Case Report

Low-Dose Tolvaptan for the Treatment of Dilutional Hyponatremia in Cirrhosis: A Case Report and Literature Review

Table 1

Serum sodium concentrations and urine volumes of the present patient under the treatment of different doses of tolvaptan.

Data (day)Baseline*1234581114172030601201 (yr)

Dosage of tolvaptan (mg)NA15157.57.5555555NANANA
Urine volume (mL)2050440061004050420031002750300035503800275043004000NANA
Serum sodium (mmol/L)132117123130130128NA128NA127NA129135NA138
Total bilirubin (μmol/L)317244NA246NA227NA196NA199NA157923835
ALT (U/L)5251NANA44NANA343028NA33172017
PT (s)27.323.2NANA25NANA24.124.923.8NA21.822.419.614.2
BP (mmHg)124/69114/64NANANANA107/62104/72114/68NA122/71115/65127/70NA125/65
Body weight (Kg)7667.56566.566.569NANA65.5NA6161.5NANA71
Child-Pugh score1414NANANANANANANANANA111075

Baseline: the data was from the first day when the patient was admitted.