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[1 puff (250 mcg per spray) inhaled q12h]: Info: periodically reassess if tx >6mo. caution if arrhythmias; caution if hypokalemia; caution if diabetes mellitus; caution if seizure disorder. acetazolamide. cardiac arrhythmias; combo may incr. risk of severe familial periodic paralysis (FPP because acetazolamide used in FPP aggravates RTA and sodium bicarbonate used in RTA aggravates hypokalemic periodic. This unilateral phrenic palsy patient was asymptomatic, until an. Evolution: The 20 days after admission it's repeats EEG that evidenced periodic synchronous. Early diagnosis and proper treatment ( acetazolamide, treatment of. analysis were as follows: hypokalemia as low as 1.6, normal levels of. Abstract: The periodic paralysis (PP) are rare autosomal-dominant disorders. Recent advances in thyrotoxic PP and hypokalemic PP (hypoPP) confirm the. to BK channel openers, such as NS1619, acetazolamide and related drugs. 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