Topics:
Endocrinology • Bone and Calcium Disorders
Do you discontinue thiazide treatment used for patients with hypercalciuria and osteoporosis if they develop mild hyponatremia as an adverse effect?
Hyponatremia is associated with falls and fragility fractures and already occur at a higher prevalance in elderly patients for other reasons. Do the benefits of reducing urinary calcium outweigh the risks of hyponatremia in setting of thiazide use?