title: Noni juice (Morinda citrifolia): hidden potential for hyperkalemia?
abstract: We report the case of a man with chronic renal insufficiency who self-medicated with an alternative medicine product known as noni juice (Morinda citrifolia). The patient presented to the clinic with hyperkalemia despite claiming adherence to a low-potassium diet. The potassium concentration in noni juice samples was determined and found to be 56.3 mEq/L, similar to that in orange juice and tomato juice. Herbal remedies and alternative medicine products may be surreptitious sources of potassium in patients with renal disease.
authors.affiliation: Department of Pharmacy Practice, Purdue University School of Pharmacy and Pharmacal Sciences, Indianapolis, IN 46202-2879, USA. bmueller@iupui.edu
authors.forename: B A
authors.initials: BA
authors.lastname: Mueller
authors.forename: M K
authors.initials: MK
authors.lastname: Scott
authors.forename: K M
authors.initials: KM
authors.lastname: Sowinski
authors.forename: K A
authors.initials: KA
authors.lastname: Prag
mesh_terms: D001628:Beverages / Q000009:adverse effects*; D005638:Fruit / Q000009:adverse effects*; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male