Month: May 2017

Spironolactone; effective but regular serum potassium checks recommended forever

Spironolactone is effective for NYHA class III and IV heart failure and hypertension (4th or 5th line) but can be a difficult drug to use. Elevated serum potassium levels may occur in around 18% of patients. In a case-control study spironolactone was associated with a doubling in the rate of gastrointestinal bleed events.1 This effect …

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Actemra approved for giant cell arteritis

The injected drug Actemra (tocilizumab) has previously been approved by the US Food and Drug Administration to treat rheumatoid arthritis in people who haven’t responded to or who cannot tolerated other approved rheumatoid arthritis medication, Health24 reported. Actemra has now been approved by the US Food and Drug Administration to treat adults with giant cell …

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Mechanical heart valve noise may cause sleepless nights

Mechanical heart valves can save the lives of patients, but one disadvantage is that they may cause sleepless nights. Nearly one in four people with a mechanical heart valve says the noise it makes disrupts their sleep, a new study finds. “For some patients the closing sound of their mechanical heart valve reduces their quality …

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