{"id":56057,"date":"2022-12-26T09:30:44","date_gmt":"2022-12-26T14:30:44","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=56057"},"modified":"2024-10-25T10:58:53","modified_gmt":"2024-10-25T14:58:53","slug":"how-to-flush-excess-potassium","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/how-to-flush-excess-potassium\/","title":{"rendered":"How to lower potassium levels"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Even though potassium is an essential nutrient for your body, it&rsquo;s possible to have too much. Potassium helps you have a healthy heart and muscles. But, when you hit potassium overload, it has a negative effect on your cardiovascular system. Keep reading to learn how much is too much and what to do if your levels are high.<\/span><\/p>\n<h2 id=\"what-is-hyperkalemia\"><span style=\"font-weight: 400;\">What is hyperkalemia?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Hyperkalemia is the medical term when the potassium level in your blood is too high. <\/span><span style=\"font-weight: 400;\">&ldquo;Hyperkalemia can be dangerous if untreated,&rdquo; says Frank J. Contacessa, MD, an internist at <\/span><a href=\"https:\/\/www.mdvip.com\/doctors\/FrankContacessaMD\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">MDVIP<\/span><\/a><span style=\"font-weight: 400;\"> in Palm Beach Gardens, Florida. &ldquo;The balance between sodium and potassium is important for the electrical signals that control the beating of the heart. If the potassium is too high for too long, a dangerously irregular heart rhythm (arrhythmias) can occur.&rdquo; Our bodies maintain a tight control of serum potassium by the intestines absorbing dietary potassium and the kidneys effectively excreting excesses in the urine.<\/span><\/p>\n<h3 id=\"causes\"><span style=\"font-weight: 400;\">Causes<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most common causes of high potassium include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Renal insufficiency<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eating too much potassium<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Medications<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Supplements<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dehydration<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">People with chronic kidney disease (CKD), heart failure, diabetes mellitus, and those taking renin-angiotensin-aldosterone system inhibitors (RAASi) for high blood pressure have two to three times higher risk for hyperkalemia, according to <\/span><a href=\"https:\/\/www.kidney.org\/atoz\/content\/hyperkalemia\/facts\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">The National Kidney Foundation<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<h3 id=\"symptoms\"><span style=\"font-weight: 400;\">Symptoms<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Typically, there are no signs or symptoms of hyperkalemia. If you do experience symptoms they may include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/blog\/heart-palpitations\/\"><span style=\"font-weight: 400;\">Heart palpitations<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Muscle weakness<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paresthesia (abnormal sensation of tingling, numbness, or burning that is usually felt in the hands, feet, arms, or legs)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">&ldquo;Many people with hyperkalemia don&rsquo;t experience symptoms that are easy to notice,&rdquo; says Po-Chang Hsu, MD, a medical content expert for <\/span><a href=\"https:\/\/www.sleepingocean.com\/about-us\/po-chang-hsu\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Sleeping Ocean<\/span><\/a><span style=\"font-weight: 400;\">. &ldquo;In many cases, they come and go. And the lack of symptom persistence often makes it hard for people to realize there&rsquo;s something wrong.&rdquo;&nbsp;<\/span><\/p>\n<h3 id=\"diagnosis\"><span style=\"font-weight: 400;\">Diagnosis<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The best way to diagnose hyperkalemia is by a routine lab blood test. If your blood potassium &gt;5.0 then you have a potassium imbalance.<\/span><\/p>\n<h3 id=\"types-of-hyperkalemia\"><span style=\"font-weight: 400;\">Types of hyperkalemia<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are two different types of hyperkalemia: acute and chronic.&nbsp;<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Acute hyperkalemia<\/b><span style=\"font-weight: 400;\"> occurs rapidly within hours to a days. <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6629599\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Research <\/span><\/a><span style=\"font-weight: 400;\">shows that, &ldquo;acute hyperkalemia is caused by a sudden abnormal release of potassium from cells, leading to life-threatening symptoms,&rdquo; Dr. Hsu says. &ldquo;It requires immediate treatment, cardiac monitoring, and often dialysis.&rdquo; Since the acute hyperkalemia happens quickly, it is an emergency that requires treatment in a hospital. The treatment is dependent on the potassium level and cause. The objective is to remove the potassium from your blood by using potassium binders, diuretics, or dialysis.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Chronic hyperkalemia <\/b><span style=\"font-weight: 400;\">happens gradually, over weeks or months. &ldquo;Chronic hyperkalemia occurs when there&rsquo;s an increased potassium load or an impaired potassium secretion process,&rdquo; Dr. Hsu says. &ldquo;This chronic condition requires ongoing management and pharmacological interventions. The treatment goal is to normalize potassium levels by reducing the potassium load and fixing the underlying issues causing potassium imbalance.&rdquo;&nbsp;<\/span><\/li>\n<\/ol>\n<h2 id=\"how-to-lower-potassium-levels\"><span style=\"font-weight: 400;\">How to lower potassium levels<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Treatment options for chronic hyperkalemia can be done by using medications, removing medications, or changing your diet.<\/span><\/p>\n<h3 id=\"1-take-medication-as-prescribed\"><span style=\"font-weight: 400;\">1. Take medication as prescribed<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">According to Dr. Hsu, the following medications can be used to treat hyperkalemia: <\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/diuretics\"><span style=\"font-weight: 400;\">diuretics<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/sodium-bicarbonate\"><span style=\"font-weight: 400;\">sodium bicarbonate<\/span><\/a><span style=\"font-weight: 400;\">, albuterol, IV calcium, patiromer, IV glucose and insulin, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/sodium-polystyrene-sulfonate\"><span style=\"font-weight: 400;\">sodium polystyrene<\/span><\/a><span style=\"font-weight: 400;\">, and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/veltassa\"><span style=\"font-weight: 400;\">Veltassa<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><span style=\"font-weight: 400;\"> If the case of <\/span><span style=\"font-weight: 400;\">hyperkalemia is severe enough dialysis is needed.<\/span><\/p>\n<h3 id=\"2-review-medication-side-effects-with-a-professional\"><span style=\"font-weight: 400;\">2. Review medication side effects with a professional<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Some medications have a side effect of preventing your kidneys from adequately removing potassium. &ldquo;A number of commonly prescribed blood pressure drugs can cause the kidneys to retain potassium, so the level should be checked periodically,&rdquo; says Dr. Contacessa.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Medications that can raise potassium by decreasing the excretion of potassium include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Angiotensin-converting enzyme (ACE) inhibitors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Angiotensin receptor blockers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Potassium sparing diuretics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Non-selective beta blockers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Direct renin inhibitors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nonsteroidal anti-inflammatories (NSAIDs)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calcineurin inhibitors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anti-infectives<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you&rsquo;re high-risk for hyperkalemia, ask your provider or pharmacist when starting a new medication.<\/span><\/p>\n<h3 id=\"3-take-water-supplements-diuretics\"><span style=\"font-weight: 400;\">3. Take water supplements (diuretics)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If you&rsquo;re wondering how to flush excess potassium out of your body, ask your healthcare provider about taking water pills. These pills cause your body to excrete more potassium in the urine. You should aim to drink eight to 10 glasses of water daily.<\/span><\/p>\n<h3 id=\"4-follow-a-low-potassium-diet\"><span style=\"font-weight: 400;\">4. Follow a low-potassium diet<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Watching what you eat can help lower your potassium levels. &ldquo;It&rsquo;s also crucial to control meal sizes, as larger servings increase potassium intake,&rdquo; Dr. Hsu says. Here are other tips.<\/span><\/p>\n<p><b>Consume low-potassium foods:<\/b><span style=\"font-weight: 400;\"> When possible, choose from <\/span><span style=\"font-weight: 400;\">the following foods to lower potassium:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Apples<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Berries<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pineapples<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Watermelons<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Grapefruits<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Peaches<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Plums<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Green beans<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Peas<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kale<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lettuce<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cabbage<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eggplants<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Onions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fresh corn<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Asparagus<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eggs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Canned tuna<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">White rice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">White bread<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">White pasta<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Black coffee<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Herbal teas<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Rice milk<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Water<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For vegetables that are higher in potassium, you can reduce their effects on your body by cutting, peeling, and soaking them in water for two hours. After soaking them, boil the vegetables for a few minutes. &ldquo;Boiling certain foods like potatoes, yams, and spinach, can help reduce the potassium content in them,&rdquo; Dr. Hsu says.<\/span><\/p>\n<p><b>Avoid high-potassium foods: <\/b><span style=\"font-weight: 400;\">The following foods and beverages contain high levels of potassium, which the <\/span><a href=\"https:\/\/www.kidney.org\/atoz\/content\/potassium-ckd-diet\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">National Kidney Foundation<\/span><\/a><span style=\"font-weight: 400;\"> defines as 200 mg or more of potassium per serving:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Bananas<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Avocado<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Oranges<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cantaloupe<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Honeydew<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dried apricots (and other dried fruits)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Acorn squash<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tomatoes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">White and sweet potatoes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Spinach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Beans and lentils<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Meat<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poultry<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Orange juice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Prune juice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Apricot juice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Grapefruit juice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coconut water<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Beer<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Wine<\/span><\/li>\n<\/ul>\n<h3 id=\"5-avoid-certain-supplements\"><span style=\"font-weight: 400;\">5. Avoid certain supplements<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">&ldquo;People with hyperkalemia are advised to avoid supplements because many of them contain ingredients that can cause an increase in potassium,&rdquo; Dr. Hsu says. Before you take any supplements you should first discuss it with your healthcare provider.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Supplements that are thought to increase potassium levels include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Horsetail<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ginseng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dandelion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Milkweed<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lily of the valley<\/span><\/li>\n<\/ul>\n<h2 id=\"the-bottom-line-diuretics-are-the-quickest-way-to-flush-mildly-elevated-potassium\"><span style=\"font-weight: 400;\">The bottom line: Diuretics are the quickest way to flush mildly elevated potassium<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Diuretics are the quickest and easiest way to flush excess potassium, along with lifestyle changes. It&rsquo;s crucial to control your potassium intake and adjust your diet toward low-potassium foods. It&rsquo;s also important to get regular blood work to ensure their potassium levels are within a healthy range. If potassium is markedly elevated, an inpatient stay in the hospital including emergent dialysis may be the fastest treatment.&nbsp;<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Even though potassium is an essential nutrient for your body, it&rsquo;s possible to have too much. Potassium helps you have a healthy heart and muscles. But, when you hit potassium overload, it has a negative effect on your cardiovascular system. Keep reading to learn how much is too much and what to do if your [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":55780,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8029],"tags":[19027,553],"coauthors":[20598],"class_list":["post-56057","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-education","tag-home-remedies","tag-nutrition","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How to lower potassium levels<\/title>\n<meta name=\"description\" content=\"Depending on potassium levels, you may need hyperkalemia medication, but eating a low-potassium diet and avoiding certain medications and supplements can also lower potassium quickly.\" \/>\n<meta name=\"robots\" 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