Who Should Take Them
Your doctor may recommend a diuretic if you have:
- Edema. Diuretics lessen swelling that usually happens in the legs.
- High blood pressure. Thiazide diuretics lower blood pressure. That lowers your chance of a stroke or heart attack.
- Heart failure. Diuretics ease swelling and congestion in the lungs. Youâll usually get a loop diuretic for heart failure.
- Kidney problems. Youâll keep less water.
- Liver problems. If you have cirrhosis, a diuretic will ease the fluid buildup youâll get with it.
- Glaucoma. Theyâll reduce the pressure in your eye.
The Differences In Diuretics
Each of the three types of diuretic medication increases the amount of sodium you excrete through urination, but they affect different areas of your kidneys. Your kidneys are the filters through which toxins and excess fluids are flushed from your body.
When you take a diuretic medication, the drug signals to your kidneys that you need to get rid of more sodium. Water binds to the sodium and is then removed during urination, leaving you with a lower blood volume. The reduction in blood volume slows the rate at which blood flows through your blood vessels, helping to decrease your blood pressure.
Thiazide and loop diuretics may also cause you to lose potassium in addition to water and sodium. Potassium is an important mineral that maintains healthy fluid levels and regulates heart and muscle function. Your doctor may advise you to take a potassium supplement or to eat foods rich in the nutrient to combat low potassium levels.
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Potassium-sparing diuretics dont pose as much of a threat to your potassium levels. However, they arent as effective in treating hypertension as the other types of diuretic medications, so theyre often prescribed along with other drugs.
While thiazide diuretics are the primary treatment method for people who have hypertension-related heart disease, your doctor will tailor your drug regimen to your specific health concerns. Your specific medication may contain more than one type of diuretic agent in a single pill or dose.
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How Do Diuretics Work
Diuretics are sometimes called water tablets because they remove excess fluid from your body. They act on the kidneys, causing them to take more salt and water out of your blood to be released in your urine. With less fluid in the blood vessels, there is less pressure against your blood vessel walls.
Diuretics also allow the muscles in your blood vessel walls to relax, so your blood vessels widen. This makes it easier for your blood to flow through, lowering your blood pressure.
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How Do Diuretics Affect Blood Sugar Levels
A diuretic is a type of drug that increases the amount of water and salt that gets expelled in the urine. Commonly called water pills, they are often used to treat high blood pressure in people. As excess water and salt are removed from the body, the heart starts pumping less blood and eventually leads to more blood flow into the bodys tissues. Both of these effects can help lower blood pressure. Diuretics help regulate congestive heart failure, and high blood pressure levels.
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Diuretics Best For High Blood Pressure
Cheaper Drugs Are More Effective at Preventing Stroke, Heart Failure
Dec. 17, 2002 — When it comes to medications to treat high blood pressure, newer isn’t necessarily better. In fact, researchers say that in light of new findings from a landmark study, diuretics should be the top choice for combating high blood pressure.
That is the conclusion reached following a massive clinical trial comparing the effects of newer blood pressure drugs to diuretics, which have been around for a much longer time — and are much cheaper. Specifically, the diuretic studied — chlorthalidone — was substantially better at preventing heart failure and stroke that can occur as a result of high blood pressure.
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.
The results of the study, called ALLHAT , appear in the Dec. 18 issue of The Journal of the American Medical Association.
There are several different classes of new blood pressure drugs. But they had not been compared directly with the older diuretics — until now. Diuretics lower blood pressure by increasing urinary output and reducing the body’s sodium and water volume.
Are Diuretics Effective In Lowering Blood Pressure
Diuretics, sometimes called water pills, help rid your body of salt and water. Most of these medicines help your kidneys release more sodium into your urine. The sodium helps remove water from your blood, decreasing the amount of fluid flowing through your veins and arteries. This reduces blood pressure.
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Diuretics And Low Blood Pressure
Diuretics, also called water pills are drugs used to treat edema or water retention caused by such medical conditions as high blood pressure, heart failure, glaucoma, kidney failure and ascites 124. Ascites is the accumulation of fluids in the abdominal cavity due to liver disease. Diuretics work by preventing the kidneys from reabsorbing sodium, which leads to increased removal of sodium and water from the body.
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Do Diuretics Work Well For High Blood Pressure
These medications, which have been in use for more than half a century, are widely considered to be effective for lowering high blood pressure.
In one major, multi-center study of 33,357 people with high blood pressure, 68 percent of those who used the thiazide diuretic chlorthalidone brought their blood pressure levels down to a healthy range . They also reduced their risk for cardiovascular eventssuch as heart attacks and strokesby 12 percent and the risk for heart failure by 21 percent.
However, there are unanswered questions about whether one thiazide diuretic may be better than another.
Currently, hydrochlorothiazide is by far the most common kind of thiazide diuretic prescribed for high blood pressure. But some research suggests that chlorthalidone may be more effective at preventing heart attack and stroke.
Until recently, there have been no head-to-head studies on the two medications. Last summer, the Diuretic Comparison Project , sponsored by the Veterans Administration, began comparing the two medications in people with high blood pressure. The researchers hope to enroll up to 13,500 study subjects.
This doesn’t mean that you should switch from one thiazide to another, however. We may not see results from DCP for four years, so for now, experts say, take your prescribed medication as directed.
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What Are Thiazide Diuretics
A diuretic is a medicine which increases the amount of water that you pass out from your kidneys. So, they are sometimes called âwater tabletsâ. There are different types of diuretics which work in different ways and thiazide diuretics are one type of diuretic.
Thiazide diuretics are a common treatment for high blood pressure . They are also used to clear fluid from the body in conditions where your body accumulates too much fluid, such as heart failure.
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What Do Diuretics Treat
Diuretic medications can help with:
- High blood pressure.
- Unbalanced electrolytes.
Your provider will want to make sure your kidneys are working right and your potassium level is normal when youre taking diuretic pills. If youre pregnant, breastfeeding, an older adult or have problems with your kidneys or liver, discuss the risks of diuretics with your provider.
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Do Diuretics Have Side
All medicines can have side effects, including blood pressure medicines. Its likely you wont have any side effects at all with diuretics, or you might have some that are minor and dont cause you too many problems.
If you have side effects which dont improve and are affecting your day-to-day life, you should be able to try a lower dose or a different medicine.
Possible side effects of diuretics include:
- needing to urinate more often
- feeling thirsty
- raised uric acid levels
- raised blood sugar levels
- problems with erections in men
Diuretics can also lower the amount of potassium, sodium and magnesium in your body, along with a rise in calcium. If these levels drop too low, this can make you weak or confused, and can cause heart problems. You will have these levels monitored with blood tests, usually once a year, if you are taking a thiazide or loop diuretic.
The leaflet that comes with your medicine will have a full list of possible side effects.