http://www.commonwealthsportsmedicine.com/2007/12/23/hyponatremia/ Treatment for Athletes by Athletes Mon, 20 Jul 2009 16:40:00 +0000 hourly 1 http://wordpress.org/?v=3.0 http://www.commonwealthsportsmedicine.com/2007/12/23/hyponatremia/comment-page-1/#comment-328 Teresa Stadler Thu, 01 Jan 2009 20:54:17 +0000 http://www.commonwealthsportsmedicine.com/2007/12/23/hyponatremia/#comment-328 Thanks Anne Thanks Anne

]]> http://www.commonwealthsportsmedicine.com/2007/12/23/hyponatremia/comment-page-1/#comment-254 Anne Moss Sat, 30 Aug 2008 01:33:09 +0000 http://www.commonwealthsportsmedicine.com/2007/12/23/hyponatremia/#comment-254 I have found that either salty pretzels or even pedialyte works. You can even make homemade pedialyte. The plain generic kind is really cheap, has no sugar and comes in small bottles you can keep in the car, too. I cannot ingest much sugar, so this is a great alternative for me. But you do just have to figure out what works for you. I have found that either salty pretzels or even pedialyte works. You can even make homemade pedialyte. The plain generic kind is really cheap, has no sugar and comes in small bottles you can keep in the car, too. I cannot ingest much sugar, so this is a great alternative for me. But you do just have to figure out what works for you.

]]> http://www.commonwealthsportsmedicine.com/2007/12/23/hyponatremia/comment-page-1/#comment-33 Dr. Stadler Thu, 24 Apr 2008 01:36:34 +0000 http://www.commonwealthsportsmedicine.com/2007/12/23/hyponatremia/#comment-33 Great question Greg. For those of you not familiar with this type of diagnosis Vasovagal Syncope (Neurocardiogenic Syncope) is a neural mediated disorder characterized by basically 'passing out'. There can be multiple reasons for this condition, each with their own remedy. Florinef is one medication that is often used to decrease/resolve the problem. A common side effect of this medication is electrolyte imbalances caused by fluid shifts into your blood vessels. Fluid shifting into your blood vessels helps maintain your blood pressure but at a cost....low potassium(hypokalemia) and sometimes magnesium (hypomagnesemia) and elevated sodium (hypernatremia). There are regimens to correct these electrolytes. Those regimens vary depending on your dose of Florinef, diet, reason for the disorder, your other medical problems and medications. In a very basic sense, loss of potassium and magnesium from your system will cause generalized fatigue and more importantly can be dangerous for your heart. Many of those on Florinef require frequent evaluations of those electrolyte levels. Interestingly, potassium absorption will not happen if your magnesium level is not adequate. That being said, there are a few other vitamins that are important to maintain as well. As an endurance athlete you are wise to raise this concern as Florinef use now requires a delicate balancing of all the above. mentioned factors with your workouts, hydration status and symptoms, and the cooperation of more than one specialist. Magnesium and Potassium supplements should never be take outside the guidance of your doctor. Greg, Ill email you personally with more info. Great question Greg. For those of you not familiar with this type of diagnosis Vasovagal Syncope (Neurocardiogenic Syncope) is a neural mediated disorder characterized by basically ‘passing out’. There can be multiple reasons for this condition, each with their own remedy. Florinef is one medication that is often used to decrease/resolve the problem. A common side effect of this medication is electrolyte imbalances caused by fluid shifts into your blood vessels. Fluid shifting into your blood vessels helps maintain your blood pressure but at a cost….low potassium(hypokalemia) and sometimes magnesium (hypomagnesemia) and elevated sodium (hypernatremia). There are regimens to correct these electrolytes. Those regimens vary depending on your dose of Florinef, diet, reason for the disorder, your other medical problems and medications. In a very basic sense, loss of potassium and magnesium from your system will cause generalized fatigue and more importantly can be dangerous for your heart. Many of those on Florinef require frequent evaluations of those electrolyte levels. Interestingly, potassium absorption will not happen if your magnesium level is not adequate. That being said, there are a few other vitamins that are important to maintain as well. As an endurance athlete you are wise to raise this concern as Florinef use now requires a delicate balancing of all the above. mentioned factors with your workouts, hydration status and symptoms, and the cooperation of more than one specialist. Magnesium and Potassium supplements should never be take outside the guidance of your doctor. Greg, Ill email you personally with more info.

]]> http://www.commonwealthsportsmedicine.com/2007/12/23/hyponatremia/comment-page-1/#comment-31 Greg Guinther Wed, 23 Apr 2008 12:09:40 +0000 http://www.commonwealthsportsmedicine.com/2007/12/23/hyponatremia/#comment-31 Are you familiar with the drug Florinef used to control vasovagal syncope? As an endurance athlete, how should I manage my fluid and electrolyte intake to compensate for the potential magnesium/potassium depletion associated with this drug? Are you familiar with the drug Florinef used to control vasovagal syncope? As an endurance athlete, how should I manage my fluid and electrolyte intake to compensate for the potential magnesium/potassium depletion associated with this drug?

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