In SIADH due to malignancy, do you prefer to use free water restriction or salt tablets?
1
1 AnswersMednet Member
Endocrinology · Johns Hopkins Endocrinology and Pituitary Center
Fluid restriction is usually the first line measure in chronic SIADH. Salt tablets only work at high doses, as SIADH is a water, not a salt problem, and you improve sodium only minimally. Tolvaptan is a very powerful drug, but, as per the package insert, must be started in an inpatient setting. Addi...