The most powerful diuretic pills. Diuretic and pills

The causes of edema are different. These can be chronic diseases of the liver, kidneys and lungs, acute heart failure, high blood pressure. They occur as a result of excessive drinking of water, during pregnancy, or as a result of an allergic reaction. Diuretics not only relieve unpleasant symptoms, but also play an important role in the treatment of diseases of various origins. They remove excess fluid, toxins and salts accumulated in the tissues and walls of blood vessels, normalize blood pressure, and eliminate swelling.

The expected therapeutic effect depends on the correct choice of diuretic, since they differ in their mechanism of action. To choose the best diuretic drug, you need to familiarize yourself with the following characteristics:

1. Compound. All diuretics are divided into synthetic, semi-synthetic and natural. Vegetable gently remove excess fluid from the body. Medicines with a chemical composition act quickly and have a long-term effect.
2. Tool type. They are divided into strong, medium and weak. The former contribute to the rapid outflow of water and the elimination of edema. They are prescribed for the treatment of various diseases. Medium and weak preparations are indicated for swelling of the hands and feet. They are approved for use by pregnant women, children and the elderly. Such drugs do not act immediately, sometimes for 2-3 days.
3. Manufacturer. High-quality medicines are produced by large pharmaceutical companies. Pay attention to the manufacturer to avoid buying an ineffective product.
4. Contraindications. Do not use the drug if the instructions contain at least one reason forbidding its use. It is necessary to abandon it completely and consult a doctor to choose a safe and effective remedy.

• expert opinion;
• the effectiveness of the drug;
• safety for the body;
• patient reviews;
• value for money.

Do not forget that before using any medications, you should first consult your doctor!

There are contraindications. Check with your doctor.

The best diuretics for weight loss

Excess weight is a serious problem faced by every third inhabitant of the country. There are many ways to get rid of it. The use of diuretic drugs is especially popular. They contribute to the removal of excess fluid and salts from the body, thereby eliminating the hated kilograms. But it is worth remembering that the use of diuretics alone will not lead to a stable result. Only in combination with proper nutrition and physical activity can you normalize your weight.

4 Indapamide

Strong diuretic effect
Country: Serbia
Average price: 90 rubles.
Rating (2019): 4.6

Tablets "Indapamide" - a diuretic of moderate action. It is used as a drug that relieves edema caused by acute heart failure. It is rapidly and completely absorbed from the gastrointestinal tract. The tablets contain an active substance that reduces the load on the heart and peripheral vascular resistance, and normalizes blood pressure.

After taking the effect occurs after 60 minutes and lasts from 12 to 18 hours. When using the drug for weight loss, it is important to remember that excess weight is lost as a result of the removal of water, and not subcutaneous fat. Only complex methods will lead to the desired result. Advantages: great diuretic effect, long-term use is possible, rapid loss of excess fluid, low price. The disadvantages include the presence of contraindications.

3 Veroshpiron

Excellent potassium-sparing agent
Country Russia
Average price: 100 rubles.
Rating (2019): 4.7

"Veroshpiron" refers to potassium-sparing diuretics. It is indicated for use in edematous syndromes caused by chronic heart failure and diseases of the endocrine system. The diuretic effect is mild, but the drug does not cause a loss of potassium and does not lead to an acid-base imbalance in the body. Its maximum effect occurs after 2-3 days and persists for a long time. After using the drug, blood pressure decreases, swelling disappears.

By combining pills with other weight loss methods, you can get rid of excess weight and achieve lasting results. Advantages: mild diuretic, safe for health, does not wash out potassium, normalizes blood pressure, long-term effect, low price. No cons found.

2 Furosemide

The most potent drug
Country Russia
Average price: 30 rubles.
Rating (2019): 4.8

Furosemide is the most common and popular diuretic. It belongs to the group of strong diuretics. The drug quickly removes excess fluid and sodium salts from the body. The tool reduces blood pressure, eliminates swelling caused by diseases of the liver, heart and kidneys. As a result of water loss, significant and rapid weight loss can be achieved. But to consolidate the effect of losing weight, an integrated approach is required.

The action of the tablets begins in 20-30 minutes and lasts up to 6 hours. According to patients, this is the best medicine that helps in critical situations. Pros: strong diuretic effect, effective for severe edema, rapid weight loss, low cost. Disadvantages: prolonged use without medical supervision can lead to dehydration.

1 Hydrochlorothiazide

The best elimination of edema
Country Russia
Average price: 80 rubles.
Rating (2019): 4.9

The Russian-made drug is an effective diuretic, perfectly removes excess fluid and sodium salts from the body. It is used in diseases of the liver, heart, lungs and kidneys to eliminate edema, helps to lower blood pressure. The agent does not form metabolisms in the body, it is excreted through the kidneys unchanged.

The maximum effect is achieved 4 hours after application. The action lasts up to 12 hours. According to reviews, the medicine quickly removes water, thereby leading to the loss of extra pounds. A stable result appears with an integrated approach to the problem of losing weight. Advantages: excellent diuretic, weight loss, removes swelling of various origins, optimal price. No deficiencies found.

The best diuretics for the face

Each of us faced the problem of swelling of the face and the appearance of bags under the eyes. In some cases, this manifests itself in the form of a slight puffiness in the cheekbones, in others, the face swells completely. The causes of edema are different. This may be the use of excess fluid drunk the day before, and serious diseases of the kidneys, heart or liver. The main thing is to identify the cause of the symptoms. First aid will be provided by diuretics, which will quickly and effectively cope with edema.

4 Phytonephrol

Best Cast
Country Russia
Average price: 80 rubles.
Rating (2019): 4.6

The urological agent is produced in the form of crushed fruits and herbs, packaged in filter bags. Natural components have an invaluable effect on the body in the complex therapy of chronic diseases of the kidneys and urinary tract. Bearberry leaves contain enzymes that cleanse bacteria and viruses. Calendula flowers have anti-inflammatory and diuretic effects. Eleutherococcus root strengthens, restores immunity, normalizes metabolism.

Peppermint is an excellent antispasmodic and analgesic. Dill seeds contain essential oils, which effectively affect the removal of excess fluid from the body. Advantages: 100% herbal composition, safe product, copes well with facial swelling, optimal price. No cons found.

3 Torasemide

longest action
Country Russia
Average price: 120 rubles
Rating (2019): 4.7

"Torasemide" is one of the most effective diuretics to date. It has a diuretic and saluretic effect. The drug is indicated for acute, chronic heart and kidney failure. It is also used as a prophylactic against the appearance of edema. With hypertension, it lowers blood pressure as a result of the rapid removal of sodium salts and water from the body.

The agent begins to act in 50-60 minutes. After 2 hours, the maximum effect is achieved, which lasts from 12 to 18 hours. According to reviews, the advantage of the drug is that increased urination does not occur immediately. Thus, the activity of the patient in the first hour after administration is not limited. Advantages: long-term effect, rapid elimination of facial edema, reduces pressure, optimal price. Minus: there are contraindications.

2 Uregit

Rapid elimination of liquid
Country: Hungary
Average price: 1900 rubles.
Rating (2019): 4.8

The drug belongs to fast-acting diuretics. It removes chloride, sodium and water ions from the body. The drug is indicated for use in edema resulting from diseases of the kidneys, heart, brain and lungs. It is also effective in cases where other drugs do not help. The active substance - ethacrynic acid - inhibits the reverse absorption of sodium. Therefore, tablets can be taken by patients with renal insufficiency.

The tool begins to act 30-40 minutes after administration. The maximum effect is reached after 2 hours and lasts from 6 to 9 hours. According to reviews, "Uregit" is a mild diuretic, which has a pronounced effect and does not cause side effects. Benefits: rapid removal of fluid, excellent help with swelling of the face, moderately lowers high blood pressure. The disadvantages include high cost.

1 Triampur compositum

New generation diuretic
Country: Israel
Average price: 320 rubles.
Rating (2019): 4.9

Israeli-made tablets are weak decongestants. By removing excess fluid, toxins and salts, they do not flush potassium from the body. That is why they are considered a safe diuretic. It relieves edematous syndrome in liver diseases and chronic heart failure. The drug can be taken in complex treatment to achieve maximum effect.

Diuretic action begins after 15 minutes and lasts 12 hours. According to doctors, the remedy relieves swelling of the face without harming health. It is rapidly absorbed in the gastrointestinal tract. Advantages: mild and effective medicine, potassium-sparing diuretic, safe in severe diseases. No cons were found.

The best diuretics for leg swelling

Swelling of the legs occurs due to various reasons. These are diseases of the cardiovascular system or the result of the use of medications. Swelling may occur after excessive consumption of fluids or salty foods. In any case, it is necessary to help the body remove moisture and relieve unpleasant symptoms. Diuretics improve the functioning of the excretory system and remove excess fluid and salts that have stagnated in the tissues.

4 Amiloride

Effective remedy for swelling of the legs
Country: Germany
Average price: 250 rubles.
Rating (2019): 4.6

Amiloride is a potassium-sparing diuretic. It perfectly copes with the outflow of excess fluid from the body, while not removing nutrients. The drug, on the contrary, promotes the accumulation of potassium and magnesium. It is indicated for use in edema caused by diseases of the kidneys, liver and cardiovascular system. The medicine is prescribed for hypertension, it quickly lowers blood pressure.

Tablets begin to act after 2 hours, the effect lasts from 1 to 2 days. They are well absorbed and completely excreted by the kidneys. Advantages: does not wash out potassium and magnesium, long-term effect, normalizes blood pressure, few side effects, relieves swelling from the legs well. No deficiencies were found.

3 Diacarb

Wide spectrum of action
Country: Poland
Average price: 240 rubles.
Rating (2019): 4.7

"Diakarb" is a weak diarrhea, which is recommended for edema associated with diseases of various origins. The main ingredient is acetazolamide. Additional components in the composition: starch, talc, sodium gluconate. After using the drug, the level of fluid in the body decreases, arterial and intraocular pressure normalizes. The diuretic effect is achieved by reducing the amount of electrolytes. It is also shown to patients as an antiepileptic agent.

According to reviews, the drug effectively relieves swelling of the legs, removes excess fluid, its effect lasts up to 12 hours. It is well absorbed from the gastrointestinal tract and excreted unchanged by the kidneys. Benefits: mild diuretic, long acting. Cons: There are side effects.

2 Spironolactone

The most gentle elimination of edema
Country Russia
Average price: 60 rubles.
Rating (2019): 4.8

The Russian-made drug belongs to the group of magnesium- and potassium-sparing diuretics. It well eliminates swelling of the legs in chronic heart failure. The tool produces an outflow of excess fluid from the body, without disturbing the acid-base balance. It is a weak diuretic, so the diuretic effect appears 2-5 days after application.

Tablets are well absorbed from the gastrointestinal tract, almost completely absorbed and excreted by the kidneys. According to patient reviews, the drug rarely causes side effects. Advantages: does not wash out magnesium and potassium from the body, promotes the outflow of moisture, relieves puffiness, reduces the load on the heart, is allowed for pregnant women in the II and III trimester. Disadvantages: the effect does not come quickly.

1 Hypothiazid

Best diuretic for hypertension
Country: France
Average price: 100 rubles.
Rating (2019): 4.9

The French drug belongs to the group of medium-acting thiazide diuretics. It is indicated for use in edema due to chronic heart and kidney failure. Hypothiazide is a prophylactic agent that prevents the formation of stones in the genitourinary system.

The therapeutic effect occurs within 2 hours and retains it for 10-12 hours. Can be used on its own or as part of a combination treatment. According to doctors, the drug has long proven itself on the positive side: it does an excellent job of removing excess fluid, lowers blood pressure. The advantages are considered to be an effective reduction in leg edema, long-term effect, low price. No cons found.

The best diuretics during pregnancy

Edema during pregnancy appears mainly in the second and third trimester, although some women begin to worry in the first months. It all depends on the individual characteristics of the organism. To eliminate unpleasant symptoms, diuretics are used, which remove excess fluid, while preventing the leaching of beneficial substances. Before you start treatment, you must always consult with your doctor. We present diuretics for pregnant women, which are effective and safe for the health of the mother and unborn baby.

3 Eufillin

Low price
Country Russia
Average price: 20 rubles.
Rating (2019): 4.6

"Eufillin" is one of the best medications that copes with edema during pregnancy. It promotes vasodilation, helps the kidneys to better remove excess fluid from the body, and normalizes high blood pressure. In addition, it is indicated for the treatment of placental insufficiency, chronic lung diseases and bronchial asthma. Take the drug under the strict supervision of a doctor. It is prescribed in short courses with severe swelling.

According to reviews, the drug effectively removes excess fluid from the body, is a good antispasmodic, reduces swelling and discomfort. After administration, it is rapidly and completely absorbed. Pros: copes well with swelling, low price. Disadvantages: there are contraindications.

2 Phytolysin

The safest remedy
Country: Poland
Average price: 350 rubles.
Rating (2019): 4.8

The tablets are a diuretic of plant origin. Active natural substances included in the composition: extracts of horsetail, goldenrod, couch grass, parsley, birch leaves - have an antispasmodic effect. Orange, sage, pine and peppermint oils have anti-inflammatory effects. The drug helps to remove excess fluid, as well as stones from the bladder and kidneys. It is an effective prophylactic that prevents their formation.

"Fitolysin" is used alone or as part of complex therapy for inflammation of the urinary tract and urolithiasis. It is suitable for the treatment of newborns and women at any stage of pregnancy. Advantages: natural composition, no contraindications, effective action. No cons were found.

1 Kanefron

The best herbal preparation for pregnant women
Country: Germany
Average price: 430 rubles.
Rating (2019): 4.9

A safe remedy of natural origin has not only diuretic, but also antispasmodic, anti-inflammatory and antiseptic effects. The composition includes plant components: rosemary, centaury, wild rose, lovage. The medicine is indicated for infectious and inflammatory processes in the kidneys. It is prescribed as a prophylactic for urolithiasis. During pregnancy, it is the best safe drug for removing excess fluid from the body and getting rid of edema.

According to expectant mothers, "Canephron" is a mild diuretic that does not cause side effects. Pros: can be taken at any stage of pregnancy, no contraindications, herbal composition. No deficiencies found.

In such cases, it is customary to say "The article is for informational purposes only and is not intended for ...". But we say differently. If swelling - intermittent or persistent - bothers you to the point that you are thinking about purchasing a diuretic, then it's time to see a doctor. And find out what exactly caused bags under the eyes or swollen ankles. This is the only safe option, as you will be prescribed the best diuretic that will relieve your particular condition without threatening to cause complications.

These medicines are not included in the mandatory home first aid kit, and in most cases they are simply not needed there. Each diuretic has its own mechanism of action, indications and contraindications and, accordingly, cannot be selected without the participation of a qualified specialist. But if necessary, this group of drugs can become a first aid in situations where it is impossible to see a doctor for any reason.

So, you already understood that diuretics, as well as your own health, must be treated responsibly. And now you can move on to the rating of the best diuretics, which you can (if necessary!) replenish your home first aid kit.

Furosemide

Photo: www.farmshop.ru

The cost of packing tablets 50pcs / 40mg is about 25 rubles. Ampoules 1% 2ml 10 pcs - 30 rubles. Also available under the trade name Lasix.

Furosemide is included in the name as the most popular and widespread, but Torsemide, Bumetamide and others belong to the same group of potent diuretics.

Furosemide belongs to the "ceiling", very potent diuretics, which have an effect 40-60 minutes after taking the pill and 5-15 minutes after the injection (depending on the method of administration - intravenously or intramuscularly). It allows you to quickly reduce blood pressure, relieve the load on the heart, accelerate the excretion of fluid in hepatic and renal edema, including ascites, and also minimize the threat of cerebral and pulmonary edema, or eliminate already developed edema of these organs.

Furosemide is an "ambulance" and not a drug for the treatment of conditions that caused swelling. disadvantage This diuretic is its ability to quickly remove vital salts, so in most cases Furosemide is used once, if necessary. With more frequent use of the drug, it is necessary to control the level of electrolytes in the blood plasma, as well as the parallel intake of potassium-containing drugs.

Strictly contraindicated with severe liver and kidney failure, narrowing of the lumen of the bladder or urethra, lack of urination and other conditions in which severe complications can develop.

Grade. Given the really high effectiveness of the drug and its ability to quickly help in critical conditions, he was awarded 9 points out of 10.

Reviews. « Mom has hypertension, without Furosemide they simply would not have saved her. She learned to inject herself into a vein, literally after 5 minutes the pressure begins to decrease. This is the best diuretic, other drugs have not taken root with us - the effect is the same, but they are much more expensive».

Hypothiazide

Photo: neboley-nn.ru

The cost of packing tablets 25 mg/20 pcs. is about 100 rubles.

Hypothiazide refers to diuretics of moderately pronounced action. After taking the pill, the effect occurs after 30-50 minutes and lasts about 6-14 hours (depending on the throughput of the kidneys, the nature of the edema and other factors). Due to the mild effect of the drug, it is prescribed for the treatment of hypertension (in combination with other drugs), chronic edema of various origins, glaucoma (to lower intraocular and intracranial pressure) and other conditions in which maintenance of a certain level of blood pressure or a decrease in internal and subcutaneous edema. It can be taken for long courses, subject to periodic monitoring of electrolyte levels.

Flaws. A small number of contraindications - individual intolerance to sulfonamides and pregnancy - are more than offset by possible side effects - starting with goosebumps, ending with serious violations of the water and electrolyte balance, against which even more dangerous complications develop. At the same time, although Hypothiazid is indicated for the treatment of heart diseases, it cannot be taken together with antiarrhythmic drugs.

Grade. The high probability of developing undesirable effects lowered the assessment of the drug. As a result, the tool receives 7 points out of 10.

Reviews. “I drink Hypothiazid only in the summer in short courses of 1-1.5 weeks, with a break of 3 weeks, as prescribed by the doctor. I went to the reception because of the terrible swelling that occurs in the summer. Literally, the palm could not squeeze into the palm, the skin was stretched to such an extent from edema. After two courses, the edema became much weaker, and the next summer she began to drink Hypothiazid preventively, from the end of April. It was my first summer, which was remembered not by torment, but by walks and even a trip to the sea..

Veroshpiron

Photo: www.farmshop.ru

The cost of packing tablets 25 mg/20 pcs. - about 45 rubles. Analogues - Nolaxen, Spironolactone.

This drug belongs to the group of diuretics with the least pronounced effect, but does not cause loss of potassium. After taking the pill, the effect of the drug develops gradually, reaching its maximum only for 2-3 days, but it also persists for a long time. Even a few days after the end of taking the drug, the diuretic effect is still manifested. It is prescribed in combination with other potent diuretics to compensate for the loss of mineral salts caused by them. As an independent drug for the treatment of edema, it is not used due to its unexpressed effect.

Flaws. Due to the fact that the excretion and excretion of urine is slow, its stagnation in the bladder can develop and, as a result, the formation of stones. Particular caution should be observed in people with a tendency to urolithiasis or already diagnosed with this disease. In addition, Veroshpiron is "rich" in almost all the undesirable effects inherent in other diuretics (except for reducing the level of potassium in the blood plasma).

Grade. The ratio of advantages and disadvantages is approximately the same, but, given the less pronounced health hazard due to the potassium-sparing effect, Veroshpiron deserves 9 points.

Reviews. “I was treated with Diakarb, but addiction set in very quickly, and the doctor canceled it. And the swelling began to reappear, it was difficult to breathe. I decided to try Nolaxen - at first there was no effect at all, and after a day the swelling began to go away. I would say that one of the best diuretics, acts gently and does not "drive" the toilet, like other drugs.

bearberry

Photo: www.smed.ru

A pack of bearberry leaves weighing 50 g costs about 50 rubles.

After reading the characteristics of previous diuretics, you can relax. Before us is a 100% natural product with a pronounced diuretic effect. Its indisputable advantage is a small number of contraindications (if used correctly), as well as an anti-inflammatory effect on the organs of the genitourinary system. This is a very valuable quality, given that more than 50% of visits to the doctor with complaints of edema are due to diseases of the kidneys and urinary tract. This natural diuretic can be used even by pregnant and lactating women (unless, of course, there is a need to take diuretics), observing the rule: treatment should last no longer than 5 days, after which a break of 1 week should be allowed.

To conditional shortcomings include the need to prepare a fresh infusion daily, as well as the not very pleasant taste of such “tea”. It is not recommended for people with hay fever and other manifestations of pollen allergy. At the very least, check with an allergist first, or just keep your antihistamine handy.

Grade. Almost no contraindications, effective and inexpensive diuretic deserves the highest rating in the ranking of the best - 10 points.

A number of substances that increase the amount of fluid excreted from the human body are called diuretics or diuretics. They have different chemical composition, but they work in the same way. Preparations of chemical and herbal origin reduce the procedure for the reabsorption of salts and water in the renal tubules, so more of them are excreted in the urine. Taking diuretics increases the rate of urine production, thereby reducing the volume of fluid that accumulates in cavities and tissues.

Classification of diuretics

Diuretic substances are used for the complex therapy of heart failure, hypertension, pathologies of the kidneys, liver and other diseases characterized by swelling of tissues and organs. There is a wide range of diuretics, which are classified according to several criteria, combined into groups according to similar properties. Before using any medication that removes excess fluid, you should consult your doctor.

Diuretics are divided into groups depending on several factors. Separation of diuretic drugs according to the mechanism of action:

• strong diuretic tablets and other dosage forms: used for emergency therapy, with a jump in blood pressure (used once);
• preparations of medium strength and long-term action: treatment of diseases of internal organs (therapy includes several courses);
• weak diuretics: control the accumulation of fluid, while maintaining potassium in the body (used in combination with other medicines).

Clinical medical practice has its own classification. The following groups of drugs are distinguished:

• loop diuretics to quickly get rid of puffiness, reduce pressure;
• thiazide and thiazide-like (non-thiazide) diuretics are used in courses in the complex treatment of glaucoma, hypertension, edema caused by heart or kidney failure, and so on;
• osmotic diuretics - powerful drugs are drunk for the treatment of acute conditions (glaucoma, pulmonary and cerebral edema, peritonitis, shock, sepsis), to accelerate the removal of excess substances in case of overdose or poisoning;
• potassium-sparing drugs are used with other substances that remove potassium (this is necessary to minimize the loss of ions);
• carbonic anhydrase inhibitors are weak agents for reducing intraocular, intracranial pressure caused by various pathologies.

Loop diuretics

This type of diuretic reduces the level of reabsorption (reabsorption) of calcium, increasing its excretion from the human body with urine. Loop potent drugs are taken 1-2 times a day, the half-life of active components from the blood occurs in 40-60 minutes. Diuretics are produced in solutions and tablets, that is, they are used orally and intravenously (in severe conditions of the patient).

Doctors often prescribe ethacrynic acid, Peritanide, Furosemide, Bumethamide. Indications for the use of loop drugs are:

• acute, chronic form of renal or heart failure;
• edema, ascites in cirrhosis of the liver;
• nephrotic syndrome;
• intoxication of the body;
• pulmonary edema;
• hypercalcemia (increased calcium levels in the blood);
• drug overdose.

Powerful diuretic drugs have a number of contraindications. They can not be used in such conditions and diseases:

• dehydration;
• lack of urination (anuria);
• hypersensitivity to constituent elements;
• sodium deficiency in the body.

Thiazide and thiazide-like diuretics

Drugs with a diuretic effect and an average effect on the body are thiazide diuretics.. They reduce the excretion (removal) of calcium and increase the concentration of sodium in the distal nephron (structural and functional unit of the kidney). This enhances the exchange process of sodium for potassium, with an increase in potassium excretion. These drugs begin to act 40-60 minutes after ingestion, the maximum effect occurs after 2-5 hours. Thiazide diuretics are effective in renal glomerular filtration of at least 30-40 ml / min according to the Rehberg test.

The most popular diuretics: Clopamid, Hypothiazide, Dichlorothiazide, Chlorthalidone, Indapamide. Main indications for use:

• glaucoma;
• edematous syndrome of the newborn;
• complex therapy of arterial hypertension;
• atherosclerosis;
• diabetes insipidus;
• oliguria;
• chronic swelling associated with liver cirrhosis, heart failure, nephrotic syndrome;
• oxalate kidney stones.

There are several contraindications to the use of thiazides. They are prohibited under such conditions and diseases:

• pregnancy;
• a high level of sensitivity (allergy) to sulfa drugs (Groseptol, Biseptol and others).

Potassium-sparing diuretics

Diuretics, which do not flush potassium from the body, are often prescribed to lower blood pressure. Potassium-sparing drugs have a weak effect, so loop and thiazide drugs should be used in combination with them to avoid hypokalemia. Diuretic tablets, capsules begin to act a few days after consumption, but their effect is cumulative. Among the most famous potassium-sparing diuretics are Aldactone, Veroshpiron, Spironolactone, Triampur. Indications:

• treatment of arterial hypertension;
• diabetes;
• anemia;
• primary and secondary forms of hyperaldosteronism (increased production of aldosterone, the main hormone of the adrenal cortex);
• gout;
• to enhance the effect of cardiac glycosides;
• combination therapy with other drugs that remove potassium from the body.

According to the instructions, potassium-sparing diuretics are not always allowed for use. Contraindications:

• cirrhosis of the liver;
• acute and chronic renal failure of severe form;
• hyperkalemia;
• hyponatremia.

Carbonic anhydrase inhibitors

Such drugs catalyze carbonic acid in the epithelium of the nephron tubules, which is very important for the reabsorption of bicarbonates. Thanks to diuretics, sodium bicarbonate is excreted in the urine, which becomes alkaline. Together with it, water and potassium are excreted. The therapeutic effect of inhibitors is weak, because almost all the sodium released into the urine accumulates in the distal regions of the nephron. This type of diuretic is always used in combination with other drugs.

Carbonic anhydrase inhibitors are given as tablets or injections (intravenously). Diuretics can be addictive, so it is rational to use them in small courses with intervals between them. The most popular medicines: Metazolamide, Diacarb (Acetazolamide), Brinzolamide, Dichlorphenamide. Indications for admission:

• small epileptic seizures;
• mountain sickness prevention;
• acute attacks of glaucoma;
• high intracranial pressure;
• in chemotherapy of malignant tumors;
• intoxication with salicylates, barbiturates.

There is a list of contraindications to the use of carbonic anhydrase inhibitors. You can not take them in the following cases:

• severe respiratory failure;
• uremia (high concentration of urea in the blood);
• decompensated diabetes mellitus.

Osmotic diuretics

The mechanism of action of these diuretic drugs is based on increased osmotic pressure in the blood plasma. This helps to remove fluid from swollen tissues and increase the volume of circulating blood. As a result, the reabsorption of chlorine and sodium is reduced. The most powerful osmotic diuretics are Mannitol (mannitol), urea, concentrated solutions of glycerol, glucose. The drugs are used exclusively in the form of intravenous infusions. Indications:

• swelling of the larynx;
• intoxication with hemolytic toxic substances (weakness, dizziness, nausea, vomiting, tachycardia);
• cerebral edema;
• poisoning with boric acid, barbiturates, salicylates, sulfonamides;
• pulmonary edema caused by the toxic effects of turpentine, gasoline, formalin;
• acute glaucoma;
• transfusion of incompatible blood;
• burns, shock, sepsis, osteomyelitis, peritonitis and other acute conditions.

Osmotic diuretics are effective only in acute conditions. When the patient's condition becomes stable, the drug is canceled. There are no contraindications to the use of osmotic infusions, because they are used in especially severe and dangerous cases when it comes to human life. Prescribed only by a qualified physician.

Herbal preparations

Herbal remedies give a weak therapeutic effect, but have significantly fewer side effects. In addition to this, such diuretic herbal preparations in tablets and other forms have a more gentle, mild effect on the kidneys. They are allowed to be taken by pregnant women and children. Diuretics are used to combat edema caused by various diseases and conditions (hypertension, kidney or liver failure, pregnancy). Popular means of this group: Fitolizin, Canephron, Urlesan, Cyston and so on.

Diuretics for edema

With the accumulation of fluid in the tissues, diuretics are used in short courses, with breaks between them. This measure is necessary to avoid addiction to the drug and reduce the strength of the therapeutic effect. The average daily dosage of diuretics is 5 to 20 mg (tablets). The drugs are taken until the swelling disappears, then you should take a break for 2-4 weeks and repeat the course.. Strong decongestant diuretics are:

• Furosemide;
• pyretanide;
• Torasemide;
• Xipamide;
• Bumetanide.

If a person has a regular (chronic) accumulation of fluid in the tissues, then diuretic tablets will help with edema of medium strength. For example, thiazide diuretics. The course of therapy is usually long and continuous. Often prescribed such means:

• Chlortalidone;
• Hypothiazide (hydrochlorothiazide);
• Indapamide;
• Polithiazide;
• Metozalon;
• Clopamid.

Under pressure

If a person is diagnosed with hypertension, then two different groups of drugs are used for therapy. They dilate blood vessels, normalize blood pressure. The conditional classification of diuretics looks like this:

1. To quickly reduce diastolic pressure (especially in a hypertensive crisis), potent diuretic drugs are used: ethacrynic acid, Furosemide, Xipamide, Torasemide and similar drugs. To achieve a rapid therapeutic effect, diuretics are administered intravenously. Duration of treatment - from 1 to 3 days.
2. In chronic hypertension, medium-strength diuretics are prescribed. They help maintain normal blood pressure. The most popular means: Metozalon, Hypothiazid, Clopamid, Polithiazid, Indapamide. The duration of treatment is indicated by the doctor individually.

With heart failure

Often, diuretics are prescribed to people suffering from heart failure (to remove excess fluid from the body). Diuretic drugs are taken 1-3 times a day, as prescribed by the attending physician. Therapy begins with the use of weak diuretics in a small dosage, which gradually increases with good tolerability of the drug. In each individual case, the maximum dose is reached at which a person feels consistently well.

Diuretic drugs are taken in combination with other drugs: angiotensin-2 receptor blockers, ACE inhibitors (angiotensin-converting enzyme), beta-blockers. When diuretics are used without additional medications, the body gets used to their action, begins to compensate for it, reducing the therapeutic effect to zero.

In heart failure, Arifon, Britomar, Hypothiazid, Lasix, Veroshpiron, Diakarb, Diuver are used. Drugs are used every day, from 1 time per day. The treatment course cannot be interrupted. Diuretics help to get rid of swelling of the legs, accumulation of excess fluid in the peritoneum (ascites) and lung cavity, moist rales.

Diuretics are drugs in the category of diuretics, which contribute to the release of excess fluid from the body.

The properties of these drugs are reduced to the fact that under the influence of the constituent substances in the preparation, there is an effect on the kidneys and as a result, increased urine output.

The effect of diuretic therapy

The therapeutic effect depends on the correct selection of a diuretic. Diuretics have a diuretic effect, and each type of drug has an individual effect on the body: some drugs affect the urinary canals and provoke increased fluid output (extrarenal type), other drugs affect the hemodynamics of the kidneys (renal).

Diuretics - have a different chemical composition, which affects various organs of the urinary system, resulting in large urination. By means of diuretics, the renal channels inhibit the reabsorption of salt and water.

This process leads to increased production of urine and removes the salts of their body.

Diuretic drugs, with their diuretic effect, relieve swelling outside the body. They also help with swelling of the internal organs, which are associated with high blood pressure (diuretics can reduce the blood pressure index).

They relieve edema associated with disorders in the work of the myocardium (they can reduce the load on the heart muscle).

In addition to the positive effect, diuretics have many negative effects on internal organs and systems, therefore, it is necessary to use these funds only on the recommendation of the attending doctor, because you can only aggravate the disease that leads to swelling.

Self-treatment with diuretics

Self-medication with diuretics leads to complications in the kidneys, urinary system, and can also help the maximum number of potassium molecules leave the body, which will lead to a violation in the metabolism of proteins in the body, to pathologies in the cardiac system.

With an imbalance of potassium and sodium salts, arrhythmia occurs, additional extrasystoles appear, which can provoke a myocardial infarction and lead to death.

An insufficient amount of potassium salt in the body provokes a number of complex diseases such as:

• Arterial hypertension;
• Arrhythmia;
• Tachycardia;
• convulsions;
• Decrease in the index of leukocytes in the blood;
• Pathology of the genital area in women;
• Impotence;
• Allergy.

With a lack of potassium, a person experiences weakness of the whole body, state of apathy, coldness in the lower extremities, muscle pain, constant dizziness.

Also, a diuretic can become a provocateur of diabetes mellitus and provoke a hemorrhage in the brain (stroke). Some groups of diuretics are contraindicated for diabetics.

Indications for use

It is necessary to use diuretics only in combination with other drugs for the treatment of diseases. Diuretics relieve symptoms in the form of edema, complex diseases, but they cannot act medically on the cause of the swelling.

The doctor establishes a group of diuretics to relieve the symptoms of swelling in the following pathologies, the list:

• Jade (interstitial);
• Glomerulonephritis in the chronic course of the disease;
• Hypertonic disease;
• Heart and kidney failure;
• Varicose veins;
• Cirrhosis of the liver;
• Hypothyroidism;
• Diabetes diabetes;
• Malignant neoplasms in organs;
• Overweight (obesity).

Diuretics have a negative effect on the body when they are taken unnecessarily, but simply as a method of losing weight.

If there is no swelling, and the level of fluid in a healthy body does not exceed the normative indices, then this can introduce an imbalance in metabolic processes and lead to an organism disorder.

What are diuretics used for?

You can use diuretics for weight loss only with obesity, when a lot of fluid and sodium salts accumulate in fat. It also has a positive effect on swelling of the lower extremities, the face, since these symptoms are manifestations of serious pathologies in the body.

Use diuretics only when the pathology has been studied and the cause of the swelling has been established.

In kidney diseases, the localization of swelling appears on the face, but sometimes the manifestations can be different and be a signal that the kidneys have ceased to function properly and remove salt compounds and fluid from the body.

With allergies, swelling syndrome may develop, which must be removed with diuretics.

Puffiness is provoked by pathologies of the heart, and a particularly noticeable manifestation of edema in heart failure.

If there are no pathologies of the heart, but swelling of the legs appears, then this may be a sign of inflammation in the veins, which can provoke varicose veins.

During pregnancy, swelling also often occurs due to increased stress on the internal organs. During pregnancy, it is strictly forbidden to use diuretics without the order of the attending doctor.

There are also edema, which are not the result of diseases, but are provoked by the way the patient lives: work that is supposed to stay on his feet for a long time, hard physical labor.

Diuretics for hypertension

Diuretics are used in the treatment of high blood pressure index. Due to the release of excess urine from the body, the load on the vessels and the heart is reduced and swelling disappears and pressure decreases.

To prescribe diuretics for hypertension, it is necessary to study the cause of hypertension, as well as identify comorbidities.

When establishing diabetes mellitus, which accompanies hypertension, it is forbidden to take certain categories of diuretics.

If the pressure normalization process managed to bring the blood pressure index to normal, then diuretics should be discontinued or take as part of a therapeutic complex of drugs for hypertension.

With heart disease and heart failure

Pathology of the heart and heart failure is characterized by increased accumulation of fluid inside the body.

A sign of excess urine in the body is characterized by swelling of the face and limbs, in severe cases of insufficiency - swelling of the whole body. Also, insufficiency is manifested in shortness of breath, a bluish tint of the skin.

With fluid retention inside the body, the blood volume increases, which makes the heart muscle work with increased power up to 50.0%. The blood in this case is not sufficiently saturated with oxygen, because it quickly passes through the lungs.

With oxygen starvation, the myocardium feels overload, and starvation also leads to liver pathologies and changes in its structure. The functionality of the liver decreases which provokes the efficiency of the kidneys, which cannot cope with the excretion of urine from the body.

In this case, taking diuretics is simply necessary. The drugs are taken in combination with cardiac drugs, and taken systemically. If, after prolonged use, the effectiveness of this group of diuretics decreases, then the doctor prescribes stronger medications.

This complex medication can improve the patient's condition and prolong his life.

As a weight loss aid

Diuretics contribute to the release of fluid, which has a positive effect on the figure. It is only necessary to remember the rule that with a slight excess body weight, diuretics can harm human health.

Dehydration leads to disturbances in the metabolic process, in metabolism. A strong stage of dehydration can disrupt the functionality of internal organs, and lead to myocardial failure.

Pregnancy is a time when changes occur in the female body not only in the hormonal background, but also changes in the functioning of all body systems and internal vital organs.

As a result of changes, organs begin to work with an increased load, which leads to swelling, especially in the last trimester.

The causes of swelling can be pathologies in the heart muscle, violations in the performance of the kidneys and liver disease, as well as the result of toxicosis during the period of bearing the baby.

In order to relieve puffiness, the doctor prescribes a salt-free or minimal salt diet.

If this technique does not bring a positive effect and pathologies are revealed that manifested themselves during pregnancy, then diuretic therapy should be used.

Eating a large amount of vegetables and fruits with diuretic properties during pregnancy can remove excess fluid and salt, which adversely affect the development of the child. and the state of the pregnant woman.

All diuretic drugs are taken very carefully at all stages of intrauterine development of the child:

• During pregnancy, you can use the drug - Kanefron, which, in addition to the diuretic effect, is a good antiseptic and relieves inflammation;
• Herbal drug Phytolysin - relieves swelling, cures the pathology of the bladder and urinary urethral canals. Treats diseases - cystitis, urethritis, pyelonephritis;
• The drug Eufillin has a bronchodilator effect and a diuretic effect;
• Indapamide is a diuretic that is recommended for pregnant women with diabetes.

To replenish potassium salts, it is necessary to consume a large amount of potassium-containing foods: vegetables, garden greens and nuts.

Diuretics in food

It is not always possible to use diuretics based on chemical compounds of substances. In some pathologies, the use of synthetic drugs is prohibited. In this case diuretics are prescribed, based on medicinal plants, or recommended to consume plants and foods that have a diuretic effect.

Medicinal herbs (plant diuretics):

You can take medicinal plants separately, or you can prepare a collection in which the plants will enhance the diuretic effect of each other.

It is also necessary to eat with puffiness: watermelon, fresh cucumbers, melon, pineapple and greens.

Choice of diuretics

For various diseases and depending on the state of the body, it is necessary to choose a certain category of diuretics: saluretics, potassium-sparing diuretics or osmotic diuretics.

Saluretics remove potassium salts and sodium salt from urine, reduce the level of excess fluid in the body.

This type of drug includes the following groups:

• Group of loop means- Furosemide (the most popular), the drug Torasemide, Lasix tablets;
• Sulfonamide group- this medicine is Chlortalidone, Indapamide;
• Group of thiazide agents- Cyclomethiazide;
• Group of carbonic anhydrases(inhibitors) - Diacarb.

Diuretics that do not excrete potassium, as they act directly on the urinary tract. Diuretics in this category are Veroshpiron, Spironolactone, Amiloride.

There are also osmotic diuretics that will prevent the absorption of fluid, because they act directly in the renal tubules - the diuretic Mannitol.

Photo gallery: Diuretics and price

Drugs taken for various diseases

The list of drugs that doctors prescribe for pathologies of the body:

• High blood pressure - means of the thiazide group and Indapamide;
• Nephrosis, as well as heart failure - a group of loop drugs;
• Diabetes diabetes - Indapamide:
• Pathology in the functionality of the adrenal glands - spironolactones;
• The disease osteoporosis is a means of the thiazide group.

According to the pharmacological action, diuretics are classified:

Diuretic effect by duration of exposure:

By speed of impact:

Loop diuretics

The loop group of diuretics increases the output of sodium salts with the help of the kidneys, which, accordingly, removes water. Diuresis, when using this group of diuretics, passes quickly (up to 6 hours) with abundant urine output. The funds of this group are used in extreme cases, when it is necessary to achieve an effect in a short time.

In heart failure, this group of diuretics must be taken in therapeutic courses, short in time, since these drugs remove potassium from the body. The lack of potassium affects the insufficient functionality of the myocardium.

• Acute renal failure with anuria;
• Glomerulonephritis of the acute stage;
• kidney stone disease;
• Stenosis of the urethral canal;
• Inflammation of the pancreas;
• heart attack;
• valve stenosis;
• Low blood pressure index (hypotension).

Side effect of this group of diuretics:

Sulfonamide diuretics

Indapamide is a drug that belongs to this group of diuretics. In its pharmacology, it is similar to the thiazide group. Reduces the blood pressure index, is used to reduce swelling in diabetes.

The drug effect occurs after 7-14 calendar days, and the maximum effect of the remedy comes after 60-90 calendar days.

Contraindications for use:

• Renal failure of a severe stage of the disease;
• Hypersensitivity;
• It is forbidden to take children under the age of majority;
• When breastfeeding;
• During pregnancy (reception with increased caution);
• With hyperuricemia (high levels of uric acid in the blood);
• Remissions of hyperparathyroidism (a disease of the endocrine system of the body).

Side effects on the body:

Thiazide drug diuretics - affect the renal tubules. The properties of these drugs is that they prevent the absorption of sodium salt.

This is a medium strength diuretic. With the ability to relieve swelling of the vessels, the means of this group are used for the treatment of hypertension for a long period.

A good effect of the pill is given for edema caused by liver pathology and kidney disorders. These diuretics relieve swelling in cardiac pathologies and insufficiency. The drugs have a quick effect, because they begin to work 30 minutes after application. Diuresis - no more than 12 hours.

Side effects from taking:

• Imbalance in the body of potassium salts and magnesium salts;
• The uric acid index rises;
• The sugar index rises.

Potassium-sparing diuretics

Potassium-sparing diuretics, like thiazide drug diuretics, affect the renal tubules.

Spironolactone opposes aldosterone, which retains sodium salts in the body.

Potassium-sparing diuretics have a long onset of action (up to 5 calendar days from the date of use), so they should never be taken as self-medication.

These drugs are prescribed in the complex therapy of such diseases:

• Hyperaldosteronism during remission;

This group of diuretics includes Diacarb.

According to the standard, the carbonic anhydrase catalyst helps the synthesis of carbonic acid in the renal organs from the composition of water, as well as carbon dioxide. This action replenishes the balance of alkali in the blood.

Diacarb affects the kidneys and removes salts, which pull water along with them. The strength of this drug is not great, but in terms of the speed of action, it is in the list of drugs that have a quick effect from the moment of use (after 60 minutes). Duration up to 10 hours.

Indications for use:

• Hypertension of the brain;
• Hypertension of the eyeball;
• Poisoning with barbiturates;
• During therapy with cytostatics;
• in the treatment of gout.

Do not forget that diuretics are drugs that are medicinal substances and have certain indications for use. Just like any medicine, they have side effects on the body, and they must be taken according to the recommendations of the attending doctor.

Self-medication with diuretics can lead to aggravation of the pathology and to irreversible consequences in the functioning of organs and systems in the human body.

Diuretics or diuretics are drugs that most patients with kidney and bladder pathologies encounter. Improper functioning of the organs of the urinary system provokes the accumulation of excess fluid in the body, edema, high stress on the heart, and increased pressure.

In pharmacy chains, it is easy to find herbal and synthetic diuretics. The list of drugs includes more than twenty items. What medicine to choose? What is the difference between different types of diuretics? What are the most powerful diuretics? What complications arise during self-medication with the use of diuretic formulations? Answers in the article.

What are diuretics

Medicines in this category remove excess fluid in the urine, cleanse the body, wash the kidneys and bladder. Diuretics are prescribed not only for renal pathologies: synthetic and herbal formulations are necessary to eliminate swelling in diseases of the cardiovascular system and liver.

Mechanism of action of diuretics:

• reduce the absorption of water and salts in the renal tubules;
• increase the production and speed of excretion of urine;
• removal of excess fluid reduces swelling of tissues, lowers blood pressure, prevents excessive stress on the organs of the urinary system and the heart.

The positive effect of the components of diuretic formulations:

• normalization of the pressure of the fundus;
• stabilization of blood pressure in hypertensive patients;
• reduces the risk of epileptic seizures;
• intracranial pressure returns to normal;
• accelerated elimination of toxins in various types of intoxication;
• the content of calcium in the blood decreases while maintaining a sufficient level of magnesium. The result is a decrease in the load on the heart, an improvement in microcirculation in the tissues of the kidneys.

On a note:

• in addition to removing the fluid accumulated in the tissues, diuretics affect many processes in the body, remove not only urine, but also potassium, sodium, and magnesium. Incorrect use of chemical compounds often provokes serious health problems;
• for this reason it is forbidden to purchase and take diuretic drugs before consulting a doctor. Depending on the type of disease, you will need the advice of a nephrologist, urologist, gastroenterologist or cardiologist. Often the patient must undergo a comprehensive examination.

Classification and types

It is not by chance that doctors forbid patients to choose diuretics on their own: each group of diuretic drugs has specific effects, its own contraindications and side effects. The use of powerful compounds provokes active excretion of potassium or the accumulation of an element, dehydration, severe headaches, hypertensive crisis. With an overdose of potent loop diuretics, self-medication can end in failure.

Potassium-sparing

Potassium-sparing diuretics lower systolic (upper) blood pressure, reduce swelling, retain potassium in the body, enhance the effect of other drugs. Often there are unwanted reactions, as with the use of hormonal drugs.

With excessive accumulation of potassium, muscle paralysis or cardiac arrest can develop. With diabetes mellitus, this group of diuretics is not suitable. Mandatory dose adjustment on an individual basis, the control of a cardiologist and a nephrologist. Effective names: Aldactone, Veroshpiron.

Thiazide

Assign for renal pathologies, hypertension, glaucoma, heart failure. Thiazide diuretics affect the distal tubules of the kidneys, reduce the reabsorption of sodium and magnesium salts, reduce the production of uric acid, and activate the excretion of magnesium and potassium.

To reduce the frequency of side effects combined with loop diuretics. Clopamid, Indap, Chlortalidone, Indapamide.

Osmotic

The mechanism of action is a decrease in pressure in the blood plasma, the active passage of fluid through the renal glomeruli, and an improvement in the level of filtration. The result is the removal of excess water, the elimination of puffiness.

Osmotic diuretics are weak drugs that last up to six to eight hours. Intravenous administration is recommended. Indications: glaucoma, pulmonary and cerebral edema, blood poisoning, drug overdose, severe burns. Effective compounds: Mannitol, Urea, Sorbitol.

Loopback

The most powerful diuretic drugs. The components of the preparations act on the Gengle loop - the renal tubule directed to the center of the organ. The loop-shaped formation sucks back liquid with various substances.

The drugs of this group relax the vascular wall, activate the blood flow in the kidneys, gradually reduce the volume of interstitial fluid, and accelerate glomerular filtration. Loop diuretics reduce the reabsorption of magnesium, chlorine, sodium, and potassium salts.

Advantages:

• quick effect (up to half an hour after taking);
• powerful impact;
• suitable for emergency care;
• valid up to six hours.

Effective formulations:

• Furosemide.
• Piretanide.
• Ethacrynic acid.

On a note! Strong formulations are used in critical cases. Diuretic drugs often provoke dangerous complications: hypertensive crisis, swelling of the brain and lungs, excessive accumulation of potassium, kidney and heart failure, severe liver damage.

vegetable

Advantages:

• noticeable diuretic effect;
• "soft" effect on the kidneys, heart, blood vessels;
• remove excess fluid, wash the bladder and kidneys;
• exhibit a mild laxative effect;
• saturate the body with useful components: mineral salts, vitamins, biologically active substances;
• suitable for long-term use (courses).

Medicinal plants or natural plant diuretics:

• lungwort;
• bearberry;
• peppermint;
• horsetail;
• couch grass;
• fennel;
• strawberries;
• yarrow;
• chicory root;
• birch leaves and buds;
• lingonberry leaves;
• cranberries.

Fruits, vegetables, gourds:

• watermelon;
• tomatoes;
• cucumbers;
• pear;
• persimmon;
• pumpkin juice;
• rosehip decoction;
• mango.

Diuretic

After taking the components of the preparations, they activate the excretion of harmful bacteria along with urine. The use of diuretics is an essential element in the treatment of bladder diseases. Removal of excess fluid does not allow toxins to accumulate in the body, pathogenic microorganisms do not have time to penetrate into the upper urinary system.

During the reception, it is important to observe the frequency and dosage, use the tablets prescribed by the doctor. Diuretic drugs in some patients cause adverse reactions: against the background of active excretion of urine, hypokalemia develops, convulsions appear, and heart failure is possible. For long-term use, herbal diuretics and weak chemical diuretics are suitable; in emergency cases, potent synthetic compounds are prescribed.

The effect of taking diuretics

Active urine output occurs after a certain period of time:

• fast diuretics - half an hour. Torasemide, Triamteren, Furosemide;
• average - 2 hours. Amiloride, Diacarb.

Each group of diuretic compounds has a certain duration of beneficial effects:

• work for a long time - up to 4 days. Veroshpiron, Eplerenone;
• average validity period - up to 14 hours. Hypothiazid, Diakarb, Triamteren, Indapamide;
• valid up to 8 hours. Torasemide, Furosemide, Mannitol, Lasix.

According to the strength of the diuretic effect, the compositions are distinguished:

• powerful. Trifas, Lasix, Furosemide, Ethacrynic acid, Bumetanide;
• average efficiency. Oxodoline, Hypothiazide;
• weak. Diakarb, Veroshpiron.

Indications for use

Diuretics are prescribed for conditions and diseases accompanied by fluid retention:

• nephrotic syndrome;
• osteoporosis;
• pronounced swelling of the lower extremities with heart failure;
• high blood pressure (arterial hypertension);
• excessive secretion of the hormone aldosterone;
• glaucoma;
• pathology of the kidneys and liver;
• congestive heart failure;
• tissue swelling.

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Contraindications

When selecting diuretic drugs, doctors take into account the limitations. Each drug has a specific list of contraindications (indicated in the instructions). Not all synthetic diuretics are prescribed during pregnancy: during this period, with pronounced swelling, problems with urination, increased blood pressure, diuretic formulations with extracts of medicinal plants, herbal decoctions are prescribed.

Main restrictions:

• childhood;
• lactation period;
• pregnancy;
• hypersensitivity to phytoextracts or components of synthetic diuretics;
• diabetes;
• severe form of renal failure.

Side effects

Before starting therapy, the patient should know: diuretic drugs sometimes provoke unwanted reactions. Problems arise with the independent choice of means, especially the most powerful loop diuretics, with an increase in a single dosage, and an unauthorized extension of the course of treatment. The strength and duration of adverse reactions depend on the type of diuretic.

More often than others, the following side effects develop:

• excessive loss of potassium;
• hypertensive crisis;
• nausea;
• headache;
• increase in the concentration of nitrogen in the blood;
• pain in the sternum;
• swelling of the lungs and brain (loop diuretics);
• cirrhosis of the liver;
• kidney failure;
• convulsions.

Diuretics for diseases of the kidneys and urinary tract

The optimal drug is selected by a nephrologist or urologist. Often, consultation with a cardiologist is required: many patients with kidney disease suffer from arterial hypertension, have problems with the heart and blood vessels. For long-term use, the prevention of edema, decoctions based on medicinal herbs or weak diuretics are suitable.

You can not choose a chemical diuretic on your own on the advice of relatives and neighbors: diuretics are prescribed only on an individual basis. Violation of the rule often entails serious consequences for the body, provokes a hypertensive crisis.

Effective diuretic drugs:

• . A safe herbal preparation is effective for nephrolithiasis. Tablets are prescribed even for children and pregnant women.
• Furosemide. Powerful loop diuretic. Quick effect, active removal of puffiness. Use strictly under medical supervision.
• . Paste with phytoextracts and natural oils for oral use. Bactericidal, diuretic, anti-inflammatory action. Strengthening immunity, preventing the risk of relapse in pyelonephritis.
• . Natural remedy with diuretic, anti-inflammatory, antimicrobial action. The tablets contain a high concentration of dry cranberry extract and ascorbic acid.
• Triphas. A modern diuretic of a new generation. German quality, rapid elimination of puffiness, prolonged effect - 1 tablet per day, minimum side effects.

With kidney pathologies, diseases of the bladder, herbal decoctions help. Doctors recommend brewing bearberry grass, fennel, lingonberry leaves, birch leaves and buds, peppermint. Well washes the kidneys, urinary tract decoction of wild rose, cranberry juice.

The selection of diuretics for diseases of the bladder, kidneys, hypertension, and other pathologies is the task of an experienced doctor. The list of drugs is names with different strengths and speeds of exposure, specific effects on the body. Subject to the rules, synthetic and natural diuretics have a positive effect on the functioning of the urinary tract, remove swelling, and normalize blood pressure.