Diuretic pills: a list of drugs likemedications are selected

Update: October 2018

Diuretics are diuretics, they facilitate elimination.
fluids from the body, from tissues and increase the amount of excretion
urine. Depending on which part of the kidneys they are stronger
affect and from their chemical structure they are subdivided into several
classes.

It should be remembered that taking any medication should
be carried out only on prescription, including diuretics,
only according to strict indications. Diuretics have a number of
contraindications and a lot of side effects and are appointed in
depending on the disease, the causes of edema (see folk diuretic
facilities).

How to choose diuretic tablets

In various diseases and conditions, certain
diuretic class:

  • Saluretics – diuretic, remove potassium and magnesium ions, causing
    diuretic effect:

    • loop – furosemide, bumetanide, torasemide, lasix, ethacrine
      acid
    • sulfonamides – chlorthalidone, clopamide (usually chlorthalidone,
      Clopamide is used in combination with beta-adenoblockers, with
      antihypertensive drugs), indapamide – antihypertensive
      a drug
    • thiazide – cyclomethiazide, hypothiazide
    • carbonic anhydrase inhibitors – acetazolamide, diacarb
  • Diuretic potassium-sparing — работают в отводящем
    tubule, preventing potassium losses – amiloride, spironolactone,
    triamteren, veroshpiron, eplerenone
  • Osmotic diuretics prevents reabsorption
    fluid due to the difference in osmotic pressure in the tubules –
    mannitol, urea (intravenous).

What doctors appoint when:

  • Hypertension (high blood pressure) –
    thiazides and indapamide
  • Nephrotic syndrome and heart failure – loop
    diuretic. On the background of heart failure, intense swelling of the legs
    – parenteral administration of furosemide or lasix.
  • Diabetes mellitus, metabolic disorders – indapamide
  • Increased secretion of aldosterone by the adrenal glands –
    spironolactone
  • Osteoporosis – Thiazides

By the action of diuretics can be divided:

By efficiency

Strong Furosemide, Trifas, Uregit, Lasix
Average Hypothiazide, Циклометиазид, Оксодолин, Гигротон
Weak Veroshpiron, Triamteren, Diakarb

For the duration of action

Long work (up to 4 days) Eplerenone, Верошпирон, Хлорталидон
Mid-term (up to 14 hours) Диакарб, Клопамид, Триамтерен, Hypothiazide, Индапамид
Short acting (up to 8 hours) Манит, Furosemide,Лазикс, Торасемид, Этакриновая acid

By the speed of the effect

Fast (after 30 minutes) Furosemide, Торасемид, Этакриновая acid, Триамтерен
Average (через 2 часа) Diacarb, Amiloride
Slow (2 days) Верошпирон, Eplerenone

Loop diuretic

Loop diuretics increase sodium excretion by the kidneys, and
respectively, and water. Cause strong, fast coming, but
short-term diuresis (not more than 6 hours), therefore, as a rule,
used for emergency care. With chronic heart
failure with severe edema may apply
short courses.

Эти мочегонные, эффективны при нарушениях функции почек, в
difference from others. But since when taking loop diuretics goes
loss of magnesium and potassium in the body, it adversely affects
the work of the heart.

Contraindications: acute renal failure with anuria,
severe liver failure, hypersensitivity, acute
glomerulonephritis, urinary tract calculus calculus (see
kidney stones), pancreatitis, urethral stenosis,
hyperuricemia, gout, acute myocardial infarction, mitral or
aortic stenosis, hypotension, violation
water and electrolyte metabolism.

Side effects: tachycardia, pressure drop, arrhythmias,
collapse, weakness, confusion, headache, drowsiness,
dizziness, hearing and vision impairment, dry mouth, nausea,
vomiting, thirst, loss of appetite, exacerbation of pancreatitis, acute
задержка urine, снижение потенции, гематурия, интерстициальный
nephritis, pruritus, fever, photo-stabilization, erythema,
dermatitis, anaphylactic shock, leg muscle cramps, muscular
weakness, etc.

 Furosemide

Furosemide 40 мг. 50 pcs. 20-30 rub. Lasix 40 mg. 45 pcs. 50 rub.

Torosemide

Trigrim 10 mg. 30 pcs 500 rub. 5 mg. 30 шт 270 rub. Диувер 10 мг 20 шт 450 rub., 5 мг 20 pcs. 320 rub.

Sulfonamide diuretics

These include Indapamide – a means of reducing arterial
pressure (diuretic, vasodilator), which is close to
pharmacological properties of thiazides. Therapeutic effect
occurs after 1-2 weeks of administration, the maximum is reached in 2-3
month and lasts up to 2 months.

Contraindications: severe liver failure,
hypersensitivity, children under 18 years old, women during lactation,
with lactose intolerance, with caution during pregnancy, with
disorders of water and electrolyte metabolism, hyperuricemia,
hyperparathyroidism.

Side effects: a fall in blood pressure, palpitations, arrhythmia, changes
on ECG, cough, sinusitis, pharyngitis, dizziness, drowsiness,
headache, nervousness, drowsiness, insomnia, muscle spasm,
indisposition, depression, irritability, anxiety, constipation or
diarrhea, nausea, vomiting, dry mouth, pancreatitis, nocturia,
polyuria, urticaria, itchy skin, etc.

Indapamide: Akuter-Sanovel, Arindal, Arifon, Indap, Indipam,
Indiour, Ionik, Ipres-Long, Lorvas, Retapres, Tenzar, as well as:

Arifon 2.5 mg. 30 pieces 450 rub. Indap 2.5 mg. 30 pieces 100 rub. Acripamide 2.5 mg. 30 pieces 50 rub.
равел
Indapamide 2.5 mg. 30 pieces 100 rub. Ravel 1.5 mg. 30 pcs 200 rub.

Thiazide diuretics

The point of application of the action of thiazide diuretics –
distal tubules of the kidney. It is based on the fact that drugs
inhibit the reabsorption of sodium ions, followed by a gradient
pressure follows water. As a result, sodium is excreted along with
excess water.

Thiazide diuretics generally exhibit a diuretic effect.
medium strength. Some drugs in this group possess and
ability to dilate vessels.

  • By reducing the swelling of the vascular wall drugs group
    thiazide diuretics are widely used for prolonged
    combination therapy for hypertension.
  • The ability to clean external and internal edema makes these
    means relevant in the treatment of heart failure.
  • Also used for edema associated with cirrhosis of the liver and
    nephrotic syndrome.

Drugs are quickly absorbed and begin to act later.
half an hour after taking. Their duration is about 12
hours, which allows you to take drugs once a day in
as an antihypertensive and up to 2 times with the elimination of edema
cardiac origin. The advantage of this type of diuretic is
that they do not disturb the acid-base balance of the blood.

Features reception of thiazide diuretics:

  • Can interfere with the level of potassium and magnesium (with prolonged
    therapy)
  • Increase the level of uric acid (undesirable when
    gout)
  • Increase sugar levels (undesirable in sugar
    diabetes)

Thiazide preparations: Hygroton, Hypothiazide, Dichlothiazide,
Oxodoline, Cyclomethaside.

Hypothiazide

25 mg. 20 pcs. 100 rub.

Hypothiazide

100 mg. 20 pcs. 120 rub.

Hydrochlorothiazide

25 mg. 20 pcs. 50 rub.

Hydrochlorothiazide

100 mg. 20 pcs. 70 rub.

Diuretic potassium-sparing

Like thiazide drugs, potassium-sparing diuretic include
to saluretics and work at the level of the distal tubules. Principle
works similar to thiazides (impaired sodium reabsorption) and
its loss with water (amiloride, triampur).

Spironolactone has the effect of aldosterone
(adrenal hormone, retaining sodium and water). but
the effect of potassium-sparing diuretic is weak and develops slowly
(ко 2- 5 суткам от начала therapy).

  • As a consequence, potassium-sparing diuretics are not suitable for
    self-diuretic therapy and are usually prescribed in
    as an additional diuretic, for example,
    secondary hyperaldosteronism, heart failure,
    resistant to basic therapy, nephrotic syndrome, cirrhosis
    the liver.
  • Also this group becomes the drug of choice when
    intolerance to potassium wash-up drugs for heart therapy
    diseases, such as myocarditis, with edematous syndrome.
  • When combined with a loop or thiazide diuretic
    potassium-sparing drugs prevent significant potassium losses
    with urine.
  • Primary hyperaldosteronism (adrenal gland tumor) also
    requires the appointment of data diuretic (weoshpiron). Drugs
    suitable for patients with diabetes and gout.

Potassium-sparing agents: Spironolactone (Veroshpiron), Amiloride,
Triamteren (Triampur).

Spironolactone

Eplerenone

bycghf
Верошпилактон 25 mg. 20 pcs. 70 rub. Верошпирон 25 mg. 20 pcs. 90 rub. Эспира, Инспра 25 mg. 30 pieces 2600 rub.

Hydrochlorothiazide+Триамтерен

Triampur compositum 50 pcs 310 rub. Apo-Triazid 50 pcs. 200 rub.

Carbonic anhydrase inhibitors

This group of drugs include Diacarb. Normal enzyme
Carbonic anhydrase promotes the formation of carbonic acid in the kidneys.
from water and carbon dioxide that replenishes alkaline reserve
blood. By blocking the enzyme, diacarb promotes urinary excretion.
sodium, which pulls water. Simultaneously with the urine is lost
and an increased amount of potassium. Diacarb gives a weak effect, which
develops quite quickly (after an hour when taken in pill,
in half an hour with intravenous infusion). Duration
actions about 10 hours (4 hours with parenteral administration).

The drug is used for:

  • intracranial hypertension
  • increased intraocular pressure
  • with salicylate and barbiturate poisoning for alkalization
    urine
  • with cytostatic treatment
  • gout

Plant diuretic

Although medicinal herbs are not synthetic
drugs, and natural herbal teas that have diuretic
action, to their reception also stands related to the medicine. They
also have contraindications and side effects (most often
allergic reactions), on the effectiveness and speed of action is not
can be compared with drugs. But in some cases their
impact is enough to remove excess fluid in
организме (см. herbal diuretics).

  • Broths and infusions of herbs are usually used for renal
    edema, in addition to the diuretic action, many herbs have
    antibacterial and anti-inflammatory effects, which is valuable when
    inflammatory diseases of the urinary system.
  • Also diuretic herbs can be used when
    treatment of pregnant women (not all herbs) and children, and in those cases
    when drugs are contraindicated.
  • Herbal teas are taken in courses, because the body is fast
    gets used, and the effectiveness of therapy is reduced.
  • Together with the liquid with long-term use of the grass derive
    potassium and sodium (but to a lesser extent than drugs), therefore
    требуется контроль показателей blood.
Horsetail grass Bearberry
  • Cowberry leaves
  • Horsetail grass
  • Bearberry
Birch buds Burdock root Juniper fruit
  • Birch buds
  • Burdock root
  • Juniper fruit
Peppermint leaves Pyrey creeping Lungwort
  • Peppermint leaves
  • Pyrey creeping
  • Lungwort
Мочегонные народные средства при отеках Мочегонное при гипертонии Plantain leaves
  • Kidney Tea (Ortosiphon)
  • Highlander Pomechuynogo
  • Plantain leaves

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