name | Diuretics |
classification | Several classes, including Thiazide diuretics, Loop diuretics, Potassium-sparing diuretics, Carbonic anhydrase inhibitors. |
pharmacokinetics | general | Pharmacokinetics vary by type. Some act quickly, others more slowly. Primarily eliminated via kidneys, though other routes exist. | absorption | Absorption varies; some absorbed rapidly orally, others require IV. Food intake can affect absorption. | distribution | Distribute throughout body water compartments; concentration and effect often linked to renal function. | metabolism | Metabolism depends on the specific diuretic type. Some undergo extensive hepatic metabolism, others excreted unchanged. | excretion | Renal excretion is primary, with variation based on diuretic and kidney function. |
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suggested dosage | Dosage varies and must be individualized based on diuretic type, patient condition, and response. Consult a physician for appropriate dosing. |
indications | 1 | Edema associated with heart failure | 2 | Hypertension | 3 | Certain kidney diseases | 4 | Fluid retention | 5 | Certain types of glaucoma |
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safety in pregnancy | Generally not recommended during pregnancy except for life-threatening conditions. Risks and benefits must be carefully assessed by healthcare provider. |
safety in breastfeeding | Some diuretics may be excreted in breast milk, potentially affecting infant. Consult a physician for the safest approach. |
side effects | 1 | Dehydration | 2 | Electrolyte imbalances (sodium, potassium, magnesium) | 3 | Headache | 4 | Dizziness | 5 | Muscle cramps | 6 | Fatigue | 7 | Lightheadedness | 8 | Increased urination | 9 | Gastrointestinal upset | 10 | Hypotension | 11 | Possible kidney damage in those with underlying kidney disease | 12 | Allergic reactions |
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alternatives | |
contraindications | 1 | Severe dehydration | 2 | Severe kidney impairment | 3 | Hypersensitivity/allergy to the diuretic | 4 | Electrolyte imbalances (especially low potassium) | 5 | Certain heart conditions |
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interactions | 1 | Other medications (e.g., digoxin, lithium, anticholinergics, certain antibiotics) | 2 | Interactions with specific food and nutrient intake |
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warnings and precautions | 1 | Monitor electrolytes and kidney function. | 2 | Patients with heart failure or kidney disease may require careful monitoring and dosage adjustments. | 3 | Avoid abrupt discontinuation without medical advice. |
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additional informations | 1 | Different diuretic types have distinct mechanisms and side effect profiles. | 2 | Adequate hydration is crucial for patients taking diuretics. | 3 | Patients should meticulously record fluid intake and output. | 4 | Diuretics affect electrolyte balance; periodic blood tests are often necessary. |
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patient specific considerations | age | 25 years: Generally no significant age-related adjustments needed unless underlying health conditions exist. | weight | 70 kg: Weight does not dictate basic dosage but can influence response, thus monitoring and adjustments are essential. | gender | Male: No specific gender-related considerations unless underlying conditions impacting response are present. |
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