but you should know if you are being treated for a cardiac or renal impairment, or something of that nature. Your doctors should not, by any means be leaving you in the dark.

Mike

 

[haiz69]

I believe the aldactone is more for cardiac issues, rather than its diuretic purposes but i could be wrong.

OP, you should have some clue what is wrong with you.. you may not know the exact diagnosis, but you should know if you are being treated for a cardiac or renal impairment, or something of that nature. Your doctors should not, by any means be leaving you in the dark.

Mike

I would agree I see if MUCH more for congestive heart failure than anything else. I was just venturing a guess that in this case the GP might be using it to offset the K+ loss from Lasix. Although this isn't something I have seen with it in my experience. Perhaps another potassium sparing diuretic, but not Aldactone.

 

[cdiblasi]

Need info on your medical condition to really give you advice. Your BP isn't off-the-walls low but I'd let your GP know just because your diastolic is on the low-side, which based on your diastolic BP and using furosemide that you have some form of cardiac issue. Spironolactone is sometimes given alongside furosemide in order to help retain potassium, but depending on labs, it may be unnecessary. Furosemide is usually given when one is experiencing edema or excess fluid, usually around the ankles. Both prescriptions will lower your BP although furosemide will obviously lower it moreso than spironolactone based on where the drugs act in the kidneys. No Dr. nor pharmacist is going to recommend you take any supplements, but anything that will mess with electrolyte or fluid balance is definitely a no-go.

 

[Driven2lift]

Need info on your medical condition to really give you advice. Your BP isn't off-the-walls low but I'd let your GP know just because your diastolic is on the low-side, which based on your diastolic BP and using furosemide that you have some form of cardiac issue. Spironolactone is sometimes given alongside furosemide in order to help retain potassium, but depending on labs, it may be unnecessary. Furosemide is usually given when one is experiencing edema or excess fluid, usually around the ankles. Both prescriptions will lower your BP although furosemide will obviously lower it moreso than spironolactone based on where the drugs act in the kidneys. No Dr. nor pharmacist is going to recommend you take any supplements, but anything that will mess with electrolyte or fluid balance is definitely a no-go.

Thank you for this.
Edema is my biggest symptom, even with these meds it is persisting.

Low point for BP yesterday went to 106/32

I am supposed to avoid salt to offset edema but to help raise BP I am having it today, as well as extra fluids and some caffeine.

Playing phone tag with the specialist right now

 

[cdiblasi]

Thank you for this.
Edema is my biggest symptom, even with these meds it is persisting.

Low point for BP yesterday went to 106/32

I am supposed to avoid salt to offset edema but to help raise BP I am having it today, as well as extra fluids and some caffeine.

Playing phone tag with the specialist right now

Pull all supplements until whatever it is that is wrong with you is figured out. It's hard to give much advice without much info on your condition and medical history. If you'd like some more advice and info, feel free to PM me. You should definitely go back to the cardiologist ASAP and cease workouts and supplements for a while.

 

[haiz69]

Pull all supplements until whatever it is that is wrong with you is figured out. It's hard to give much advice without much info on your condition and medical history. If you'd like some more advice and info, feel free to PM me. You should definitely go back to the cardiologist ASAP and cease workouts and supplements for a while.

I would wholeheartedly agree with this.

 

[criticalbench]

Thank you for this.
Edema is my biggest symptom, even with these meds it is persisting.

Low point for BP yesterday went to 106/32

I am supposed to avoid salt to offset edema but to help raise BP I am having it today, as well as extra fluids and some caffeine.

Playing phone tag with the specialist right now

now i am going to go out on a limb here, and say were talking renal related?

 

[Whey]

It took me 4 weeks of preasuring doctors to get a proper diagnosis. I suggest you do the same and get results sooner. You need to get that edema under control.

What kind of specialist are you seeing?

 

[Driven2lift]

It took me 4 weeks of preasuring doctors to get a proper diagnosis. I suggest you do the same and get results sooner. You need to get that edema under control.

What kind of specialist are you seeing?

I was assigned an internal medicine doctor. along with the assorted doctors for my tests
Everything is being rushed now as they feel it is heart related.
My jugulars are not properly draining, backed up from heart not taking it in fast enough they are assuming.
The exact issue is being figured out and I am waiting on a call

 

[cdiblasi]

I was assigned an internal medicine doctor. along with the assorted doctors for my tests
Everything is being rushed now as they feel it is heart related.
My jugulars are not properly draining, backed up from heart not taking it in fast enough they are assuming.
The exact issue is being figured out and I am waiting on a call

If they are just starting to think it's heart-related you may need to find yourself a new doctor... Be sure to keep me updated with info if you'd like more insight.

 

[Whey]

I was assigned an internal medicine doctor. along with the assorted doctors for my tests
Everything is being rushed now as they feel it is heart related.
My jugulars are not properly draining, backed up from heart not taking it in fast enough they are assuming.
The exact issue is being figured out and I am waiting on a call

I don't like your symptoms

You need a cardiologist, don't waste your time with the other types of doctors. I notice you are located in Canada. If you are in Toronto, go to Toronto General Hospital.
w**.uhn.ca/corporate/AboutUHN/OurHospitals/Pages/TGH.aspx Toronto General is the place to go for a good cardiologist.

You need to get a ehcocardiogram done. Push them to give you one asap.

You will prolly get a ecg and chest xrays. Thats all good but a echo will show everything.

Find out what your ejection fraction rate is.
**w.hrsonline.org/Patient-Resources/The-Normal-Heart/Ejection-Fraction#axzz2lgb6uiy6

 

[Whey]

If they are just starting to think it's heart-related you may need to find yourself a new doctor... Be sure to keep me updated with info if you'd like more insight.

+1

I agree

 

[Whey]

Whats is your resting Heart rate? You can download a phone app to find out your resting heart rate.

 

[Driven2lift]

Resting heart rate averages 50 bpm


I went to a cardiologist and had the ECHO and ECG just a day ago, that is the call back I am waiting on right now. Should be today.

Just want a damn diagnosis already so I know what to expect in proceeding & what I should/shouldn't be doing

 

[Whey]

Resting heart rate averages 50 bpm


I went to a cardiologist and had the ECHO and ECG just a day ago, that is the call back I am waiting on right now. Should be today.

Just want a damn diagnosis already so I know what to expect in proceeding & what I should/shouldn't be doing

Your heart rate is below normal Bradycardia.

Awesome Im interested in knowing whats up. Ejection Fraction rate would be good know too, which is revealed in the ECHO.