Which is safer furosemide or hydrochlorothiazide?

There were no differences between furosemide and hydrochlorothiazide with respect to natriuresis and blood pressure control in patients with hypertension and chronic kidney disease. Arterial hypertension is a leading factor for progression to kidney failure in patients with chronic kidney disease (CKD).
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Is Lasix or hydrochlorothiazide better?

Lasix (Furosemide) is a very effective water pill and it'll certainly make you go to the bathroom more often. Removes water from the body, which lowers blood pressure. Microzide (hydrochlorothiazide (HCTZ)) is a well-tolerated water pill that's often the first-choice treatment for mild high blood pressure.
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Is there a better water pill than hydrochlorothiazide?

Chlorthalidone appears to reduce LVH more than HCTZ does, which is a great thing. Chlorthalidone has a longer duration of action. Chlorthalidone is the preferred diuretic of the American College of Cardiology because of its long duration of action (48-72 hours) and proven ability to reduce heart disease risk.
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What is the first drug of choice for hypertension?

Choice of initial therapy in most patients — The three primary options for antihypertensive drug therapy in most patients include an ACE inhibitor (or ARB), a calcium channel blocker, or a thiazide diuretic (preferably a thiazide-like diuretic) [3].
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Which is more potent Lasix or hydrochlorothiazide?

Lasix is an anthranilic acid derivative that is a type of loop diuretic while thiazides are another class of diuretic. A difference is that loop diuretics are more potent than thiazides.
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Pharmacology - Diuretics (Loops, Thiazide, Spironolactone) for Registered Nurse RN



What are the dangers of taking hydrochlorothiazide?

Side Effects
  • Back, leg, or stomach pains.
  • black, tarry stools.
  • blistering, peeling, or loosening of the skin.
  • bloating.
  • blood in the urine or stools.
  • blue lips and fingernails.
  • chest pain or tightness.
  • clay-colored stools.
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Is there a better diuretic than furosemide?

Furosemide (Lasix) is the most widely used diuretic in heart failure patients. Torsemide (Demadex) has a better pharmacokinetic and pharmacodynamic profile than does furosemide, with greater bioavailability, a longer half-life, and higher potency.
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What is the safest high blood pressure medication?

Safe medications to use include methyldopa and potentially some diuretics and beta-blockers, including labetalol.
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What is the safest blood pressure medicine for the elderly?

Low-dose thiazide diuretics remain first-line therapy for older patients. Beta blockers, angiotensin-converting enzyme inhibitors, angiotensin-receptor blockers, and calcium channel blockers are second-line medications that should be selected based on comorbidities and risk factors.
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What is the best hypertension medication for elderly?

Angiotensin Receptor Blockers

ARBs are considered the alternative first-line treatment for hypertension in the elderly population when a diuretic is contraindicated. In elderly hypertensive patients with diabetes or HF, ARBs are considered first-line treatment and an alternative to ACE inhibitors.
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What is the best diuretic with the least side effects?

The main diuretic used today is hydrochlorothiazide, or HCTZ, which has fewer side effects than chlorthalidone, the diuretic used in this study. HCTZ is often combined with other diuretics into one pill.
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Why should I stop taking hydrochlorothiazide?

You should not use hydrochlorothiazide and metoprolol if you have a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker), slow heartbeats that have caused you to faint, or if your heart cannot pump blood properly.
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Is hydrochlorothiazide a high risk medication?

Hydrochlorothiazide (HCTZ) is a thiazide-type diuretic that has been used clinically for more than half a century. The drug has been widely used to treat hypertension globally and is relatively very safe.
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What is the best and safest diuretic for high blood pressure?

Thiazide diuretics are recommended as one of the first drug treatments for high blood pressure.
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What is the best replacement for hydrochlorothiazide?

Top 5 hydrochlorothiazide alternatives
  1. Zestril (lisinopril) Zestril is an ACE inhibitor, as is Lotensin, Vasotec, quinapril, Altace, fosinopril, perindopril, and captopril. ...
  2. Diovan (valsartan) The ARB drug class includes Diovan. ...
  3. Norvasc (amlodipine) ...
  4. Lasix (furosemide) ...
  5. Aldactone (spironolactone)
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What is the best prescription diuretic for edema?

Hydrochlorothiazide is used to treat edema (fluid retention; excess fluid held in body tissues) caused by various medical problems, including heart, kidney, and liver disease and to treat edema caused by using certain medications including estrogen and corticosteroids.
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What is the average blood pressure for a 70 year old?

The ideal blood pressure for seniors is now considered 120/80 (systolic/diastolic), which is the same for younger adults. The high blood pressure range for seniors starts at hypertension stage 1, spanning between 130-139/80-89.
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What high blood pressure Med has the least side effects?

While the class of blood pressure-lowering medicines called angiotensin-converting enzyme (ACE) inhibitors may be prescribed more commonly, angiotensin receptor blockers (ARBs) work just as well and may cause fewer side effects.
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What is the new blood pressure for seniors?

The new guidelines change nothing if you're younger than 60. But if you're 60 or older, the target has moved up: Your goal is to keep your blood pressure at 150/90 or lower. If you have kidney disease or diabetes, your target used to be 130/80 or lower; now it's 140/90 or lower.
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What are the two best blood pressure medications?

The two classes of medication are both recommended as "first-line" treatments for high blood pressure: angiotensin-converting enzyme (ACE) inhibitors and angiotensin receptor blockers (ARBs).
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What are the four best high blood pressure medications?

What Are the 4 Best Blood Pressure Drugs?
  • 1) Thiazide diuretics.
  • 2) ACE (angiotensin-converting enzyme) inhibitors.
  • 3) Angiotensin receptor blockers (ARBs)
  • 4) Calcium channel blockers.
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What are the five best high blood pressure medications?

There are five major categories of medications that have been proven effective in treating hypertension:
  • Thiazide diuretics.
  • Calcium channel blockers.
  • Angiotensin-converting enzyme (ACE) inhibitors.
  • Angiotensin receptor blockers (ARBs)
  • Beta blockers.
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Why should I not take furosemide?

FDA warning: Dehydration risk

Furosemide is a strong diuretic (water pill) that helps your body get rid of excess water. It does this by increasing the amount of urine your body makes. If you take too much of this drug, it can lead to very low amounts of water and electrolytes in your body. This can cause dehydration.
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What can I take instead of furosemide?

Bumetanide, Chlorthalidone, Spironolactone, Valsartan, and Lisinopril are some furosemide alternatives.
...
Top 5 furosemide alternatives
  • Bumetanide (Bumex) ...
  • Chlorthalidone (Thalitone, Hygroton) ...
  • Spironolactone (Aldactone) ...
  • Valsartan (Diovan) ...
  • Lisinopril (Zestril)
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Which diuretic is best for kidneys?

A loop diuretic is generally the diuretic of choice in patients with renal insufficiency. Although a thiazide-type diuretic will initiate diuresis in patients with mild renal insufficiency, the response in patients with a GFR of <50 ml/min/1.73 m2 is less than that seen with a loop diuretic.
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