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Normal serum osmolality ranges from 280 to 290 mOsm/kg and serum osmolality to cause water removal from brain without much side effects ranges from 300 to 320 mOsm/kg. Usually, 90 mL of space is created in the intracranial vault by 1.6% reduction in brain water content. [1] Osmotherapy has cerebral dehydrating effects. [2]
Forced alkaline diuresis has been used to increase the excretion of acidic drugs like salicylates and phenobarbitone, and is recommended for rhabdomyolysis. [medical citation needed] For forced acid diuresis, ascorbic acid is sometimes used. Ammonium chloride has also been used for forced acid diuresis, but it is a toxic compound. [6]
This observation was the basis for the discovery and development of modern diuretic drugs. Frederic Bartter (1914–1983) worked on hormones affecting the kidney that led to the discovery of syndrome of inappropriate antidiuretic hormone (SIADH) in 1957 and Bartter syndrome in 1963. Schwartz-Bartter syndrome is named after these two scientists.
A diuretic (/ ˌ d aɪ j ʊ ˈ r ɛ t ɪ k /) is any substance that promotes diuresis, the increased production of urine. This includes forced diuresis. A diuretic tablet is sometimes colloquially called a water tablet. There are several categories of diuretics. All diuretics increase the excretion of water from the body, through the kidneys ...
Common side effects from medical use include electrolyte problems and dehydration. [9] Other serious side effects may include worsening heart failure and kidney problems. [9] [6] It is unclear if use is safe in pregnancy. [9] Mannitol is in the osmotic diuretic family of medications and works by pulling fluid from the brain and eyes. [9]
Common side effects include numbness, ringing in the ears, loss of appetite, vomiting, and sleepiness. [2] It is not recommended in those with significant kidney problems, liver problems, or who are allergic to sulfonamides. [2] [4] Acetazolamide is in the diuretic and carbonic anhydrase inhibitor families of medication. [2]
Its effects are opposite that of a diuretic. The major endogenous antidiuretics are antidiuretic hormone (ADH; also called vasopressin) and oxytocin . Both of those are also used exogenously as medications in people whose bodies need extra help with fluid balance via suppression of diuresis.
Certain side effects, like breast enlargement, reduced premenstrual symptoms, and less oily skin/greasy hair, could be beneficial. Side effects often could not be unambiguously attributed to spironolactone due concomitant use of other medications, particularly birth control pills.