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Furosemide brand
Lasix
Furosemide class
Loop diuretic
Furosemide MOA
Furosemide is a loop diuretic that is actively secreted via the nonspecific organic acid transport system into the lumen of the thick ascending limb of Henle's loop, where it decreases sodium reabsorption by competing for the chloride site on the Na+-K+-2Cl- cotransporter
Furosemide label use
Edema of volume overload related to heart failure, renal failure
Furosemide off label
Ascites due to cirrhosis
Furosemide box warning
Fluid and electrolyte loss
Furosemide Contraindications
Hypersensitivity to furosemide; anuria
Furosemide Pregnancy
Briggs Pregnancy RecommendationHuman data suggest low risk
Briggs Breastfeeding RecommendationLimited human data—probably compatible
Furosemide SA
Hyperuricemia
Furosemide dosage
Tablet, solution
Torsemide brand
Demadex, Soaanz
Torsemide class
Loop diuretic
Torsemide dosage
tablet
Torsemide label use
Edema related to heart failure, renal failure, hepatic cirrhosis
Hypertension
Torsemide off label
none
Torsemide moa
Torsemide is a loop diuretic that is actively secreted via the nonspecific organic acid transport system into the lumen of the thick ascending limb of Henle's loop, where it decreases sodium reabsorption by competing for the chloride site on the Na+-K+-2Cl- cotransporter.
Torsemide box
None
Torsemide contraindications
Hypersensitivity to torsemide or sulfonylureas, anuria, hepatic coma
Torsemide pregnancy
Briggs Pregnancy RecommendationNo human data—probably compatible
Briggs Breastfeeding RecommendationNo human data—probably compatible
Torsemide SA
None known
Doxazosin brand
Cardura, cardura xl
Doxazosin class
α1-Adrenergic Blocker
Doxazosin dosage
tablet, ER 24hr tablet
Doxazosin label use
BPH
HTN
Doxazosin Off label
Expulsion of distal ureteral stone
Doxazosin moa
Doxazosin selectively blocks postsynaptic α1-adrenergic receptors, reducing peripheral resistance through arterial and venous dilations. Reflex tachycardia that occurs with other vasodilators is infrequent because there is no presynaptic α2-receptor blockade. Increase urine flow by relaxing smooth muscle tone in the bladder neck and prostate.
Doxazosin box
None
Doxazosin contraindications
Hypersensitivity to doxazosin or other quinazolines
Doxazosin pregnancy
Briggs Pregnancy RecommendationLimited human data—animal data suggest moderate risk
Briggs Breastfeeding RecommendationLimited human data—potential toxicity
Doxazosin SA
Dizziness, fatigue, malaise, vertigo
Tamsulosin brand
Flomax
Tamsulosin class
α1-Adrenergic Blocker
Tamsulosin dosage
Capsule
Tamsulosin label
BPH
Tamsulosin off label
Urinary symptoms caused by ureteral stent
Bladder outlet obstruction symptoms
Ureteral stones, expulsion
Tamsulosin moa
Tamsulosin is closely related to quinazoline derivatives that selectively block postsynaptic α1-adrenergic receptors. Total peripheral resistance is reduced through arterial and venous dilations. Reflex tachycardia that occurs with other vasodilators is infrequent because there is no presynaptic α2-receptor blockade. The drugs also decrease total cholesterol, increase HDL cholesterol, and may improve glucose tolerance and reduce left ventricular mass during long-term therapy. They increase urine flow in BPH by relaxing smooth muscle tone in the bladder neck and prostate.
Tamsulosin box
none
Tamsulosin contraindications
Hypersensitivity to tamsulosin
Tamsulosin pregnancy
Briggs Pregnancy RecommendationNo human data—animal data suggest low risk
Briggs Breastfeeding RecommendationNo human data—potential toxicity
Tamsulosin SA
Dizziness, headache, abnormal ejaculation, rhinitis, positional hypotension
Terazosin brand
Hytrin, Tezruly
Terazosin class
α1-Adrenergic Blocker
Terazosin dosage
Capsule, solution
Terazosin Label use
BPH
HTN
Terazosin off label
Ureteral calculi
Terazosin moa
Terazosin selectively blocks postsynaptic α1-adrenergic receptors. Total peripheral resistance is reduced through arterial and venous dilations. Reflex tachycardia that occurs with other vasodilators is infrequent because there is no presynaptic α2-receptor blockade. Increases urine flow in BPH by relaxing smooth muscle tone in the bladder neck and prostate.
Terazosin box
none
Terazosin pregnancy
Briggs Pregnancy RecommendationNo human data—animal data suggest low risk
Briggs Breastfeeding RecommendationNo human data—probably compatible
Terazosin contraindications
Hypersensitivity to terazosin
Terazosin SA
Asthenia, dizziness, fatigue
Tolvaptan
SAMSCA, Jynarque
Tolvaptan class
Vasopressin antagonist
Tolvaptan dosage
tablet, tablet therapy pack
Tolvaptan label use
Hypervolemic or euvolemic hyponatremia(samsca)
Autosomal dominant polycystic kidney disease(jynarque)
Tolvaptan off label
none
Tolvaptan moa
Tolvaptan is a selective vasopressin V2-receptor antagonist with an affinity for the V2-receptor that is 1.8 times that of native arginine vasopressin (AVP). When taken orally, tolvaptan antagonizes the effect of vasopressin and causes an increase in urine water excretion that results in an increase in free water clearance, a decrease in urine osmolality, resulting in the restoration of normal serum sodium levels. In polycystic kidney disease, tolvaptan inhibits cyst growth.
Tolvaptan box
Initiate treatment in hospital to monitor serum sodium. Too rapid correction (eg, >12 mEq/24 h) can result in seizures, coma, and death; correct sodium gradually (Samsca); hepatotoxicity; REMS program
Tolvaptan contraindications
Anuria, concurrent use of strong CYP3A4/5 inhibitors, hypovolemic hyponatremia, hypersensitivity, inability to detect or respond to thirst
Tolvaptan pregnancy
Briggs Pregnancy RecommendationNo human data—animal data suggest low risk
Briggs Breastfeeding RecommendationNo human data—potential toxicity
Tolvaptan SA
Increased thirst, nausea, xerostomia, polyuria, fatigue, diarrhea, dizziness
Potassium Chloride brand
Klor-con
Potassium Chloride Class
Electrolyte, Potassium
Potassium Chloride dosage
tablet ER,
capsule ER,
powder for solution,
solution
Potassium Chloride label use
Hypokalemia
Hypokalemia prophylaxis
Potassium Chloride off label
None
Potassium Chloride moa
Potassium is an electrolyte required for maintenance of the excitatory properties of neuromuscular tissues, and the resting membrane potential of cells is related to potassium concentrations, varying directly with the ratio of intracellular to extracellular potassium level.
Potassium Chloride box
none
Potassium Chloride contraindications
Hypersensitivity to potassium, acute renal failure, structural, pathologic, or pharmacologic causes that delay tablet passage through the GI tract, hyperkalemia, Addison disease, acute dehydration, concurrent potassium sparing diuretics
Potassium Chloride pregnancy
Briggs Pregnancy RecommendationCompatible
Briggs Breastfeeding RecommendationCompatible
Potassium Chloride SA
Nausea, indigestion, flatulence