Effect of chronic diuretic treatment on the plasma renin-angiotensin-aldosterone system in essential hypertension

Br J Clin Pharmacol. 1981 Sep;12(3):387-92. doi: 10.1111/j.1365-2125.1981.tb01231.x.

Abstract

1 Chronic treatment with a constant dose of hydrochlorothiazide or tienilic acid increases plasma renin activity (PRA) acutely to reach a maximum within the first week. 2 During chronic diuretic therapy from 1 month to 1 year, PRA remained elevated at a rather constant level, though this was somewhat lower than the maximum level reached after 1 week. 3 A significant (P less than 0.01) correlation (r = 0.74) between changes in plasma angiotensin II and renin activity provoked by chronic treatment for 3 months with hydrochlorothiazide and tienilic acid was found. 4 The increase in plasma aldosterone during chronic treatment with hydrochlorothiazide and tienilic acid (1000 mg) is related (r = 0.68; P less than 0.01) to the rise in plasma angiotensin II.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aldosterone / blood*
  • Angiotensins / blood*
  • Diuretics / pharmacology*
  • Diuretics / therapeutic use
  • Electrolytes / blood
  • Female
  • Humans
  • Hydrochlorothiazide / pharmacology
  • Hypertension / blood
  • Hypertension / drug therapy*
  • Male
  • Renin / blood*
  • Ticrynafen / pharmacology
  • Time Factors

Substances

  • Angiotensins
  • Diuretics
  • Electrolytes
  • Hydrochlorothiazide
  • Aldosterone
  • Renin
  • Ticrynafen