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Acetazolamide has been recommended for channelopathies such as hypo and hyperkalemic periodic paralysis, but what is the MOA?

asked Jul 13 '10 at 23:41

NeuroGirl's gravatar image

NeuroGirl

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It works in hypo kalemic paralysis because of it induces metabolic acidosis and thus potassium conservation.

answered Aug 16 '10 at 06:46

ranjithpolusani's gravatar image

ranjithpolusani

1112

Hi, thanks for your answer. That makes sense in treating hypokalemic periodic paralysis because of the H/K+ antiport system, however I read that carbonic anhydrase inhibitors can also be given in hyperkalemic PP which does not make sense to me, because the acidosis would cause K+ to be pumped out of the cells and worsen the hyperkalemia.

(Aug 17 '10 at 16:28) NeuroGirl
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Asked: Jul 13 '10 at 23:41

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Last updated: Aug 17 '10 at 16:28

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