Hi doctor, I had a bladder leakage at night. I tested my urine. It was fine. I do not have urine leakage during the daytime. I had this problem before five months. My urologist gave me Nocitva nose spray. I have read that using Noctiva can lower the sodium present in the body. I tested my sodium level before eight months. It was 142 mEq/L. Do I need to check my sodium level now? Please suggest.
Hi. Yes, using Noctiva nasal spray (Desmopressin acetate) can cause a decrease in sodium levels in the blood. The risk is small, and it usually happens within the first month. Then your body starts coping with it. Generally, we measure the sodium levels just before starting the drug, a week after starting the medication and a month after taking the drug. If we find the levels in a stable condition, then we repeat them once in six months. In your case, as you have started the medication, I would advise you to get a sodium level now and a couple of weeks later. If they are normal, then you can get it done for every six months. It is just a precaution to monitor these levels, as the actual risk of developing low sodium levels is less than 10 %.