Nonsteroidal anti-inflammatory drug-induced severe hyponatremia

Medicina (Kaunas). 2012;48(12):619-21.

Abstract

Hyponatremia (serum sodium level, <135 mmol/L) occasionally may develop in the course of treatment with nonsteroidal anti-inflammatory drugs, which are usually used in daily clinical practice. Nonsteroidal anti-inflammatory drugs diminish the normal inhibitory effect of prostaglandins on the activity of antidiuretic hormone and can therefore reduce free water excretion, leading to water retention and induction or exacerbation of hyponatremia. In this report, we present a case of hyponatremia in a 78-year-old man who had received meloxicam, a nonsteroidal anti-inflammatory drug.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal / adverse effects*
  • Back Pain / drug therapy*
  • Chronic Pain / drug therapy*
  • Humans
  • Hyponatremia / chemically induced*
  • Hyponatremia / diagnosis
  • Hyponatremia / drug therapy
  • Male
  • Meloxicam
  • Sodium / blood
  • Thiazines / administration & dosage
  • Thiazines / adverse effects*
  • Thiazoles / administration & dosage
  • Thiazoles / adverse effects*

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Thiazines
  • Thiazoles
  • Sodium
  • Meloxicam