Drugs that cause diuresis without causing potassium loss in the urine and leading to hyperkalemia
Structural formula of the potassium-sparing diuretics. Click to enlarge.
Potassium-sparing diuretics or antikaliuretics [ 1] refer to drugs that cause diuresis without causing potassium loss in the urine .[ 2] They are typically used as an adjunct in management of hypertension , cirrhosis , and congestive heart failure .[ 3] The steroidal aldosterone antagonists can also be used for treatment of primary hyperaldosteronism . Spironolactone , a steroidal aldosterone antagonist , is also used in management of female hirsutism and acne from PCOS or other causes .[ 4] [ 5]
^ Knepper, Mark A.; Kleyman, Thomas; Gamba, Gerardo (2005), "Diuretics: Mechanisms of Action" , Hypertension , Elsevier, pp. 638–652, doi :10.1016/b978-0-7216-0258-5.50152-6 , ISBN 978-0-7216-0258-5 , retrieved 2024-03-24
^ Rose BD (February 1991). "Diuretics" . Kidney Int . 39 (2): 336–52. doi :10.1038/ki.1991.43 . PMID 2002648 .
^ Weber KT, Villarreal D (January 1993). "Aldosterone and antialdosterone therapy in congestive heart failure". The American Journal of Cardiology . 71 (3): A3–A11. doi :10.1016/0002-9149(93)90238-8 . PMID 8422002 .
^ Martin KA, Anderson RB, et al. (1 April 2018). "Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine Society* Clinical Practice Guideline" . The Journal of Clinical Endocrinology & Metabolism . 103 (4): 1233–1257. doi :10.1210/jc.2018-00241 . PMID 29522147 .
^ Grandhi R, Alikhan A (2017). "Spironolactone for the Treatment of Acne: A 4-Year Retrospective Study" . Dermatology . 233 (2–3): 141–144. doi :10.1159/000471799 . PMID 28472793 .