| LOOP DIURETICS |
| furosemide |
Lasix
(Sanofi Aventis) |
20mg, 40mg+, 80mg |
tabs |
Adults: Initially 40mg twice daily. Adding to other
antihypertensives: initially reduce other agent's dose by 50%.
Children: not recommended. |
| torsemide |
Demadex
(Roche) |
5mg, 10mg, 20mg, 100mg |
scored tabs |
Adults: 5mg once daily, may increase to 10mg once
daily. Give IV dose over a period of 2 minutes.
Children: not recommended. |
Demadex injection
(Roche) |
10mg/mL |
injection |
| POTASSIUM SPARING DIURETICS |
| amiloride |
(various) |
5mg |
tabs |
Adults: Administer with kaliuretic and food. Initially 5mg/day;
5–10mg usually adequate. If hypokalemia persists, may increase to 15mg/day and then
20mg/day with careful electrolyte monitoring.
Children: not recommended. |
| eplerenone |
Inspra
(Pfizer) |
25mg, 50mg |
tabs |
Adults: Initially 50mg once daily; may increase after 4 weeks to
max 50mg twice daily. Concomitant weak CYP3A4 inhibitors (eg, erythromycin, verapamil,
saquinavir, fluconazole): initially 25mg once daily. Adjust based on serum K+ (see
literature).
Children: not recommended. |
| spironolactone |
Aldactone
(Pfizer) |
25mg, 50mg+, 100mg+ |
tabs |
Adults: Initially 50–100mg/day in single or divided doses.
Titrate at 2 week intervals.
Children: not recommended. |
| POTASSIUM SPARING DIURETICS + HYDROCHLOROTHIAZIDE |
| amiloride/ hydrochlorothiazide |
(various) |
5mg /50mg |
scored tabs |
Adults: Initially 1 tab daily with food. May increase to 2 tabs
daily in single or divided doses.
Children: not recommended. |
| spironolactone/ hydrochlorothiazide |
Aldactazide
(Pfizer) |
25mg/25mg, 50mg/50mg+ |
tabs |
Adults: Usual maintenance: 50–100mg each of spironolactone
and HCTZ daily in single or divided doses.
Children: not recommended. |
| triamterene/ hydrochlorothiazide |
Dyazide
(GlaxoSmithKline) |
37.5mg/25mg |
caps |
Adults: 1–2 caps once daily.
Children: not recommended. |
Maxzide-25mg
(Bertek) |
37.5mg/25mg |
scored tabs |
Adults: 1–2 tabs daily.
Children: not recommended. |
Maxzide
(Bertek) |
75mg/50mg |
Adults: 1 tab daily.
Children: not recommended. |
| THIAZIDE-LIKE DIURETICS |
| hydrochlorothiazide |
(various) |
25mg, 50mg |
scored tabs |
Adults: Initially 25mg once daily; usual max 50mg/day in single
or divided doses.
Children: See literature. 1–2mg/kg per day in 1 or 2 divided doses.
<6months: up to 3mg/kg per day in 2 divided doses. ≤2years: max 37.5mg/day.
2–12years: up to 100mg/day. |
Microzide
(Watson) |
12.5mg |
caps |
Adults: 12.5mg once daily; usual max 50mg/day.
Children: not recommended. |
| indapamide |
(various) |
1.25mg |
tabs |
Adults: Initially 1.25mg once daily in the AM. May adjust at
4 week intervals to 2.5mg then 5mg once daily.
Children: not recommended. |
| metolazone |
Zaroxolyn
(UCB) |
2.5mg, 5mg, 10mg |
tabs |
Adults: 2.5–5mg once daily.
Children: not recommended. |