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Q. What is the role of aldosterone in controlling BP?

Answered by
Dr. Anshuman Srivastava
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Sep 27, 2016 and last reviewed on: Oct 09, 2018

Hi doctor,

I have got high blood pressure, low potassium and vitamin D levels. Also, my aldosterone level is very low that is almost non-existent. I think low aldosterone is supposed to cause low blood pressure. I am wondering once I start the low aldosterone treatment will my blood pressure, potassium and vitamin D level go back to normal? Please reply.

Dr. Anshuman Srivastava

General Medicine Internal Medicine
#

Hi,

Welcome back to icliniq.com.

You are right. Hyperaldosteronism causes hypertension with low potassium. But, in your case the things are opposite.

That means the high BP is not related to aldosterone levels. You might be having an entity called essential hypertension.

Low vitamin D levels are present in 60% of the population, so do not relate it with BP. Just have a good sunbath for at least twice a week and have vitamin D3 supplements 60000 IU once a week orally.

For treatment of hypertension, I suggest ACE inhibitor therapy such as Telmisartan or Olmesartan. This will correct your BP and potassium levels. Consult your doctor, discuss with him or her and take the medicine with consent.

For further information consult an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physician


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