Treating hyperaldosteronism focuses on reducing your aldosterone levels or blocking the effects of aldosterone, high blood pressure, and low blood potassium. There are several ways to do this, depending on what’s causing your hyperaldosteronism.
Your doctor might prescribe a mineralocorticoid receptor antagonist, such as spironolactone. This type of medication blocks the effects of aldosterone on your body, such as high blood pressure and low blood potassium. You may still need to take additional medications to help manage your blood pressure.
If you have a tumor on one of your adrenal glands, your doctor may be able to remove the affected gland. Following the procedure, called an adrenalectomy, you’ll likely notice a gradual decrease in blood pressure. As you heal, your doctor will regularly monitor your blood pressure to determine whether it’s time to change your blood pressure medication. Eventually, you may be able to stop taking it completely.
In addition to medication and surgery, there are several lifestyle changes you can make to provide additional health benefits and help counteract the effects of too much aldosterone.
- Eating a healthy diet. Following a balanced diet that helps you maintain a healthy weight can reduce your blood pressure. Start by choosing fresh, unprocessed foods to reduce your salt intake. Try incorporating elements of the DASH diet, which is designed for people with high blood pressure. In addition, many blood pressure medications work better when combined with a healthy diet. A diet lower in salt is often key in hyperaldosteronism.
- Exercising. Consistent exercise, even just a 30-minute walk a few times a week, can help to reduce blood pressure.
- Reducing alcohol and caffeine. Caffeine and alcohol can both increase your blood pressure. Some blood pressure medications are also less effective when taken with alcohol.
- Quitting smoking. Smoking cigarettes constricts your blood vessels, which increases your heart rate and can raise blood pressure. Learn about different methods that can help you kick the habit. Smoking also increases your risk of heart attack and stroke, even without high blood pressure.