Hypokalaemic periodic paralysis: treatment
Evidence-based neurology checklist on hypokalaemic periodic paralysis: treatment: Oral potassium Potassium chloride is preferred The dose is 0.2-0.4mEq/kg every 30 minutes: the maximum dose is 200-250mEq/day It is taken with plenty of water Avoid slow release preparations Intravenous potassium…
Oral potassium
- Potassium chloride is preferred
- The dose is 0.2-0.4mEq/kg every 30 minutes: the maximum dose is 200-250mEq/day
- It is taken with plenty of water
- Avoid slow release preparations
Intravenous potassium
Potassium sparing diuretics
Other diuretics
Other treatments of attacks
Triggers to avoid
Preventative diet
Preventative potassium intake
Perioperative measures
References
- Statland JM, Fontaine B, Hanna MG, et al. Review of the diagnosis and treatment of periodic paralysis. Muscle Nerve 2018; 57:522-530.
- Meola G, Hanna MG, Fontaine B. Diagnosis and new treatment in muscle channelopathies. JNNP 2009; 80: 360-365.
- Levitt JO. Practical aspects in the management of hypokalemic periodic paralysis. J Transl Med 2008; 6:18.
- Sansone VA, Burge J, McDermott MP, et al; Muscle Study Group. Randomized, placebo-controlled trials of dichlorphenamide in periodic paralysis. Neurology 2016; 86:1408-1416.
