Diuretics swelling face. the new generation of tablets, harmless. Prices, reviews, a list of the best

Edema - this accumulation of fluid in body tissues due to malfunction of organs or due to errors in the diet. Diuretics help get rid of the swelling of various body parts - arms, legs, face.

However, these drugs do not solve problems within the body, and are symptomatic treatment. They must be applied with caution and not for a long time. Medical consultation - is required.

When diuretics are needed when swelling of the face

The most frequent errors occur when swelling in the diet. When a person is abusing food with lots of salt, there is a significant fluid retention in the tissues.

The next morning, on the face can be detected characteristic signs of swelling. This type of swelling goes slowly throughout the day, receiving strong diuretics is not required if a person has no problem with kidney function.

Swelling due to internal organs is conventionally divided into two groups:

• kidney - arise due to problems with the kidneys, the face swells in this case in the first place, it acquires characteristic puffiness, particularly evident these problems in the morning, in the evening the swelling gradually passes;
• heart - occur due to heart failure, edema occurs first on the lower limbs, in the evening is enhanced, can gradually spread to other parts of the body.

For serious pathologies edema occur not only in the subcutaneous tissue, but also in the large muscles and body cavities.

Experts identify the following causes of edema:

• disorders lymph flow, slowing and stagnation;
• increase in the permeability of vascular walls;
• high blood pressure;
• hormonal imbalance;
• cardiac function insufficiency;
• kidney and urinary tract;
• liver disease - a rare case.

Release forms of diuretics

Diuretic drugs are available in several types of packaging for oral administration:

• pills;
• capsules;
• drops;
• solution into ampoules for intravenous administration.

Types diuretics

Diuretics swelling face - pills or other forms of release can be divided into several groups. Depending on the method of creating the basic substance diuretic effect will be different.

loop

These drugs affect the filtration process, which takes place in the kidney. Loop diuretics salt promotes filtration and removal of it from the body. The main element, retaining the fluid in the body, it appears the amount of liquid decreases.

Are the most potent diuretics, fluid output sharply and in substantial numbers, conclusions and useful microelements. The effect is achieved after 1.5 hours. after medication use. Due to the side effects of loop diuretics prescribed only in extreme cases, when an urgent need to get rid of excess fluid in the body, such as hypertensive crisis.

Representatives of this group:

• bumetanide;
• furosemide;
• Ethacrynic acid.

Sulfanamidnye diuretics

They are a subset of loop diuretics. Preparations having a part of sulfa agents penetrate into the kidneys in two ways - through glomerular filtration and tubular secretion.

representatives:

• torasemide;
• Furosemide.

thiazide

Compared with loop drugs are less effective against withdrawal of liquids and salts. Often not assigned to eliminate edema, and to combat high blood pressure.

Representatives of the group:

• benzthiazide;
• indapamide;
• Klopamid;
• Dihlotiazid.

kalisberegate

These drugs do not cause an increased potassium excretion. Preservation of this trace element is essential, since it is very important for the normal functioning of the heart. Heighten salt conclusion, compared with other medications, but are considered drug with diuretic action reduced.

If you want to display a large part of the liquid, it is recommended that the joint application with other diuretics.

Drugs group:

• amiloride;
• triamterene;
• Spironolactone.

carbonic anhydrase inhibitors

This group of drugs is not appointed as an independent diuretic. It is used for the treatment of hypertension and glaucoma. The main representative of the group - acetazolamide.

herbal remedies

Herbal medicines have a mild effect. Compared with chemical drugs do not cause a sharp loss of a large amount of water and minerals. Due to the natural origin, they can be used by women in the waiting period of the child and children from an early age.

Their use will not be drastic diuretic effect, which means that people can continue to live the usual life, without changing the plans. The most important vegetable diuretic - Kanefron.

Also in the pharmacy you can find herbal teas and fees:

• Fitonefrol;
• Brusniver;
• Diuretics fees №1, №2, №3;
• Fitomaks.

How to choose medicine?

Diuretics for edema face (tablets or drops), you need to buy according to the cause of the problem.

Here are a few tips to help you choose the right tool:

• important if a strong and immediate effect, it is necessary to choose Furosemide;
• if Furosemide did not give the desired effect, it is worth to try bumetanide, it is 2 times stronger than the first drug, but also the unwanted effects from it greater;
• if a person thinks about the potassium balance in the body, and in a significant enhancement of diuresis is not necessary, it is worth looking into Triamterene preparation;
• with extensive swelling and the need for speedy effect, the specialists use osmotic representative group - Mannitol;
• for the prevention of hypertensive episodes, when a diuretic effect in principle not required, to use means of mild to moderate effect - indapamide and Torasemide;
• with little need to keep the level of potassium in the required level assigned amiloride.

Classification of diuretics

Depending on the method of creating the diuretic effect drugs have different effects of speed, power, and methods for creating a diuretic effect.

The speed

The most high-speed following drugs have been recognized:

• bumetanide;
• Furosemide.

By the force effect

Preparations vary in strength diuretic effect:

The strength of the effect,	Group	preparations
strong	sulfonamide	furosemide; Ethacrynic acid; bumetanide; torsemide; Peritanid.
Central	Sulfonamide: thiazide and netiazidnye	hydrochlorothiazide; chlorthalidone; Klopamid; Indapamide.
poor	sulfonamide	acetazolamide
Nesulfonamidnye	triamterene; Amiloride.
steroid	spironolactone; Canrenone.

Mechanism of action and composition

Various dosage groups of diuretics, have their own target for treatment.

drugs group	The mechanism of the	The purpose of impact
sulfonamide	Suppression sodium transport, potassium, chloride	The rising portion of the nephron loop
Sulfonamide, thiazide derivatives and netiazidnye	Distal tubule of the nephron loop
sulfonamide	suppression of carbonic anhydrase	proximal tubule
Nesulfonamidnye connection	Blockers of sodium channels in renal epithelium	The outermost portion of the proximal tubule and the collecting tubes
steroid	Aldosterone receptor blocker

Most diuretics group saluretikov

This group is the most popular of diuretic drugs, which are considered to be particularly effective.

furosemide

Is the drug of the loop group. It causes a person a strong, but short-term gain of urination. Promotes considerable sodium and chloride excretion. Amplification urination based on primary action - removing salt, and the secondary effect - elimination of direct liquid. Simultaneously increases potassium excretion from the body, calcium and magnesium.

In hypertensive drug reduces the pressure by removing excess fluid and reduce the total volume of blood in the body. The diuretic effect is formed after 1 hour. drug after ingestion lasts from 3 to 6 hours. Upon termination of the amount of sodium excretion did not return the previous level.

Furosemide is indicated for use in edema of various origins:

• cardiac insufficiency, chronic;
• lack of renal function, chronic;
• nephrotic syndrome;
• liver disease;
• hypertension.

The drug should not be taken in the following cases:

• disturbances of kidney function with the presence of anuria;
• liver failure, coma, "liver";
• glomerulonephritis in the acute phase;
• disruption promoting urine by the ureters;
• disruption of water-electrolyte balance, in the presence of reduced concentrations of minerals;
• the waiting period of the child and breastfeeding women;
• Children under 3 years of age;
• lactose intolerance;
• allergy to wheat;
• increased reaction to constituents of the preparation.

bumetanide

The preparation of a family of loop diuretics. Not allowing sodium ions to be absorbed back into the general circulation. Outputs from the body potassium, calcium and magnesium. Provokes a delay in the body of uric acid that can adversely affect health. Bumetanide reduces the pressure in the cardiac cavities and eliminates hypertension.

Increased diuresis begins after 5 min. after administration of the drug. A significant effect is achieved in 15-35 minutes. The maximum result occurs within 1-1.5 hours. The duration depends on the administered dose may last from 4 to 6 hours.

Bumetanide is assigned in the following situations:

• swelling of a different nature;
• high blood pressure;
• pulmonary edema;
• brain edema;
• cardiac asthma;
• the need for an increase in urine output;
• complications during pregnancy - late preeclampsia, eklamsiya.

In these cases, use of the drug is prohibited:

• decrease in urine production, and renal failure;
• 1 trimester pregnancy;
• Children up to age 18;
• breastfeeding;
• a negative reaction to bumetanide.

indapamide

Diuretics edema face (tablets thiazide group) represented indapamide. He helps reduce arterial smooth muscle tone, resulting in the successful reduction in pressure. Reabsorbatsiya sodium ions, chlorine and water passes from the lower activity than the loop preparations.

The therapeutic effect in the treatment of hypertension appear after 7 days after the start of the maximum effect is formed on the 3 month of continuous use.

The drug is prescribed for indications:

• increasing pressure;
• sodium and fluid retention in the tissues of the body;
• lack of heart function, chronic course.

The drug is contraindicated in:

• acute situations disorders of cerebral blood flow;
• kidney function and pathology of the liver;
• severe stage of diabetes;
• gout;
• intolerance indapamide.

torasemide

Loop diuretic group reduces the reabsorption of sodium in the blood, chlorine and potassium. Thus there is a reduction of the osmotic pressure, excess fluid is successfully output. Furosemide torasemide differs from that outputs to a lesser extent potassium.

The efficiency of water removal above and lasts longer. Torasemide starts to operate after 1 h. The maximum effect is formed after 3-6 hours. and lasts for 8 to 10 hours.

Prescribed in the following cases:

• to control hypertension;
• in the presence of edema of various natures;
• for the treatment of heart failure, function;
• liver and kidneys.

Torasemide can not be accepted in the following cases:

• scant or no urine output;
• sodium and potassium deficiency in the body;
• dehydration;
• hindered the flow of urine of any origin;
• glycoside intoxication;
• state acute glomerulonephritis;
• Children up to age 18;
• women in the waiting period the birth of the child;
• torasemide poor tolerance or allergy to a sulfonamide group.

Most diuretics group of potassium-sparing diuretics

Diuretics, potassium-preserving performance in the body are shown not only in the swelling of the face, but also in other parts of the body, as these pills interfere with the allocation of important trace elements.

triamterene

Diuretic having the effect of maintaining the level of potassium. Thus excretion of sodium ions is provided at a sufficiently high level. Can be used together with thiazide diuretics thus diuretic effect is high, the potassium balance does not suffer. Action is formed after 15-20 minutes. after dosing, the maximum is attained after 2-3 hours.

The drug acts during 12 hours.

Appointed in the following cases:

• edema arising for any reason;
• shortage of cardiac activity;
• state of nephrotic syndrome;
• cirrhosis of the liver;
• high blood pressure;
• failure prevention potassium when receiving diuretics.

It is forbidden to take the following situations:

• insufficient function of liver, or kidney;
• feeding period;
• complex components tolerability of the drug.

amiloride

Diuretic effect of the drug combined with potassium preservation performance, wherein the output successfully sodium and chlorine. Compared with drugs thiazide group, it is less stressed diuretic effect. Recommended for use with drugs without potassium save function. Thus the desired diuretic effect and preservation of important elements -kaliya and magnesium will be provided.

Amiloride is recommended for the following problems:

• swelling of any origin;
• arterial hypertension;
• chronic shortage of cardiac activity;
• nephrotic syndrome;
• severe liver damage.

The drug should not be taken in the following cases:

• severe functional renal impairment;
• hepatic coma;
• intolerance to the components in the formulation.

Most diuretics group osmotic diuretics

Osmotic diuretics group best job of removing excess water. In high dosages provoke amplification excretion of electrolytes - sodium and potassium. The main representative of osmotic diuretics - Mannitol. He is a hexahydric alcohol. The drug causes diuretic effect, reduces hypertonicity medulla of kidney.

Mannitol is shown in the following cases:

• the prevention of acute renal failure state, especially in people who are at risk - operational interventions on the heart and blood vessels;
• prescribed in edema and if necessary disposal of excess water;
• Mannitol administered in diagnostic tests when necessary to evaluate diuresis.

Diuretic has the following properties:

• selection nephrotoxic substances and removing them from the organism;
• It prevents the formation of agglutinates - cluster of crystals of salts such as oxalate, urate, phosphates;
• It does not allow the formation of obstruction of renal tubules;
• It maintains a balance in renal blood flow;
• reduces swelling and increased cell thus supports normal architecture of the cell.

Available in the form of vials for intravenous injection, so it begins to act very quickly. Excreted from the body slowly.

Fundamentals osmotic diuretics - increasing the osmotic pressure of blood plasma due to the movement of fluid from body tissue into the bloodstream. Thus formed diuretic effect. This kind of diuretic keeps potassium and other electrolytes balance.

the new generation of tablets. Ranking of the best products and their cost

Diuretics swelling face - tablets based on classic preparations, but with an improved structure. Often new generation drugs are more "purified", when used there are fewer side effects.

Britomar

Cost - 350 rubles. 30 tablets. Base material - Torasemide, which, as a representative group saluretics inhibits back flow of sodium and chloride in the blood. Britomar known fact that acts, when other diuretics did not have the expected result.

Diuresis enhancing effect is formed after 2-3 hours. and lasts for 12 hours. The desired effect in the treatment of heart problems and blood vessels formed during the first week of application.

It is indicated for use in the following problems:

• a significant degree of deficiency of the kidneys, in mild cases should use other means, is not as strong as Britomar;
• application of hemodialysis;
• swelling, effusion of the internal organs;
• shortage of cardiac activity;
• functioning myocardium pathology;
• reduction in blood pressure;
• lowering hyperexcitability vessel walls.

Britomar should not be used in the following cases:

• Individual tolerability of torasemide;
• hypotension;
• reduction of sodium and potassium;
• breastfeeding;
• urination disorders and lack of urine output.

spironolactone

Cost - 75 rubles. 20 tablets. Potassium-sparing diuretics group, working on the basis of an antagonist of corticosteroid hormones that help return the blood stream water and sodium ions and potassium output. Thus, there is an active disposal of liquid substances and its delay and potassium balance is maintained.

Diuretic result formed at 3-5 day from the beginning of the use of spironolactone. Reducing the pressure after the start of the means is not constant, the correction requires other drugs.

Prescribed in the following cases:

• edema of any origin;
• hypertension;
• acute severe deficiency functions and liver damage;
• nephrotic syndrome;
• at low rates of potassium and magnesium.

Contraindications for use:

• negative reaction to the use of the drug;
• an acute shortage of renal function;
• violation and lack of urine output;
• for women during pregnancy and breastfeeding;
• increased potassium component in the bloodstream and receiving additional potassium preparations.

triampur Compositum

Cost - 320 rubles. 50 tablets.

It has diuretic effect by two mechanisms:

• prevents return of sodium and chlorine in the bloodstream;
• organization osmotic effect - fluid migration from the bloodstream into cells followed by renal excretion.

Prolonged use triampur provokes loss of potassium. Means starts operating in 1.5-2 hours. after drinking. It lasts for 10 to 12 hours. Hypotensive effect lasts longer - up to one day.

Triampur appointed in the following cases:

• edema of any origin;
• disease and a lack of function of the heart;
• liver disease and kidney;
• the need for disposal of excess water in combination with the need to maintain a balance between the level of potassium.

The drug should not be taken in the following cases:

• hypersensitivity to sulfonamides and components of the drug;
• for women in the waiting period for the child and breastfeeding;
• kidney deficiency;
• lack of urine output;
• acute inflammatory liver and kidney;
• violation balance of electrolytes - extremely low or high levels of potassium and calcium;
• urolithiasis and gout;
• diabetes;
• folic acid deficiency.

Means for removal of edema from various parts of the body such as the face or limbs, can not be taken without prior consultation with a specialist. Diuretic tablets are able to exert a negative effect on the organism and have contraindications, if used incorrectly human condition may worsen.

Long use of diuretics can provoke the effect of habituation. Every drug on his appointment, and especially the impact. Before taking should carefully select the means of taking into account the desired effect and the state of health of the person.

Useful video of diuretics and their effectiveness in edema

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