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Itraconazole induced hypertension and hypokalemia: Mechanistic evaluation
Wesley J Hoffmann1, Ian McHardy2, George R Thompson2,3
1Department of Pharmacy, University of California Davis Medical Center, Sacramento, CA, USA.
Abstract:
We describe a case of apparent mineralocorticoid excess (hypertension, hypokalemia, metabolic alkalosis and low plasma renin activity) secondary to itraconazole therapy. Inhibition of 11β-hydroxysteroid dehydrogenase 2 was demonstrated, and withholding itraconazole led to resolution of adverse effects that did not recur with voriconazole. This report adds to a growing body of evidence linking apparent mineralocorticoid excess with certain triazoles.
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