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13 Cards in this Set

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  • Back
How do Osmotic Diuretics work?
They Increase the urine volume/water excretion as well as the excretion of most electrolytes.
What are 3 Osmotic Diuretic drugs?
Mannitol (IV)
Sorbitol
Isosorbide (orally for glaucoma)
What enzyme produces hydrogen ions that are secreted into the kidney making urine acidic?
Carbonic Anhydrase
What drug was first discovered to inhibit carbonic anhydrase and render urine basic?
Acetoazolamide (Glaucoma)
What is the mechanism of action of Thiazide Diuretics?
They inhibit the Na/Cl symporter in the Distal Tubule.
They compete for the Cl binding site and inhibit Na/Cl reabsorption.
What is another name for thiazides?
Saluretics
Draw a the basic structure of a Thiazide.
Thiazide
What portion of the Thiazide is important for diuretic activity.
The C-6 electron withdrawing group (Cl or CF3).
Compounds with CF3 at position 6 as opposed to Cl have this characterstic.
They are more lipophilic and have a longer duration of action.
Structurally, what else is important for thiazide activity?
C-6, C-7, 3,4 dihydro (saturation of double bond), C-2,C-3 positions
What is a Loop Diuretic?
A type of diuretic thats onset is quick and duration is short. It also has a more pronounced effect than most diuretics.
What is the example of this type of drug?
Furosemide
Draw Furosemide.
Furosemide