what is it and mechanism
loop diuretic
decrease Na reabsorption in ascending LofH
so less Na+ in interstitium so water doesn’t move out of collecting duct
so excrete more urine
indications
oedema
CHF cirrhosis renal disease e.g. nephrotic syndrome orally in mild hypertension pulmonary oedema
contraindications
anuria
comatose
renal failure
sever hypokalaemia/ hyponatraemia
interactions
antiarrythmics e.g. amiodarone, digoxin
targeted cancer drugs e.g. carbozantinib
SSRIs e.g. citalopram
macrolide antibiotics e.g. clarithromycin
antifungals e.g. fluconazole
side effects
polyuria polydipsia headache confused/ dizzy nausea tachycardia
name a type of thiazide diuretic (not loop)
bendroflumethiazide