What Diuretics Are Needed When With History Of CVA, Hypertension And Thyroidism?

Posted on Wed, 25 Mar 2015

Question: what are the diuretics needed for a patient with the history of CVA, hypertension, thyroidism, right sided weakness, aphasia, copd, congestive heart failure, atrium fibleration and has a pacemaker

Answered by Dr. Benard Shehu (6 hours later)

Brief Answer:
Loop diuretics in combination with spironalactone...

Detailed Answer:
Hi,

Usually, in such patients, recommended diuretics include:
- Loop diuretics (furosemide, torsemide), which are the principal and most potent diuretics.
- Spironalactone. Which is a potassium sparing agent that has also a positive effect on heart failure and is always used with loop diuretics.
- Potassium - sparing diuretics (amiloride and triamterene). If only spironalactone doesn’t prevent from hypokalemia (low potassium levels) a potassium sparing agent is added.
- If loop diuretics and spirolactone doesn’t work well, then a thiazidic diuretic might be added (e.g. hydrochlorothiazide).

Since these are drugs you should discuss with your doctor about the correct dosage.

Dr.Benard

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar