What is a diuretic?
Diuretics or "water pills" increase the loss of water and
salt through the urine. There are many different kinds of
diuretics. Examples include furosemide (Lasix),
spironolactone (Aldactone), and hydrochlorothiazide
(HydroDIURIL).
When are diuretics used?
Diuretics are most often used when too much water builds up
in the body. This happens when a diseased heart cannot pump
well and water collects in body tissues (heart failure).
They are also used to treat:
- high blood pressure
- glaucoma, a condition in which there is increased fluid
pressure in the eye that can cause blindness
- edema (swelling in the ankles and feet).
Diuretics work better if you use less salt in your diet. Ask
your provider or dietitian how to lower the amount of salt
(sodium) in your diet.
How do they work?
Diuretics work on kidney cells to increase the amount of
sodium and water taken out of your body. There are many
kinds of diuretics available. Each works in slightly
different ways. Your health care provider will choose the
type that is best for you.
Diuretics can lower the levels of both sodium and potassium
in your body. Potassium is a mineral. It helps your heart
rhythm stay regular, among other things. Some diuretics make
you lose potassium and are called potassium wasting
diuretics. Others cause your body to hold onto potassium and
are called potassium sparing diuretics. Ask your health care
provider which type you are taking. You will need to have
regular blood tests to check your potassium levels.
When should I call my health care provider?
If you are taking a diuretic that makes you lose potassium,
the level of potassium in your blood can get too low. This
can make you feel weak and cause your heart to beat
irregularly. You may not be able to feel the irregular
heartbeats, but it may be dangerous. Your provider may tell
you to eat foods that have more potassium. Potassium is
found in leafy vegetables, fruit and vegetable juices, and
bananas. Dried fruits like raisins have high amounts of
potassium. Your health care provider may give you potassium
in pill form.
If you are taking a diuretic that makes you hold on to
potassium, the level of potassium in your blood can get too
high. This may cause slow or irregular heartbeats. Some
other types of medicines, such as ACE inhibitors, can also
make your body hold onto potassium. Taking drugs like these
with diuretics can make it more likely you might have
problems. People with diabetes or kidney disease are more
likely to have high potassium levels when taking
potassium-sparing diuretics.
Because diuretics lower blood pressure, you may become
lightheaded or even faint when you stand. This is more
likely if you are also taking other medicines for high blood
pressure. If you have such symptoms, tell your health care
provider right away.
Diuretics may raise the level of uric acid in your blood and
increase your risk of gout. If you are diabetic, diuretics
may increase your blood sugar. You may need to check your
blood sugar more often when you first start taking a
diuretic.
Report these side effects to your health care provider right
away:
- muscle cramps
- unusual weakness
- nausea and vomiting
- rash or itching.
Diuretics are very useful drugs and are very safe when used
as prescribed. Talk with your health care provider or
pharmacist If you have any questions.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File MED4262F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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