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Diuretics

Also called: Water Pills, Potassium-Sparing Diuretics, Loop Diuretics, Thiazide Diuretics, Osmotic Diuretics

- Summary
- About diuretics
- Conditions treated
- Conditions of concern
- Potential side effects
- Drug or other interactions
- Lifestyle considerations
- Symptoms of overdose
- Pregnancy use issues
- Child use issues
- Elderly use issues
- Questions for your doctor

Reviewed By:
Kerry Prewitt, M.D., FACC
Sumit Verma, M.D., FACC
Nikheel Kolatkar, M.D.

Pregnancy use issues with diuretics

Use of diuretics during pregnancy is not recommended. The effects of diuretics during pregnancy have not been studied extensively. However, it has been noted that diuretics given after the first trimester of pregnancy to treat hypertension may interfere with the normal expansion of fluid seen during pregnancy. The depletion of this fluid volume could, in turn, disrupt neurodevelopment of the fetus and increase the risk of conditions such as schizophrenia in the offspring. There is also a risk of jaundice, blood problems and potassium depletion in the newborn.

In lactating women, most diuretics will pass into breast milk and can cause dehydration in nursing infants. Potassium-sparing diuretics, however, have not been found to cause problems in nursing babies. 

Child use issues with diuretics

The use of diuretics in children is typically seen for the treatment of milder degrees of heart failure. There is no indication that the risk of side effects from diuretics is different in children than in adults. Dosages are lower for children and the dosage interval may be longer. Children taking potassium-sparing diuretics are more prone to developing calcium deficiencies than are adults. Safety of diuretic use in children has not been scientifically established for all forms of the medication. Parents are encouraged to discuss the potential risks and benefits with a board-certified pediatric cardiologist before their child begins taking diuretics. 

Elderly use issues with diuretics

Older adults have a higher frequency and intensity of side effects, such as lightheadedness, dizziness and fainting (syncope). They are also more susceptible to dehydration, hypovolemia (decrease in circulating blood volume), and deficiencies of calcium, potassium, sodium and magnesium. Generally, older patients require lower doses of diuretics and require close observation but are routinely prescribed these medications. 

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Review Date: 03-26-2007
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