Hyponatremia Induced by Amlodipine

Introduction: Hyponatremia (<135 mmol/L) is one of the most common electrolyte disturbances in clinical practice. Correct treatment can prevent worse outcomes. A case hyponatremia supposedly induced by amlodipine besylate was presented. Case: 74 year-old male with lethargy and occasional nausea admitted to having chronic past years. He’s been taking clopidogrel, simvastatin, regularly since 7 years ago had a history coronary angioplasty ago. His lowest serum sodium level 128 mmol/L even though he already took 500 mg chlorine once daily. never reached normal range despite increasing salt intake fluid restriction. Discontinuation change nebivolol result increased 131 mmol/L. Conclusion: This may be amlodipine. Pendahuluan: Hiponatremia adalah salah satu gangguan elektrolit yang paling umum dalam praktik klinis sehari-hari. Tata laksana tepat dapat mencegah prognosis lebih buruk. Laporan ini memaparkan kasus hiponatremia diduga disebabkan oleh besylate. Kasus: Laki-laki berusia tahun datang dengan lesu dan mual sesekali mengaku menderita kronis beberapa terakhir. Dia telah mengonsumsi secara teratur sejak lalu memiliki riwayat angioplasti koroner lalu. Kadar natrium terendahnya mmol/L, meskipun sudah kapsul klorida sekali sehari. serumnya tidak pernah mencapai kisaran normal, asupan garam pembatasan cairan ditingkatkan. Amlodipine dihentikan diganti nebivolol; setelah itu kadar menjadi Simpulan: Kasus mungkin diinduksi