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5 Diuretic medications to fight fluid retention

Diuretics are medications that increase the volume of urine produced by increasing the excretion of water by the kidneys in response to increased salt elimination or decreased reabsorption in the renal tubules. Therefore, with the reduction of the amount of circulating liquid in the blood stream, the pressure in the arteries and the swelling caused by fluid retention, are reduced.

Furosemide, Hydrochlorothiazide, or Spironolactone are examples of diuretic medications used to treat problems such as high blood pressure, heart failure and swelling of the ankles, feet and legs caused by changes in heart function or liver or kidney disease, for example.

There are different types of diuretics that can be used to treat bloating, which include potassium-sparing diuretics, thiazides, loop, carbonic anhydrase inhibitors, or osmotic, although the latter two are used less often. Diuretics should only be used by recommendation of a physician, since these types of diuretics should be adapted to the specific purpose of the treatment.

5 Diuretic medications to fight fluid retention

Some of the main diuretic medications used are:

1. Furosemide

Furosemide (Lasix) is a loop diuretic and is indicated for the treatment of hypertension and swelling caused by diseases of the heart, liver, kidneys, brain swellings or caused by burns.

In addition, it is indicated for the treatment of the preeclampsia, a hypertensive disease that appears in the last trimester of the gestation, and to facilitate the elimination of urine in case of poisoning. The recommended dose should be indicated by the doctor because it varies due to the problem that needs to be treated.

2. Hydrochlorothiazide

Hydrochlorothiazide is a thiazide diuretic (Apo-hydro), indicated for the control of blood pressure and in the treatment of swellings caused by problems with heart function, cirrhosis, treatment with steroids or hormonal remedies, or by problems in the functioning of the kidneys. Doses ranging from 25 to 200 mg a day may be recommended, depending on the problem being treated.

3. Spironolactone

Spironolactone (Aldactone) is a potassium-sparing diuretic and is indicated in the treatment of high blood pressure and bloating caused by problems with heart or liver function or kidney disease. Generally, doses range from 50 to 200 mg a day are recommended or a as indicated by your doctor.

5 Diuretic medications to fight fluid retention

4. Amiloride 

Amiloride (Moduretic or Amilorid) is also a potassium-sparing diuretic and is usually associated with hydrochlorothiazide for the treatment of high blood pressure, reduction of swelling in the ankles, feet and legs caused by fluid retention and for the treatment of ascites, which is the accumulation of water in the abdomen caused by cirrhosis. Generally, it is recommended you take 1 pill of 50 mg / 5 mg a day.

5. Hydrochlorothiazide and Spironolactone

It is a combination of 2 different types of diuretics  (Aldactazide) and is usually indicated for the treatment of high blood pressure and lumps caused by diseases or problems in the heart, liver or kidneys. In addition, it is indicated as a diuretic in cases of fluid retention. Generally, doses range from half a pill to two 50 mg pills + 50 mg a day, depending on the problem being treated.

How to take diuretics

Any medication with diuretic action should only be taken under medical guidance, because when used incorrectly can cause electrolyte imbalance, which are changes in the amount of important minerals in the blood. In addition, other problems such as dehydration or cardiac arrhythmias may also arise.

There are also natural diuretics, such as green tea, or diuretic foods, like celery, cucumber or lemon, that can be used because they have similar effects to the medication but with fewer health risks.

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