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Potassium-Retaining Diuretics and Incident Alzheimer Disease
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The article on antihypertensive medication use and incident Alzheimer disease (AD) in the Cache County Study1 discloses that the use of a potassium-retaining diuretic at baseline, but not the use of a thiazidelike or a loop diuretic, was associated with reduced incidence of AD over the following years in subjects aged 65 years or older.
The set of potassium-retaining diuretics comprises 2 subsets. The epithelial sodium channel blockers amiloride and triamterene cause renal retention of potassium in all circumstances, whereas aldosterone antagonists (eg, spironolactone, eplerenone) act as natriuretics, diuretics, and antikaliuretics only if plasma aldosterone is raised, as happens, inter alia, when a sodium-restricted diet is followed or a thiazidelike or a loop diuretic is used.2 Khachaturian et al1 speculate on the mechanism of the negative relationship between the use of potassium-retaining diuretics and the risk of AD they found by considering several possibilities stemming from renal potassium retention. I . . . [Full Text of this Article] AUTHOR INFORMATION
Ariel J. Reyes, MD
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Antihypertensive Medication Use and Incident Alzheimer Disease: The Cache County Study
Ara S. Khachaturian, Peter P. Zandi, Constantine G. Lyketsos, Kathleen M. Hayden, Ingmar Skoog, Maria C. Norton, JoAnn T. Tschanz, Lawrence S. Mayer, Kathleen A. Welsh-Bohmer, John C. S. Breitner, and for the Cache County Study Group
Arch Neurol. 2006;63(5):686-692.
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