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Isoptine 240 et constipation (5-15%), hypokalemia (6-50), hypotension (30-80), and hypotensive encephalopathy (40%) with a low mean sodium excretion (1.0-4.0 gm/d, or 10-50 mmol/m2/min) were noted. Other adverse effects included hypertension (5%), aflatoxin production (10%), and renal colic (1%). Anemia was a more common side-effect. In total, 24 patients and 11 control subjects were involved in these studies. The patients who were treated with a high potassium diet (above 800 mmol) showed significant improvement in their symptoms (p < 0.001). After the diet was discontinued, their symptoms returned to the control values, although some were improved. In the study of 11 healthy volunteers, the researchers observed improvement in patients with primary insomnia (1-9 and 40-75% improved; p < 0.05) and depression (0-17%. p < 0.05). None of the improvements in patients with migraine attacks were found. In addition, those who were taking acetaminophen showed significantly increased daytime drowsiness, as reflected by reduced speed of thought. In the study of 36 normal volunteers treated chronically with 2 mg/day of potassium, the investigators reported some improvement (20-40%, p < 0.01). Kumar et al. concluded that an acute hyperbaric oxygen treatment (50 ml of 50% O 2 /70% CO for 8-20 minutes) may be a safe and effective treatment as it has no serious toxicities and side-effects when used under professional supervision. Pregnant women are at risk for hypokalemia and hypertension during pregnancy. They could avoid this side effect by taking an potassium supplement when pregnant, says Dora G. Zawadzki, MD, professor unichem pharmacy online nz of obstetrics, gynecology, endocrinology and reproductive biology at the Harvard Medical School and Pilgrim Health Care. The authors warn that patients with preexaemia or hypernatremia may have a higher frequency of gastrointestinal side effects and have a greater incidence of acute kidney failure and death. Therefore, they recommend caution for patients on high potassium diets. "For these reasons, the authors recommend that a potassium intake of 200 mg/day is suggested for the primary treatment of hyperkalemia in pregnant women and that additional potassium should not be consumed until 48 hours before pregnancy or until the is established." However, Zawadzki emphasizes that "pregnant women have been advised to avoid consuming large amounts of protein in favor fats from nuts, poultry, beef, etc. during pregnancy because of concerns about increased risk hyperkalemia." The most common side effects of the high potassium diet are nausea (20%), dizziness diarrhea tachycardia (20%) and (15%). For migraine, headache, or chronic patients are advised to stop taking the diet as soon there is any change in their migraine headaches (see above) and then resume treatment when the headaches improve. "After discontinuing diet, the headaches usually worsen," she warns. The researchers conclude their case series on the high potassium diet: "Patients treated with the high potassium diet seem to have significant improvements in their sleep, energy, memory, and anxiety.