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Severe Hyponatremia Induced by Theophylline and Trimethoprim
Arch Intern Med. 2001;161:291-292.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Hyponatremia is a common adverse effect of many drugs (diuretics, antipsychotic
agents, carbamazepine, and others). Among the uncommon causes of hyponatremia
are theophylline and trimethoprim. We describe a woman who presented with
severe symptomatic hyponatremia following treatment with anhydrous theophylline
and developed trimethoprim-induced severe hyponatremia 6 months later.
Report of a Case
A 78-year-old woman was admitted to the hospital because of severe hyponatremia
(plasma sodium level, 117 mmol/L), weakness, abdominal pain, nausea, and vomiting.
Her medical history included arterial hypertension, hypercholesterolemia,
bronchial asthma, occasional abdominal pain, and dizziness, for which she
was treated with cilazapril, albuterol sulfate, budesonide, famotidine, and
mebeverine hydrochloride. One week before admission, she was treated with
trimethoprim-sulfamethoxazole for a presumptive urinary tract infection.
Six months before her admission, the patient had been hospitalized in
another ward because of abdominal pain, nausea, weakness, tachycardia, and
hyponatremia (plasma sodium level, 122 mmol/L). Her medications at that time
included theophylline, amlodipine besylate, . . . [Full Text of this Article] Comment
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