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V Diuretics
ОглавлениеThere are several different classes of diuretics with different mechanisms of action, ultimately resulting in increased urine production.
See Table 5.1 for a summary of the diuretic classes.
Table 5.1 Site and mechanism of action of diuretics.
Diuretic Class | Examples | Site of Action | Mechanism of Action |
---|---|---|---|
Osmotic diuretics | Mannitol | PCT | Inhibits Na+ and water reabsorption |
Carbonic anhydrase inhibitors | Acetazolamide | PCT | Inhibits activity of carbonic anhydrase |
Loop diuretics | Furosemide | Thick ascending limb of LOH | Inhibits Na+‐K+‐Cl− cotransporter |
Thiazide diuretics | Hydrochlorothiazide | DCT | Inhibits Na+‐Cl− cotransporter |
Potassium sparing diuretics – Aldosterone inhibitors | Spironolactone | Collecting duct | Inhibits aldosterone receptor |
Potassium sparing diuretics – Sodium channel blockers | Amiloride | DCT | Inhibits Na+ channel |
PCT – Proximal convoluted tubule.
LOH – Loop of Henle.
DCT – Distal convoluted tubule.