Hyponatremia Drugs

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Last updated 1:23 AM on 10/22/25
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4 Terms

1
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Drug induced SIADH

  • SSRIs: citalopram, escitalopram, fluoxetine, paroxetine

  • SNRIs: desvenla, venla, duloxetine

  • carbamazepines

  • opiates

2
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Vasopressein Antagonists

  • demeclocycline

  • tolvaptan

  • conivaptan

3
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Demeclocycline

  • induces diabetes inispidus, risk of AKI and renal tubular damage

  • CI: kids, pregnancy d/t changes in tooth development

4
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Tolvaptan

  • V2 antagonist

  • indicated for hyper- and euvolemic hyponatremia due to HF, cirrhosis, or SIADH

  • AE: thirst, polyuria, constipation

  • BBW: hepatotoxicity

  • CYP3A4 and P-glycoprotein substrate = lots of DDIs