A Case of Hyponatremia Complicated with Small Cell Lung Cancer Successfully Treated with Goreisan
10.3937/kampomed.66.124
- VernacularTitle:肺小細胞癌に併発した低ナトリウム血症に五苓散が有効であった1例
- Author:
Atsuhiko SAKAMOTO
;
Kazumichi KURIYAMA
;
Yoshiaki KINOSHITA
;
Kouko HIDAKA
;
Mosaburo KAINUMA
- Publication Type:Journal Article
- Keywords:
goreisan;
hyponatremia;
COX-2 inhibitor
- From:Kampo Medicine
2015;66(2):124-130
- CountryJapan
- Language:Japanese
-
Abstract:
We report a case of a 74-year-old male with hyponatremia complicated with small cell lung cancer. His hyponatremia worsened even with water restriction. Oral administration of sodium was difficult because of nausea and vomiting. We recognized this patient as having illness caused by excessive water accumulation within the body, and so prescribed goreisan 7.5 g/day to treat his hyponatremia. His hyponatremia improved after the administration of goreisan. Later his hyponatremia deteriorated while being administered of meloxicam, a cyclooxygenase-2 inhibitor. This case suggests that goreisan might inhibit water reabsorption by antidiuretic hormone at the collecting duct of the kidneys via stimulation of prostaglandin synthesis.
