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Not So Innocent Indapamide.

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Summary

Indapamide, a medication for hypertension, can cause neutropenia and hyponatremia. Stopping the drug led to the patient's blood counts returning to normal within two weeks.

Keywords:
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Area of Science:

  • Nephrology
  • Pharmacology
  • Hematology

Background:

  • Neutropenia and hyponatremia are potential adverse effects of certain medications.
  • Indapamide is a diuretic commonly prescribed for hypertension.

Purpose of the Study:

  • To report a rare case of neutropenia and hyponatremia associated with Indapamide use.
  • To highlight the importance of drug history in diagnosing cytopenias and electrolyte imbalances.

Main Methods:

  • A case report of a 58-year-old male patient presenting with asymptomatic neutropenia and hyponatremia.
  • Review of patient's medical history, focusing on recent medication initiation.
  • Discontinuation of Indapamide and monitoring of blood parameters.

Main Results:

  • The patient was asymptomatic despite presenting with significant neutropenia and hyponatremia.
  • No other cause for these abnormalities was identified.
  • Blood counts normalized within two weeks after discontinuing Indapamide.

Conclusions:

  • Indapamide can rarely cause severe hematological side effects like neutropenia and leukopenia, in addition to its known effect of hyponatremia.
  • Discontinuation of the offending drug is an effective management strategy.
  • Clinicians should consider Indapamide as a potential cause for unexplained neutropenia and hyponatremia.