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19 Cards in this Set
- Front
- Back
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Bendroflumethiazide
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Thiazide and related diuretic
Oedema in heart failiure NO LONGER FIRST LINE IN HYPERTENSION |
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Chortalidone
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Thiazide and related diuretic
Ascites in cirrhosis, oedema, hypertension, mild to moderate heart failure, diabetes insipidus. Long duration of action, good for less compliant patients. Branded Hygroton. |
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Cyclopenthiazide
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Thiazide and related diuretic
oedema and hypertension Branded Navidrex |
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Indapamide
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Thiazide and related diuretic
Used in hypertension, may lower BP with minimal metabolic disturbance, particularly diabetes mellitus. |
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Metolazone
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Thiazide and related diuretic
oedema and hypertension particularly effective when combined with a loop diuretic, even in renal failure. PATIENTS MUST BE MONITORED CAREFULLY - profound diuresis |
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Xipamide
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Thiazide and related diuretic
Oedema and hypertension chemically related to chlortalidone. |
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Bumetanide
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Loop diuretic
oedema powerful diuretic. Acts within 1hr, complete in 6. |
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Furosemide (Frusemide)
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Loop diuretic
Oedema Powerful diuretic, acts within 1hr, complete in 6 |
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Torasemide
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Loop diuretic
similar to furosemide and bumetanide, but also licenced for hypertension |
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Amiloride
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Potassium sparing diuretic
oedema, potassium conservation with loop or thiazide diuretics weak diuretic effect, but allows for use of other diuretics without a potassium supplement |
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Triamterene
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Potassium sparing diuretic
oedema, potassium conservation with loop or thiazide diuretics weak diuretic effect, but allows for use of other diuretics without a potassium supplement |
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Eplenerone
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Aldesterone antagonist (potassium sparing diuretic)
adjunct in LV dysfunction with evidence of HF after MI, and mild HF with LV dysfunction. |
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Spironolactone
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Aldesterone antagonist (potassium sparing diuretic)
Oedema, ascites, CHF, moderate to severe HF, resistant hypertension [unlicenced] primary hyperaldesteronism |
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Mannitol
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Osmotic diuretic
used to treat cerebral oedema, and raised intra-occular pressure. |
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Thiazide and related diuretics
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May cause hypokalaemia, hyponatremia, and hyPER calcaemia.
Caution in liver disease, hypokalaemia may precipitate coma. Ineffective if eGFR <30ml/min DO NOT USE IN PREGNANCY |
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Loop diuretics
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IV administration is of great benefit in pulmonary hypertension, giving relief before diuretic effect.
High doses/rapid admin can cause tinnitus or deafness. Caution, may cause hypokalaemia. Caution in pts with liver damage. |
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Potassium sparing and aldesterone antagonists
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whilst their diuretic effect is weak, they cause retention of potassium which may be of benefit in preventing hypokalaemia with other diuretics.
Potassium supplements must not be given alongside these drugs. |
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Potassium Sparing diuretics with other diuretics
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Ideally prescribed individually, but where compliance is a problem, these are available as compound preparations.
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Diuretics with Potassium
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Most patients on diuretics will not require supplements. When they do, the amount of potassium in the compound preparations is often inadequate, and so their use is discouraged.
Considered less suitable for prescribing on the NHS |
