Moderate sodium restriction and various diuretics in the treatment of hypertension. Effects of potassium wastage and blood pressure control

C. V S Ram, B. N. Garrett, Norman M Kaplan

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Changes in total body potassium level and blood pressure (BP) were determined in multiple studies on 12 hypertensive subjects ingesting a diet either moderately restricted or higher in sodium. On both diets, the following diuretics were randomly given for four-week intervals: chlorthalidone, hydrochlorothiazide, or furosemide. Total body exchangeable potassium level fell 225 mEq with lower sodium intake and 455 mEq with higher intake, combining all diuretics. Chlorthalidone caused more potassium wastage than the other diuretics. The average falls in mean BP were 13.9 mm Hg with the lower sodium diet and 9.1 with the higher sodium diet, combining all diuretics. Combining both diets, chlorthalidone produced the greatest fall and furosemide produced the slightest. These data suggest that if a diuretic is used to treat hypertension, a diet moderately restricted in sodium and a single morning dose of a diuretic of intermediate duration of action offer the best balance of efficacy and safety for most patients.

Original languageEnglish (US)
Pages (from-to)1015-1019
Number of pages5
JournalArchives of Internal Medicine
Issue number8
Publication statusPublished - 1981


ASJC Scopus subject areas

  • Internal Medicine

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