Diuretics

If you or anyone you know has uncontrolled hypertension, modifying the diuretic could be the most important yet overlooked intervention to bring it under control. The research has been done and shows it. It isn’t controversial - Samuel J Mann MD

Diuretics

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The Scandal of Uncontrolled Hypertension: A Widely-Overlooked Remedy

The tragedy is that we have the drugs to bring resistant hypertension under control in most cases and reduce the risk of cardiovascular events. And the fix is not expensive; it doesn’t require budget-busting new drugs or new technologies such as catheter ablations. It often lies in inexpensive, affordable drugs that are not new. One such drug class can solve uncontrolled hypertension in perhaps half of cases yet is widely under-prescribed and/or under-dosed, with tragic consequences. It is not receiving the attention or use it merits and needs.

That drug class is the diuretics. The right diuretic(s) at the right dose. Studies…

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Resources

 The Scandal of Uncontrolled Hypertension: A Widely-Overlooked Remedy

One such drug class can solve uncontrolled hypertension in perhaps half of cases yet is widely under-prescribed and/or under-dosed, with tragic consequences. It is not receiving the attention or use it merits and needs.

Acetazolamide (Diamox)

Acetazolamide is a diuretic and carbonic anhydrase inhibitor medication that is used to treat several illnesses. FDA-approved indications include glaucoma, idiopathic intracranial hypertension, congestive heart failure, altitude sickness, periodic paralysis, and epilepsy.

Loop Diuretics

Furosemide is the most well known and widely used of the loop diuretics which include bumetanide, torsemide, and ethacrynic acid.

Mannitol

Increases the osmolarity of the glomerular filtrate -> increasing urinary volume.

Spironolactone (Aldactone)

The recommended initial daily dose is 25 to 100 mg of ALDACTONE administered in either single or divided doses is recommended. Dosage can be titrated at two-week intervals. Doses greater than 100 mg/day generally do not provide additional reductions in blood pressure.

Thiazides

Very few agents used for the treatment of any disease can boast such staying power, which is a testament both to the efficacy and safety of these compounds and to the relevance of salt and volume control in the management of essential hypertension - Marvin Moser MD

BUPA

Not everyone can take diuretics. Diuretics can make some existing conditions worse, so it’s important to tell your doctor about any condition you have. You should also mention any medicine, herbal, vitamin or mineral supplements you’re currently taking.

VeryWell

Diuretics, also known as "water pills," are a common, inexpensive, and effective medication used to treat high blood pressure. They work by causing the kidneys to increase the amount of salt and water excreted from the body. This means you will urinate more than you usually do.

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