Emergency Treatment of the HyperKPP and/or PMC Attack

Submitted by deb on Sat, 08/06/2011 – 22:54 Hyperkalemic Periodic Paralysis and Paramyotonia Congenita can occur singly or in combination.  While most attacks of Hyperkalemic Periodic Paralysis are brief and do not require emergency intervention, occasionally the serum potassium level will be high enough to cause cardiac distress, or muscle stiffness may interfere with respiration.  Attacks of…

Meal Plan Template

Submitted by deb on Sun, 07/03/2011 – 23:34 When I’m in the middle of an abortive attack meal planning goes right out the window. I can look at a fridge and pantry full of food and not be able to figure out what to do with any of it. The only way to avoid feeding the family…

Pain in the Periodic Paralyses

Submitted by deb on Sat, 06/25/2011 – 23:22 Pain Often Overlooked Pain is an often overlooked component of the periodic paralyses. Patients who report muscle pain in association with their episodes are too often told that the periodic paralyses are not painful despite many authoritative reports to the contrary. In fact the pain which accompanies the periodic…

Physician’s Sheet: Acetazolamide Drug Interactions

Submitted by deb on Mon, 06/27/2011 – 20:54 Acetazolamide (aka Diamox) is frequently prescribed as therapy for the periodic paralyses. While most patients take this drug without incident it can interact with other drugs. Physicians should be aware of potential problems which might arise. Acetazolamide can decrease excretion of dextroamphetamine, anticholinergics, mecamylamine, ephedrine, mexiletine, or quinidine because…

Starting Acetazolamide (Diamox)

Submitted by deb on Fri, 02/01/2013 – 21:45 Because this is a frequently asked question from patients we post here a reply: Question: My doctor wants to prescribe a medication called acetazolamide. Is that okay for someone with Hypokalemic periodic paralysis. When I look on the web it says this medication causes you to excrete potassium. How…

The Use of Bactrim in the Periodic Paralyses

Submitted by deb on Sat, 07/25/2015 – 18:54 The antibiotic Bactrim is well-known to produce muscle weakness, even paralysis in patients with Hypokalemic Periodic Paralysis. It is contraindicated in patients with Anderson-Tawil Syndrome because of its propensity to produce cardiac arrhythmia, but many clinicians do not realize that it also produces hyperkalemia in a majority of patients…