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Volume 356:961-963 March 1, 2007 Number 9
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Tolvaptan for Hyponatremia

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 by Schrier, R. W.
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To the Editor: Schrier and colleagues (Nov. 16 issue)1 report the overall efficacy and safety of tolvaptan in raising and maintaining serum sodium concentrations in patients with hyponatremia due to various causes. However, they do not report whether the primary end points were achieved in each of the subgroups (patients with the syndrome of inappropriate antidiuretic hormone secretion [SIADH], those with liver cirrhosis, and those with chronic heart failure), although a previous preliminary report suggests that this treatment results in differences in the resolution of hyponatremia among these groups.2 Furthermore, little mention is made about whether the treatment groups were . . . [Full Text of this Article]




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