Loop Diuretics in Clinical Practice.

Article Details

Citation

Oh SW, Han SY

Loop Diuretics in Clinical Practice.

Electrolyte Blood Press. 2015 Jun;13(1):17-21. doi: 10.5049/EBP.2015.13.1.17. Epub 2015 Jun 30.

PubMed ID
26240596 [ View in PubMed
]
Abstract

Diuretics are commonly used to control edema across various clinical fields. Diuretics inhibit sodium reabsorption in specific renal tubules, resulting in increased urinary sodium and water excretion. Loop diuretics are the most potent diuretics. In this article, we review five important aspects of loop diuretics, in particular furosemide, which must be considered when prescribing this medicine: (1) oral versus intravenous treatment, (2) dosage, (3) continuous versus bolus infusion, (4) application in chronic kidney disease patients, and (5) side effects. The bioavailability of furosemide differs between oral and intravenous therapy. Additionally, the threshold and ceiling doses of furosemide differ according to the particular clinical condition of the patient, for example in patients with severe edema or chronic kidney disease. To maximize the efficiency of furosemide, a clear understanding of how the mode of delivery will impact bioavailability and the required dosage is necessary.

DrugBank Data that Cites this Article

Drugs
Drug Interactions
DrugsInteraction
Furosemide
Cyclosporine
The risk or severity of gouty arthritis can be increased when Cyclosporine is combined with Furosemide.
Ivabradine
Torasemide
The risk or severity of Cardiac Arrhythmia can be increased when Torasemide is combined with Ivabradine.
Ivabradine
Furosemide
The risk or severity of Cardiac Arrhythmia can be increased when Furosemide is combined with Ivabradine.
Ivabradine
Bumetanide
The risk or severity of Cardiac Arrhythmia can be increased when Bumetanide is combined with Ivabradine.
Ivabradine
Etacrynic acid
The risk or severity of Cardiac Arrhythmia can be increased when Etacrynic acid is combined with Ivabradine.