Can diuretics damage the heart?

Side effects include increased urination and sodium loss. Diuretics can also affect blood potassium levels. If you take a thiazide diuretic, your potassium level can drop too low (hypokalemia), which can cause life-threatening problems with your heartbeat.
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How do diuretics affect heart function?

Diuretics reduce intravascular volume, leading to a decrease in central venous pressure, right and left heart filling pressures, and pulmonary vascular pressures. Venous capacitance increases, and intrapulmonary fluid returns to the circulation.
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Can diuretics cause permanent damage?

It's a delicate balance and you don't want to put yourself in danger by trying it, but diuretics do put a heavy workload on your kidneys and in time can cause permanent damage if you aren't careful.
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What are the negative effects of diuretics?

Usual side effects of diuretics include:
  • Peeing more than usual.
  • Dizziness.
  • Tiredness.
  • Headache.
  • Gout.
  • Difficulty getting an erection.
  • Low potassium (unless you're taking a potassium-sparing type of diuretic).
  • Muscle cramps.
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Who should avoid diuretics?

Avoid taking loop diuretics if you have certain conditions, including hypokalemia (low potassium levels), severe hyponatremia (low sodium levels), hypotension (low blood pressure), oliguria (low urine output), or if you are expecting to have fluid depletion, such as during surgery.
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Pharmacology - Diuretics (Loops, Thiazide, Spironolactone) for Registered Nurse RN



What is the safest diuretic?

Current guidelines recommend the drug chlorthalidone (Thalitone) as the first-line diuretic. But it can have serious side effects that can be avoided with another diuretic, hydrochlorothiazide (Hydrodiuril), researchers say.
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Why do diuretics cause heart failure?

Diuretics, better known as "water pills," help the kidneys get rid of unneeded water and salt. This makes it easier for your heart to pump. These medicines may be used to treat high blood pressure and ease the swelling and water buildup caused by many medical problems, including heart failure.
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Can you just stop taking diuretics?

Do not stop using this medicine suddenly, even if you feel fine. Stopping suddenly may cause serious or life-threatening heart problems. Follow your doctor's instructions about tapering your dose.
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What is a natural diuretic?

Some herbs and dietary supplements may help you excrete water (diuretic) and help with sodium and water retention. Examples include dandelion, ginger, parsley, hawthorn and juniper. But proceed with caution before taking any products that have a diuretic effect.
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How many years can you take diuretics?

The blood pressure (BP)-lowering effect of normally used doses of diuretics gives a useful decrease of BP equal to what can be achieved with beta-blockers in corresponding doses. Over 20 years of use has shown diuretics to be relatively safe for long-term treatment.
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Can diuretics cause sudden death?

Two recent case-control studies provide consistent evidence that non potassium-sparing diuretics are associated with a twofold risk of sudden death compared to potassium-sparing diuretic therapy.
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How long do diuretics affect you?

The peak diuretic effect occurs within the first or second hour, which then reduces over the next 6 to 8 hours.
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Do diuretics prolong life in heart failure?

Loop diuretics have also been associated with worsening renal function and increasing diuretic dose has shown to increase the risk of mortality at 6 months [59. Relation between dose of loop diuretics and outcomes in a heart failure population: results of the ESCAPE trial. Eur J Heart Fail.
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What are the most common diuretics for heart failure?

Loop diuretics remain the diuretic of choice for treating patients with heart failure. Furosemide, torsemide and bumetanide are the agents widely available for clinical use, with furosemide the predominant agent of the three.
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Do diuretics damage kidneys?

Diuretics, or water pills, are used to treat conditions like high blood pressure, glaucoma, and edema, but as with all medications, they come with some risks. Popular diuretics include hydrochlorothiazide, furosemide, and spironolactone. They are associated with a risk for acute kidney injury.
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What is the #1 most common side effect of diuretics?

Diuretics are generally safe. Side effects include increased urination and sodium loss. Diuretics can also affect blood potassium levels. If you take a thiazide diuretic, your potassium level can drop too low (hypokalemia), which can cause life-threatening problems with your heartbeat.
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Can diuretics make heart failure worse?

Excessive use of diuretics can decrease blood pressure and impair renal function and exercise tolerance (Cody 1982; Feigenbaum 2000; Packer 1987). However, hypotension and azotaemia may also occur as a result of worsening heart failure, that may be exacerbated by attempts to reduce the dose of diuretics.
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Can diuretics be taken every other day?

Occasionally, you take it every other day. You do not need to take furosemide at the same time every day. You can occasionally take it at a different time if it's more convenient for you, for example if you need to go out for a few hours in the morning and you will not be near a toilet.
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What is the best water pill for congestive heart failure?

Furosemide is given to help treat fluid retention (edema) and swelling that is caused by congestive heart failure, liver disease, kidney disease, or other medical conditions.
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What happens if you stop taking diuretics for heart failure?

Conclusion: Withdrawal of long-term diuretic treatment in elderly patients leads to symptoms of heart failure or increase in blood pressure to hypertensive values in most cases. Any attempt to withdraw diuretic therapy requires careful monitoring conditions, notably during the initial four weeks.
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What fruit is the best diuretic?

According to Dr. Kavaler, one of the most common natural diuretic foods include fruits, especially watery ones like watermelon, grapes, and blueberries. Lemons and pineapple can also have a diuretic effect on the body.
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What is the best vitamin for water retention?

Vitamin B6 (pyridoxine) is thought to help in cases of mild fluid retention. Good sources of vitamin B6 include brown rice and red meat. Vitamin B5 (pantothenic acid), calcium and vitamin D help the body to excrete excess fluids.
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What can I take instead of water pills for high blood pressure?

There are many natural options that should also be considered when looking for hydrochlorothiazide alternatives. Garlic, celery, ginseng, and black cumin are some dietary supplements that have been used for hypertension, and watermelon and other foods may have a diuretic effect.
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