DIURETICS AND DIETS

Why do I need to take a diuretic?

Diuretics are sometimes called "water pills." They are used to treat congestive heart failure (CHF), high blood pressure (hypertension), or edema (water retention). Diuretics are also prescribed for certain kinds of kidney or liver diseases.


How do diuretics work?
There are 3 types of diuretic medicines. Each type works a little differently, but they all lower the amount of salt and water in your body, which helps to lower your blood pressure.

1. Thiazide diuretics
Commonly used brand names in the United States: Aquatensen (methyclothiazide), Diucardin (hydroflumethiazide), Diulo (metolazone), Diuril (chlorothiazide), Enduron (methyclothiazide), Esidrix (hydrochlorothiazide), Hydro-chlor (hydrochlorothiazide), Hydro-D (hydrochlorothiazide), HydroDIURIL (hydrochlorothiazide), Hydromox (quinethazone), Hygroton (chlorthalidone), Metahydrin (trichlormethiazide), Microzide (hydrochlorothiazide), Mykrox (metolazone), Naqua (trichlormethiazide), Naturetin (bendroflumethiazide), Oretic (hydrochlorothiazide), Renese (polythiazide), Saluron (hydroflumethiazide), Thalitone (chlorthalidone), Trichlorex (trichlormethiazide), Zaroxolyn (metolazone)

Commonly used brand names in Canada: Apo-Chlorthalidone (chlorthalidone), Apo-Hydro (hydrochlorothiazide), Diuchlor H (hydrochlorothiazide), Duretic (methyclothiazide), HydroDIURIL (hydrochlorothiazide), Hygroton (chlorthalidone), Naturetin (bendroflumethiazide), Neo-Codema (hydrochlorothiazide), Novo-Hydrazide (hydrochlorothiazide), Novo-Thalidone (chlorthalidone), Uridon (chlorthalidone), Urozide (hydrochlorothiazide), Zaroxolyn (metolazone)

Thiazide diuretics are used to treat high blood pressure by reducing the amount of sodium and water in the body. Thiazides are the only type of diuretic that dilates (widens) the blood vessels, which also helps to lower blood pressure.


2. Potassium-sparing diuretics
Commonly used brand names in the United States: Aldactone (spironolactone), Dyrenium (triamterene), Midamor (amiloride)

Commonly used brand names in Canada: Aldactone (spironolactone), Dyrenium (triamterene), Midamor (amiloride), Novospiroton (spironolactone)

Potassium-sparing diuretics are used to reduce the amount of water in the body. Unlike the other diuretic medicines, these medicines do not cause your body to lose potassium.


3. Loop-acting diuretics
Commonly used brand names in the United States: Bumex (bumetanide), Demadex (torsemide), Edecrin (ethacrynic acid), Lasix (furosemide), Myrosemide (furosemide)

Commonly used brand names in Canada: Apo-Furosemide (furosemide), Edecrin (ethacrynic acid), Furoside (furosemide), Lasix (furosemide), Lasix Special (furosemide), Novosemide (furosemide), Uritol (furosemide)

Loop-acting diuretics cause the kidneys to increase the flow of urine. This helps reduce the amount of water in your body and lower your blood pressure.


How much do I take?
There are many different kinds of diuretics. The amount of medicine that you need to take may vary. Talk to your doctor or pharmacist for more information about how and when to take this medicine.

What if I am taking other medicines?

Other medicines that you may be taking can increase or decrease the effect of diuretics. These effects are called an interaction. Be sure to tell your doctor about every medicine and vitamin or herbal supplement that you are taking, so he or she can make you aware of any interactions.

The following are some of the medicines that can interact with diuretics. Because there are so many kinds of medicines within each category, not every type of medicine is listed by name. Tell your doctor about every medicine that you are taking, even if it is not listed below.

Digitalis and digoxin, especially if your potassium level is low Certain antidepressants, especially when taking thiazide or loop-acting diuretics Other medicines for high blood pressure Lithium Cyclosporine, especially when taking a potassium-sparing diuretic What else should I tell my doctor?

Talk to your doctor about your medical history before you start taking a diuretic. The risks of taking the medicine need to be weighed against the good it will do. Here are some things to consider if you and your doctor are deciding whether you should take a diuretic.

You have allergies to other medicines.
You are thinking of becoming pregnant, you are pregnant, or you are breast feeding your baby.
You have diabetes. Thiazide and loop-acting diuretics can increase your blood sugar levels.
You become dehydrated easily.
You have pancreatitis. Loop-acting diuretics can make this condition worse.
You have kidney problems.
You have lupus or a history of lupus. Thiazide diuretics can make this condition worse.
You have gout or are at high risk for developing gout, especially if your doctor is going to prescribe a thiazide diuretic.
You have menstrual problems. Potassium-sparing diuretics can make these problems worse.


What are the side effects?
Sometimes a medicine causes unwanted effects. These are called side effects. Not all of the side effects for diuretics are listed here. If you feel these or any other effects, you should check with your doctor.

Common side effects:
Weakness
Muscle cramps
Skin rash
Increased sensitivity to sunlight (with thiazide diuretics)
Throwing up
Diarrhea
Cramps
Dizziness or lightheadedness
Joint pain
Less common side effects:
Impotence or decreased sexual desire


Rare side effects:
Irregular heartbeat (arrhythmia) Again, tell your doctor right away if you have any of these side effects. Do not stop taking your medicine unless your doctor tells you to. If you stop taking your medicine without checking with your doctor, it can make your condition worse.

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