Noni juice (Morinda citrifolia): hidden potential for hyperkalemia?
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.
Mueller
B A
BA
Department of Pharmacy Practice, Purdue University School of Pharmacy and Pharmacal Sciences, Indianapolis, IN 46202-2879, USA. bmueller@iupui.edu
Scott
M K
MK
Sowinski
K M
KM
Prag
K A
KA
D001628:Beverages / Q000009:adverse effects*; D005638:Fruit / Q000009:adverse effects*; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male