6 best diuretics, or diuretics for edema

Author: Boris Ginzburg

*Review of the best according to the editors of simplerule.ru. About the selection criteria. This material is subjective in nature, does not constitute advertising and does not serve as a purchase guide. Before purchasing, consultation with a specialist is required.

Everyone intuitively understands what edema is. This is a condition when excess fluid, that is, water, accumulates not in the vascular bed, but in tissues, intercellular fluid, or in various cavities of the body. The main cause of edema is a change in water pressure in the capillaries, or hydrostatic pressure. After all, the capillary bed is extremely huge in area, and far exceeds the area of ​​large main vessels.

The second reason can be considered a drop in blood plasma pressure associated with protein concentrations, or oncotic pressure, along with an increase in oncotic pressure in the intercellular fluid. The cause of increased fluid accumulation in tissues may also be a violation of lymph flow. In old age, edema is most often a complication, and it can be considered a marker of severe pathology of the cardiovascular system, especially if the edema is located in the legs.

If swelling exists on the face, this most often indicates chronic kidney pathology. Doctors know that the appearance of any edema, especially not local, but generalized, is an important symptom of the pathology of the cardiovascular and excretory systems. Edema becomes noticeable and pronounced when a person’s body weight increases by 15% due to the volume of accumulated fluid, and for a person with an average weight of 70 kg this is two extra liters of fluid.

If we list diseases, then, in addition to chronic cardiovascular failure, the causes may be chronic and acute glomerulonephritis, nephrotic syndrome and chronic liver diseases such as cirrhosis. Hypothyroidism or myxedema, as well as the use of certain medications, often lead to the appearance of edema. Of these, we can name combined oral contraceptives, COCs. We will not go into detail about the classification of general and local edema, we will only say what the characteristic symptoms of certain edema are with their different origins.

Medicinal and herbal diuretics.

September 23, 2021
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Content

• How to choose a diuretic
• What are the types of diuretics?
• Classes of diuretics and indications for their use
• The best diuretics
• Hydrochlorothiazide
• Furosemide
• Indapamide
• Veroshpiron
• Torasemide
• Triampur compositum
• Diuver
• Dog-rose fruit
• Diuretic collection
• Juniper fruits

The doctor prescribes diuretics for various edema, hypertension, for the prevention of kidney stones, etc. It is no secret that some women even try to lose weight with the help of diuretics, but this is dangerous to health. The fact is that diuretics, together with liquid, remove potassium from the body - muscle contraction (including the heart muscle) is disrupted. That is why such drugs should be prescribed exclusively by a doctor, taking into account the underlying disease, possible contraindications and side effects.

Read also How to treat dehydration: 5 solutions for rehydration What drugs for dehydration are most often prescribed by doctors?

Contraindications of drugs

The use of diuretics is not always advisable. There are certain conditions that prohibit the use of this type of medicine. These include:

1. ​Low potassium levels in the blood.
2. ​Individual intolerance to sulfonamide substances.
3. ​Severe form of respiratory failure.
4. ​Acute kidney diseases.
5. ​Any type of diabetes.

An implicit contraindication to taking diuretics is ventricular arrhythmia. This clinical condition requires adjustment of the therapeutic dose and strict medical supervision.

How to choose a diuretic

There are specific factors to consider if you choose a diuretic.

1. Speed ​​of action.
   There are diuretics for emergency use: if you need to quickly lower high blood pressure (used in combination with other drugs), remove morning puffiness under the eyes. You should not take such medications often because they are addictive. Long-acting diuretics are prescribed to treat hypertension and edema associated with poor heart and liver function.
2. Pregnancy and breastfeeding.
   Any diuretic medications are prohibited for pregnant and lactating women. And only in cases where a pregnant or lactating woman has a threat to her health and life, is it possible to use them. Usually this phrase sounds like “the benefit to the mother outweighs the risk to the fetus.” The exception is practically harmless herbal diuretics, but a woman should talk to her doctor before using them.
3. Tendency to allergies.
   People with allergies may experience an undesirable reaction to both the active ingredient of the diuretic drug and its minor components. If you are allergic, consult your doctor before treatment.

In addition to diuretic medications, mild herbal remedies are often used. They are usually prescribed in the complex treatment of cystitis, urethritis, etc. Herbal diuretics not only remove excess water, but also relieve inflammation.

Drinking diuretics for weight loss is dangerous - the heart muscle suffers

Photos from open sources

What are the types of diuretics?

All diuretic drugs are divided into several categories: according to their spectrum of use and mechanism of action.

1. Loop diuretics.
   These drugs have the strongest effect (they begin to act literally a few minutes after administration), but the effect ends just as quickly. Such drugs are well suited for the treatment of hypertension and heart failure. But loop diuretics have a significant disadvantage - along with water, they remove potassium from the body, which is fraught with the development of arrhythmia.
2. Thiazide diuretics.
   Another effective diuretic drug. They not only get rid of excess fluid, but also dilate peripheral vessels. Thiazide diuretics also reduce the response of blood vessels to adrenaline, so they spasm less. Such diuretics are also prescribed for the treatment of urolithiasis. Among the “side effects” are the excretion of potassium and an increase in uric acid, which can then accumulate in the joints and cause gout.
3. Potassium-sparing diuretics.
   Such diuretics do not remove potassium from the body, protecting the patient from various heart complications. But these drugs are not as potent as the previous ones.
4. Osmotic diuretics.
   This group of drugs reduces blood plasma pressure - excess water is quickly removed from the tissues, swelling goes away. The pressure in the tissues and in the plasma becomes the same. Typically, osmotic diuretics are prescribed to relieve swelling of the brain, lungs, and high intraocular or intracranial pressure.

When does a doctor prescribe diuretics?

List of indications for use:

• Arterial hypertension not complicated by renal failure

  . A decrease in systolic pressure occurs due to a decrease in blood volume in the vascular system. There is no sharp drop in pressure; its levels decrease moderately, without the development of hypotension. The hypotensive effect is achieved by increasing the potassium content and decreasing sodium. After 1-2 months, diastolic pressure normalizes while maintaining cardiac output. Diuretics are not addictive and do not affect potency or libido.

• Chronic circulatory failure due to edema and arterial hypertension

  . To correct this condition, strong diuretics of short and medium duration are used. Indications for emergency treatment: pulmonary edema, cerebral edema, barbiturate poisoning.

• Prevention of hypokalemia and secondary hyperaldosteronism

  against the background of hypertension and chronic renal failure.

• Diabetes insipidus.
• Glaucoma.

Classes of diuretics and indications for their use

Main indications for the use of diuretics of various classes

Hydrochlorothiazide

One of the most effective means for removing excess fluid and sodium salts from the body. Hydrochlorothiazide is prescribed for diseases of the kidneys, heart, lungs, to reduce blood pressure and reduce swelling. The drug does not form metabolites and is excreted unchanged by the kidneys. The maximum effect of the diuretic is achieved 4 hours after administration, and it lasts for 12 hours. Patients about it has a pronounced diuretic effect, any swelling quickly goes away, it is inexpensive. Among the disadvantages is a large list of “side effects” and the removal of important microelements from the body (including potassium and magnesium).

Hydrochlorothiazide

OZON, Russia; Pranapharm LLC, Russia; PJSC "Biokhimik", Russia; OJSC Borisov Plant of Medical Preparations (Borimed), Belarus; PJSC Valenta Pharm, Russia

A diuretic drug that is used for: Arterial hypertension, edema syndrome of various origins (chronic heart failure, nephrotic syndrome, renal failure, fluid retention in obesity), diabetes insipidus, glaucoma (subcompensated forms).
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Distinguishing the cause of edema

Of course, this material is not addressed to doctors, but a specialist should understand the causes of edema. But the modern Russian healthcare system is designed in such a way that it is extremely difficult to immediately get free access to a specialist; you must first visit a therapist as a “divorce”. Therefore, many turn to a paid doctor, and the main thing is to choose exactly who to turn to for edema: a cardiologist, a vascular surgeon who deals with the problems of varicose veins, or, for example, a nephrologist.

In order to figure this out right away and not spend extra money, we can tell you general but important information about edema:

1. You should visit a cardiologist if swelling occurs in the legs; it is symmetrical and painless, intensifies in the evening, and leaves a pit of doughy consistency after pressing. Additional symptoms include shortness of breath; the patient often has long-term chronic heart damage, for example, valvular defects, previous myocardial infarction or arrhythmia;
2. if swelling also occurs in the legs, but together with a feeling of heaviness in the calves, aching pain, night cramps, and appears after prolonged standing or long walking, and decreases overnight, then this is due to varicose veins of the lower extremities . This is especially true if, after a long period of such edema, spider veins, peeling of the skin, or the phenomenon of varicose dermatitis occur. We need a phlebologist or vascular surgeon;
3. if in this case the swelling of the leg is asymmetrical, on the one hand, the leg is hotter than the other, then, most likely, we are talking about thrombosis of the venous vessels, and here you need to contact a vascular surgeon;
4. if the patient has a long-term chronic pathology of the kidneys, swelling appears on the face, on the eyelids, does not change its location depending on changes in the state of the body in space, is not accompanied by shortness of breath, and in matcha tests a high protein is determined, more than 3 g per day, then speech It's about nephrotic syndrome. If the patient has high blood pressure and a small amount of urine, then it is necessary to urgently visit a nephrologist or kidney disease specialists;
5. if a person had jaundice, active hepatitis, cirrhosis was diagnosed, the amount of protein in the blood plasma was reduced, the level of bilirubin and transaminases was high, and his stomach swells like a drum, his navel protrudes, then everything is clear. We are talking about the development of ascites, or the accumulation of fluid in the abdominal cavity and portal hypertension, and here it is necessary to visit either a hepatologist for liver diseases, or an infectious disease specialist in the case of chronic viral hepatitis, or a surgeon.

Finally, if lymphatic edema associated with lymphostasis occurs, then at first the edema may be asymmetrical, on the one hand. But even if they become double-sided, they may also not be the same. At first these are soft swellings, like dough, they can intensify in hot weather, the skin over them easily moves. If they exist for a long time, then the skin over them thickens and becomes denser, the hole no longer remains, and in the later stages complete tissue fibrosis develops. The skin becomes lumpy and separated by deep folds. This happens when lymph nodes and lymphatic vessels are compressed, and in our country this most often occurs in advanced forms of cancer pathology. An urgent consultation is needed, first of all, with an oncologist.

Treatment of edema should always be comprehensive, and treatment should begin with attempts to eliminate the cause. So, if the cause is chronic heart failure, then it is necessary to enhance the work of the heart, for example, by using cardiac glycosides. In the presence of glomerulonephritis, it is necessary to use hormones and cytostatics; in the presence of hypothyroidism and myxedema, thyroid hormones must be prescribed, and so on.

However, in addition to etiotropic treatment aimed at the direct cause of edema, it is necessary to limit the intake of fluid, and for generalized edema it is necessary to limit salt intake, and one of the most important methods of pathogenetic treatment of edema syndrome is the prescription of modern diuretics, or diuretics. How are diuretics used, and what are diuretics? What caution should patients and physicians take when using them?

Furosemide

This diuretic is one of the most popular and frequently prescribed, and is a strong diuretic. Furosemide removes excess water and sodium salts from the body well and quickly, and relieves swelling. The drug is indicated for hypertension, poor functioning of the heart, kidneys and liver. Diuretic tablets begin to act 20-30 minutes after administration. Furosemide is usually used in emergency cases. You cannot take the drug without medical supervision, because self-medication can lead to dehydration. Furosemide is inexpensive, acts quickly, but has many side effects, including the removal of potassium and magnesium.

Furosemide

Sopharma, Bulgaria; PJSC "Biosintez", Russia; Binnopharm, Russia; JSC Avexima, Russia; Update, Russia; JSC Pharmstandard-TomskKhimPharm, Russia; "Moskhimfarmpreparaty" named after. N. A. Semashko, Russia; Ozon LLC, Russia; OJSC Borisov Plant of Medical Preparations (Borimed), Belarus; JSC Dalkhimfarm, Russia

Edema syndrome of various origins (with chronic heart failure, cirrhosis of the liver (portal hypertension syndrome); edematous syndrome of renal origin (with nephrotic syndrome, treatment of the underlying disease is in the foreground), acute heart failure, especially with pulmonary edema (used in combination with other therapeutic agents) measures); cerebral edema; severe forms of arterial hypertension; hypertensive crisis; forced diuresis in case of poisoning with chemical compounds excreted unchanged by the kidneys.
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Modern diuretics

Let us remind you once again that this material is intended, for the most part, not for patients suffering from edema syndrome, who are observed by a cardiologist for heart failure, and routinely take diuretics. Still, they are under the supervision of doctors and have a significantly lower risk of uncontrolled use of diuretics. This material is intended for those people who for some reason decided to use diuretics at their own risk.

It is no secret, for example, that the use of 1-2 tablets of furosemide in combination with intensive drinking of mineral water, vitamin C, and taking a hot shower can quickly eliminate a hangover and get a person in shape. Yes, forced diuresis is one of the effective means of removing the human body from a state of alcohol intoxication, and even from binge drinking.

But at the same time, it is necessary to remember the disadvantages that even the best modern diuretics have. Thus, treatment with these drugs alone, without correction of the ionic composition of the plasma, can lead to a large loss of fluid and mineral salts from the vascular bed, and this output will be greater than from the intercellular space. This can lead to a decrease in the amount of liquid part of the blood, or plasma, a decrease in the pumping function of the myocardium and a sharp drop in blood pressure, which can manifest as collapse. If the patient also has symptoms of heart failure, this will cause a reduced return of venous blood to the heart, and will further aggravate the low cardiac output.

Always, when using this or that diuretic, you need to find out about its capabilities, how powerful it is. Thus, thiazide diuretics, which act on the renal tubules and reduce carbonic anhydrase activity, are very common, and the most powerful are loop diuretics. Potassium-sparing diuretics can be considered quite mild and relatively harmless, since they have a rather weak effect.

Diuretics from the osmotic group, for example, Mannitol, will not be listed below. The scope of their application is completely different, for example, Mannitol is widely used in neuroreanimation and neurosurgery for the prevention and treatment of cerebral edema after surgery and in cases of severe traumatic brain injury. This section will not talk about those drugs for edema that reduce the symptoms of chronic venous insufficiency and are used in the treatment of varicose veins. These include various plant bioflavonoids, horse chestnut, rutin preparations, diosmin and others. They will be discussed in the relevant materials devoted to the treatment of varicose veins; their area of ​​application is completely different, and they are not diuretics.

We will look at diuretics that have a common mechanism of action and affect the kidneys. There are not many of these drugs, and there are not many commercial copies or generics of them. But in any case, the international nonproprietary name (INN) will be given first, then, if available, the original drug, which was first introduced to the market and has the largest number of studies on effectiveness and safety, will be named first. The various generics, or commercial copies, will then be named, followed by the price. Prices are valid for the beginning of spring 2021 for pharmacies of all forms of ownership in the Russian Federation.

The following list of medicines does not aim to create advertising or anti-advertising for any manufacturer or drug; all these medicines are included in the State Pharmacopoeia and are used in accordance with national and clinical recommendations for the management of patients with edematous syndrome. Some of the medications that cannot be found in pharmacies will not be listed here, as well as older, obsolete, rather toxic mercury diuretics.

Indapamide

This is a moderate-acting drug that is usually prescribed for edema associated with heart failure. "Indapamide" is quickly absorbed into the gastrointestinal tract. Diuretic tablets reduce the load on the heart and peripheral vessels and stabilize blood pressure. The effect occurs an hour after taking the drug and lasts 12-18 hours. You can buy Indapamide with a prescription, it is inexpensive, but it is a generic (not the original drug). Be sure to check the possible side effects.

Indapamide

OZON, Russia

Arterial hypertension;
sodium and water retention in chronic heart failure. from 8

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Veroshpiron

This is a potassium-sparing diuretic, which is prescribed for edema due to chronic heart failure and hormonal problems. And although Veroshpiron has a weak diuretic effect, the drug does not remove potassium and does not upset the acid-base balance in the body. The maximum effect of the diuretic occurs after 2-3 days and lasts a long time. You can buy Veroshpiron with a prescription; it is important to take into account the impressive list of contraindications.

Veroshpiron

Gedeon Richter, Hungary

The drug Veroshpiron is a potassium-sparing diuretic.
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Read also Diet pills: effective drugs for weight loss List of the most effective weight loss pills.

Loop diuretics

Loop diuretics have the following properties:

• Act quickly (within 15-30 minutes);
• The effect of the drug lasts for 2-6 hours;
• When administered intravenously, hemodynamic parameters are changed: end-diastolic pressure and end-diastolic volume are reduced in case of left ventricular failure and pulmonary hypertension);
• Reduce the volume of extracellular fluid and the intensity of shortness of breath.

Loop diuretics, due to their advantages, are often used in emergency complex relief of symptoms of cardiovascular and renal failure.

Video about the effect of various diuretics on the human body:

Representatives of loop diuretics:

• Furosemide (Lasix).

  The drug for rapid action is taken on an empty stomach, it acts after 30-50 minutes, when administered intravenously - after 5 minutes. When administered orally, after 4-6 hours, most of the active substance is excreted in the urine; when administered intravenously, after 2 hours.

• Torasemide

  . It has a longer duration of action and removes less potassium than Furosemide. In the treatment of heart and kidney failure, Lasix is ​​more effective.

• Bumetanide
  (Burinex, Yurinex).
  It is quickly absorbed, after 30 minutes it has a diuretic effect, and is used for swelling of the face and limbs, and for hypertension against the background of severe renal failure.
• Piretanide

  . It has a significant effect, much greater than that of Furosemide. It is used as an effective antihypertensive agent, calcium channel blocker, for edema, heart and kidney failure.

  Read also:  Optic neuritis: types, symptoms and treatment
• Ethacrynic
  acid (Uregit
  ). The diuretic effect is pronounced, the effect lasts from 2 to 6 hours. Used for swelling, has contraindications: anuria, oliguria, hepatic coma.

All representatives of diuretics remove potassium and other trace elements in an increased volume: magnesium, sodium, calcium, chlorine.

To compensate for the loss of valuable substances, Panagin, Asparkam, and potassium orotate are simultaneously prescribed.

Torasemide

This diuretic drug is one of the most effective today. "Torasemide" is prescribed for acute and chronic heart failure, as well as renal failure. The product can also be taken to prevent edema. The drug effectively reduces high blood pressure by quickly removing excess fluid and sodium salts. The effect occurs an hour after administration and lasts 12-18 hours. Patients note that the diuretic effect does not occur immediately, so in the first hour after taking the drug you do not have to limit your activity. "Torasemide" is inexpensive and works well to relieve swelling of the face. You can buy diuretic tablets with a prescription; there are some side effects.

Torasemide

Berezovsky Pharmaceutical Plant, Russia

Edema syndrome of various origins, incl.
for chronic heart failure, diseases of the liver, kidneys and lungs; - arterial hypertension. from 81

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Triampur compositum

This diuretic does not have a very pronounced effect and does not remove potassium from the body, only water, salts and toxins. That is why Triampur compositum is considered the safest diuretic drug, which is prescribed for edema due to chronic heart failure and liver problems. Triampur begins to act 15 minutes after administration, and the effect lasts about 12 hours. Doctors say that this diuretic is safe for relieving facial swelling, is quickly absorbed into the gastrointestinal tract, and has a gentle effect.

Triampur compositum

AVD.pharma, Croatia

-arterial hypertension;
—edematous syndrome of various origins (with chronic heart failure, nephrotic syndrome, liver cirrhosis). from 256

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Diuretics in products

For those who need to take diuretics, there is the option of using natural diuretics. This is the use of diuretic herbal preparations, products that can remove excess fluid from the body, and the use of a diet with a minimum amount of table salt in the diet.

Such measures are applicable to the treatment of practically healthy people whose edema is associated with excessive consumption of salty foods, overwork, and poor diet.

Herbs with diuretic effect:

• Pharmaceutical camomile,
• Chicory,
• Birch buds and leaves,
• Dill greens,
• Horsetail,
• Bird's knotweed,
• Juniper,
• Lingonberry leaf,
• Burdock leaves and roots,
• Rosehip roots and berries,
• Bearberry,
• Flax seed;
• Parsley root.

These plants can be used alone or as part of herbal teas.

Selection of diuretic plants depending on symptoms:

Products with a diuretic effect:

• Watermelon,
• Melon,
• A pineapple,
• cucumbers,
• Cranberry,
• Dill, parsley, celery.

A product such as baked potatoes has a dual effect: it is a source of potassium and has diuretic properties. To lose weight, use a three-day diet based on it, during which a kilogram of baked potatoes is consumed throughout the day, washed down with water. In 3 days you can get rid of 2.5-3 kg of excess weight and swelling.

Diuver

Modern diuretic tablets from the group of loop diuretics. The active ingredient of the drug, turasemide, copes well with edema of various natures. “Diuver” has the mildest, prolonged action; the effect after administration occurs within 3-4 hours. Although it is not a potassium-sparing diuretic, it removes much less potassium than other diuretics. Diuver is prescribed for diseases of the kidneys, liver, lungs and heart failure. You can buy Diuver with a prescription (by the way, it is not cheap), be sure to familiarize yourself with the contraindications and side effects.

Diuver

JSC "Biolek", Ukraine

- edematous syndrome of various origins, incl.
for chronic heart failure, diseases of the liver, kidneys and lungs; - arterial hypertension. from 236

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Natural Diuretics

Photos from open sources

Thiazide diuretics and their close relatives

Drugs in this group are produced in the form of tablets and are used in the complex treatment of edema and arterial hypertension. The mechanism of action of thiazide diuretics is to block the reverse transport of sodium and chlorine.

TD properties:

• Reduce the volume of blood plasma and extracellular fluid;
• Provide a drop in cardiac output and peripheral vascular resistance;
• Reduce hell.

If the patient does not respond to TD therapy, the doctor prescribes simultaneous use of ACE inhibitors, which help in combination to cope with high blood pressure and edema.

Why do hypertensive patients love them?

TDs do not remove from the body substances that nourish the heart muscle and ensure its normal functioning. In addition, thiazide diuretics have a period of diuretic effect several times longer than the same period for loop diuretics - from 18 hours versus 3-6 hours for PD.

Thiazide diuretics stimulate a mild diuretic effect that does not require frequent emptying of the bladder. All processes occur close to the physiological norm, which allows you to take TD while traveling or at work.

To lower blood pressure, thiazide diuretics can be used in combination with other potassium-sparing diuretics and drugs with a hypotensive effect. In some cases, it is enough to take minimal doses, the effect of which will be noticeable after 3-4 weeks.

The use of thiazide diuretics reduces the likelihood of side effects:

• Hypokalemia is a deficiency of potassium in the blood serum;
• Hyperlipoproteinemia – increased levels of fatty amino acids that contribute to the development of atherosclerosis;
• Heart rhythm disturbance due to loss of minerals.

“Close relatives” of TD are non-thiazide sulfonamide diuretics, and drugs that occupy an intermediate position between loop and sulfonamide diuretics (Xipamide).

Diuretic tablets from the group of thiazide diuretics:

• Hydrochlorothiazide
  (Ezidrex, Hypothiazide).
  In terms of effectiveness and duration of action, it is classified as a mid-level diuretic; it manifests its properties after 1-2 hours, the effect lasts 12-18 hours. The drug does not disturb the acid-base balance and can be used for a long time. When taking it, you need to enrich your diet with potassium and reduce your daily salt intake.
• Indapamide
  (Pamid, Indapafon, Arifon).
  A diuretic that combines diuretic and hypotensive effects. Protects the heart and blood vessels, does not affect kidney function, and does not disrupt lipid balance.
• Chlorthalidone
  (Oxodolin, Gigroton).
  A moderate-strength sulfanilamide diuretic has a long-lasting effect (up to 3 days), similar to the action of hypothiazide.
• Clopamide
  (Brinaldix).
  Pharmacodynamics and other properties are equivalent to Hypothiazide and Chlorthalidone.

Comparison of loop and thiazide diuretics:

Dog-rose fruit

In addition to medicinal diuretics, herbal drugs have a mild diuretic effect. Firstly, it is rosehip. In addition to being a diuretic, it is famous for its general strengthening effect, helping the body resist various infections (also for urinary tract diseases). Rosehip improves the functioning of the digestive and cardiovascular systems. The value of rosehip is that it contains a lot of useful vitamins. Rose hips relieve swelling, reduce cholesterol levels, normalize blood clotting, and help cells recover faster.

Rosehip fruits

OJSC Krasnogorskleksredstva, Russia

For the prevention of hypovitaminosis C and R. In the complex therapy of acute and chronic infectious diseases, asthenic conditions, during the period of recovery after serious illnesses, surgical operations
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Diuretic collection

Herbal infusions are very popular for the treatment of many diseases, including as a diuretic for edema. Diuretic collection in complex treatment helps cure urinary tract infections. Medicinal herbs in the diuretic collection act very gently, relieve spasms and inflammation. A diuretic preparation is often prescribed for cystitis; it is suitable for preventing relapses of this disease and is available in almost every pharmacy. Disadvantages include an unpleasant taste and green coloration of urine.

Diuretic collection

ST-Medipharm, Russia

Combined product of plant origin.
It has diuretic, anti-inflammatory, antiseptic, antispasmodic effects. from 76

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Juniper fruits

Juniper helps with urinary tract infections by reducing inflammation and destroying germs. And thanks to the diuretic effect, pathogenic microflora is quickly eliminated from the body. Juniper fruits are also used as an appetite stimulant and to improve the functioning of the gastrointestinal tract. In addition, this herbal preparation stabilizes blood pressure and has a mild laxative effect. Contraindications include pregnancy, breastfeeding and childhood.

Juniper fruits

OJSC Krasnogorskleksredstva, Russia

In the complex treatment of edematous syndrome (with heart failure, insufficiency of kidney and/or liver function), cystitis
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Contraindications to taking diuretics

General and relative contraindications:

• Pregnancy in the first trimester.
• Diabetes mellitus (for hydrochlorothiazide).
• Renal and liver failure (except Amiloride).
• Anemia and hypervolemia (for Furosemide, Uregit).
• Hyperkalemia, incomplete atrioventricular block (for potassium-sparing diuretics).
• Simultaneous use of several diuretics that do not remove potassium.