Hyperkalemia Induced by the Sequential Administration of Metoprolol and Carvedilol

This report describes the occurrence of asymptomatic hyperkalemia induced by the sequential administration of metoprolol and carvedilol in an 81-year-old man with type II diabetes and stable stage III renal insufficiency. The potassium level rose to 5.6–5.7 mEq/L with metoprolol and normalized when...

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Main Authors: S. Serge Barold, Scott Upton
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2018/7686373
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author S. Serge Barold
Scott Upton
author_facet S. Serge Barold
Scott Upton
author_sort S. Serge Barold
collection DOAJ
description This report describes the occurrence of asymptomatic hyperkalemia induced by the sequential administration of metoprolol and carvedilol in an 81-year-old man with type II diabetes and stable stage III renal insufficiency. The potassium level rose to 5.6–5.7 mEq/L with metoprolol and normalized when the agent was discontinued. However, the potassium level rose again to 5.6 mEq/L after the administration of carvedilol but the level normalized by halving the dose. The observations of hyperkalemia induced by two different β-blocker drugs in the same patient confirm that this side effect is common to all β-blocker drugs.
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spelling doaj-art-531d9db47817423eb4218c740e5cbe3f2025-02-03T05:50:48ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/76863737686373Hyperkalemia Induced by the Sequential Administration of Metoprolol and CarvedilolS. Serge Barold0Scott Upton1Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USASan Diego Internal Medicine and Pediatrics Associates, San Diego, CA, USAThis report describes the occurrence of asymptomatic hyperkalemia induced by the sequential administration of metoprolol and carvedilol in an 81-year-old man with type II diabetes and stable stage III renal insufficiency. The potassium level rose to 5.6–5.7 mEq/L with metoprolol and normalized when the agent was discontinued. However, the potassium level rose again to 5.6 mEq/L after the administration of carvedilol but the level normalized by halving the dose. The observations of hyperkalemia induced by two different β-blocker drugs in the same patient confirm that this side effect is common to all β-blocker drugs.http://dx.doi.org/10.1155/2018/7686373
spellingShingle S. Serge Barold
Scott Upton
Hyperkalemia Induced by the Sequential Administration of Metoprolol and Carvedilol
Case Reports in Cardiology
title Hyperkalemia Induced by the Sequential Administration of Metoprolol and Carvedilol
title_full Hyperkalemia Induced by the Sequential Administration of Metoprolol and Carvedilol
title_fullStr Hyperkalemia Induced by the Sequential Administration of Metoprolol and Carvedilol
title_full_unstemmed Hyperkalemia Induced by the Sequential Administration of Metoprolol and Carvedilol
title_short Hyperkalemia Induced by the Sequential Administration of Metoprolol and Carvedilol
title_sort hyperkalemia induced by the sequential administration of metoprolol and carvedilol
url http://dx.doi.org/10.1155/2018/7686373
work_keys_str_mv AT ssergebarold hyperkalemiainducedbythesequentialadministrationofmetoprololandcarvedilol
AT scottupton hyperkalemiainducedbythesequentialadministrationofmetoprololandcarvedilol