Loop Diuretics Unique Mechanism of Action

J Assoc Physicians India. 2024 Sep;72(9S):14-15. doi: 10.59556/japi.72.0670.

Abstract

Loop diuretics, including torsemide, furosemide, bumetanide, and piretanide, act by inhibiting the sodium-potassium-chloride (Na+/K+/2Cl-) cotransporter in the thick ascending limb of the loop of Henle within the nephron. This mechanism is pivotal in managing fluid retention associated with conditions such as heart failure, cirrhosis, chronic kidney disease, and hypertension. A comprehensive understanding of how these diuretics uniquely target this transporter provides crucial insights into effectively addressing fluid overload across diverse clinical conditions.

Publication types

  • Review

MeSH terms

  • Furosemide / pharmacology
  • Furosemide / therapeutic use
  • Heart Failure / complications
  • Heart Failure / drug therapy
  • Heart Failure / physiopathology
  • Humans
  • Sodium Potassium Chloride Symporter Inhibitors* / pharmacology
  • Sodium Potassium Chloride Symporter Inhibitors* / therapeutic use

Substances

  • Furosemide
  • Sodium Potassium Chloride Symporter Inhibitors