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10.1111/j.1365-2125.1993.tb04153.x

http://scihub22266oqcxt.onion/10.1111/j.1365-2125.1993.tb04153.x
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8485017!1381547!8485017
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suck abstract from ncbi


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pmid8485017      Br+J+Clin+Pharmacol 1993 ; 35 (4): 373-8
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  • A comparison of the potassium and magnesium-sparing properties of amiloride and spironolactone in diuretic-treated normal subjects #MMPMID8485017
  • Murdoch DL; Forrest G; Davies DL; McInnes GT
  • Br J Clin Pharmacol 1993[Apr]; 35 (4): 373-8 PMID8485017show ga
  • 1. The relative potencies of amiloride (5 and 20 mg) and spironolactone (25 and 100 mg) for plasma and erythrocyte electrolytes were investigated in a double-blind, randomised, balanced, crossover study in 12 normal men treated concomitantly with hydrochlorothiazide 100 mg daily for 1 week. 2. Participants satisfied an a priori requirement for a fall in plasma potassium concentration of at least 0.5 mmol l-1 after 7 days of treatment with hydrochlorothiazide alone. 3. After hydrochlorothiazide alone, plasma potassium and sodium concentrations fell (P < 0.001). There were associated reductions in erythrocyte sodium (P < 0.01). Plasma magnesium concentration did not change, although erythrocyte magnesium decreased (P < 0.001). 4. Both amiloride and spironolactone attenuated the thiazide-induced fall in plasma potassium (relative potency, amiloride:spironolactone 10:1, 95% confidence interval 6.3-16.2:1). Amiloride but not spironolactone was associated with a dose-related increase in plasma magnesium; a relative potency estimation was precluded. There was little evidence of influences of amiloride or spironolactone on erythrocyte electrolytes. 5. On a weight basis, amiloride is ten times more potent than spironolactone as a potassium-sparing agent in diuretic-treated subjects but neither agent had major effects on erythrocyte potassium. The drugs may have divergent actions on magnesium handling; hydrochlorothiazide alone had no influence on plasma magnesium.
  • |Adult[MESH]
  • |Aldosterone/blood[MESH]
  • |Amiloride/adverse effects/blood/*pharmacology[MESH]
  • |Double-Blind Method[MESH]
  • |Drug Interactions[MESH]
  • |Erythrocytes/chemistry[MESH]
  • |Humans[MESH]
  • |Hydrochlorothiazide/adverse effects/*pharmacology[MESH]
  • |Intracellular Fluid/metabolism[MESH]
  • |Magnesium/*blood[MESH]
  • |Male[MESH]
  • |Potassium/*blood[MESH]


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