Potassium-sparing diuretics for leg swelling

According to the main classification, funds for edema are divided into renal and extrarenal. The first group is renal enzyme blockers. The effect of such diuretics is a significant increase in the number of excreted ions of chlorine, sodium and potassium. The group of renal diuretics includes:

  1. Potassium-sparing (aldosterone antagonists, or sodium channel blockers). They prevent the loss of potassium and urea, increase the excretion of sodium. These include Amiloride, Veroshpiron, Triamteren, Eplerenone, Spironolactone. They are used for primary hyperaldosteronism, cirrhosis, nephropathic syndrome, hypertension, gout. Advantages of potassium-sparing agents: the possibility of using drugs with intolerance to potassium leaching. Disadvantages: they are not suitable for self-treatment, have a weak diuretic effect.
  2. Saluretics. They have a diuretic effect due to the excretion of potassium and magnesium ions.

The last group is the most extensive. It includes several categories of diuretics, which remove potassium and magnesium ions from the body in different ways. List of these groups:

  1. Loopback. This category includes Torasemide, Diuver, Furosemide, Lasix, Uregit, ethacrylic acid. They are used for chronic heart failure, impaired renal function. Their advantage in the quick effect is half an hour after administration. The downside is that the action is short-term – it lasts no more than 6 hours.
  2. Sulfonamides. The group includes clopamide, indapamide, chlortalidone. More often used for arterial hypertension. The downside is that the effect occurs after 1-2 weeks of administration. The advantage is a long preservation of action – about 2-3 months.
  3. Thiazide. Dichlothiazide, Hypothiazide, Cyclomethiazide are distinguished here. They are widely used for long-term therapy of arterial hypertension, they are used for heart failure, cirrhosis of the liver, and nephrotic syndrome. Advantages of thiazides: rapid absorption, action after 0,5-1 hours, no effect on the acid-base balance of the blood. Disadvantages: violation of the level of potassium and magnesium, an increase in the level of sugar and uric acid.
  4. Carbonic anhydrase inhibitors. This is Diacarb, Acetazolamide. They are indicated for intracranial hypertension, poisoning with barbiturates and salicylates, treatment with cytostatics, gout, increased intraocular pressure. Plus, in a quick effect – after about 1 hour. Minus – in the increased loss of potassium.

Extrarenal diuretics are also classified into several groups depending on the mechanism of action. By this criterion distinguish:

  1. Osmotic diuretics. Prevent reverse absorption of fluid due to the difference of the same pressure in the tubules. These include mannitol, acetate, urea. They are used for glaucoma, swelling of the brain or lungs, and conducting forced diuresis. Plus – do not lead to hypokalemia and a change in the acid-base state. The lack of frequent development of side effects, because osmotic diuretics are the most powerful.
  2. Acid-forming diuretics. These are calcium chloride and ammonium chloride, which are associated with the conversion of cations. They shift the balance to the acid side, compensating for acidosis. Plus – well absorbed in the digestive tract. Lack of rapid development of addiction.

Each group of diuretics is prescribed for certain diseases. This is due to the different principle of action and the effectiveness of the drugs. Contraindications with adverse reactions also matter. In each group of drugs, frequently used ones can be distinguished. Examples of such medicines are:

  1. Torasemide. This remedy for edema is a representative of loop diuretics. It begins to act half an hour after administration. It is used for edema against the background of essential hypertension, heart failure, high blood pressure, renal failure. Side effects should be clarified in the detailed instructions. Contraindications: arterial hypotension, renal failure with anuria, hypovolemia, hyponatremia, hypokalemia, arrhythmia, hepatic coma or precoma, childhood, pregnancy, lactation.
  2. Diuver. Belongs to loop diuretics, it is used for swelling against a background of chronic heart failure, diseases of the lungs, liver and kidneys. It is sometimes used for arterial hypertension. Effective after 30-60 minutes. The list of side effects is best studied in the detailed instructions, because they are numerous. Contraindications include anuria in renal failure, hepatic coma, lactase deficiency, dehydration, excicosis, hypovolemia, acute glomerulonephritis, decompensated heart valve defects, childhood, hypokalemia and hyponatremia, lactation, intoxication with cardiac glycosides.
  3. Dichlothiazide. Speaker of the thiazide group. Antihypertensive effect occurs after 4 days. It is indicated for diabetes insipidus, subcompensated glaucoma, nephrotic syndrome, arterial hypertension, gestosis. Of the side effects, allergies, nausea, weakness, dry mouth, hypokalemia, exacerbation of gout, interstitial nephritis, thrombosis, dizziness, diarrhea, tachycardia, calf muscle cramps are noted. Contraindications: age less than 3 years, anuria, decompensated diabetes mellitus, gout, lactation, hypokalemia, 1 trimester of pregnancy, Addison’s disease, renal failure, lactose intolerance.
  4. Amiloride. This is a remedy for edema from the potassium-sparing group with an average diuretic effect. The action manifests itself 2 hours after administration. It is used for edema due to nephrotic syndrome, arterial hypertension, cirrhosis, chronic heart failure. Forbidden with hepatic coma, impaired renal function, hyperkalemia. Of the adverse reactions, a malfunction of the digestive tract, nausea, a rash on the skin, headache, and a decrease in pressure are distinguished.

Diuretic drugs are most often used to:

  • with cardiovascular failure;
  • with edema;
  • provide urine output in case of impaired renal function;
  • lower high blood pressure;
  • in case of poisoning, remove toxins.

It should be noted that diuretics are best used for hypertension and heart failure. High puffiness can be a consequence of various heart diseases, pathologies of the urinary and vascular systems. These diseases are associated with a delay in the body’s sodium. Diuretic drugs remove excess accumulation of this substance and thus reduce swelling.

With high blood pressure, excess sodium affects the muscle tone of blood vessels, which begin to narrow and contract. Diuretic drugs used as antihypertensives wash sodium out of the body and promote vasodilation, which in turn lowers blood pressure.

When poisoning, some of the toxins are excreted by the kidneys. To accelerate this process, diuretics are also used. In clinical medicine, this method is called “forced diuresis.”

First, a large number of solutions are administered intravenously to patients, after which a highly effective diuretic is used, which instantly removes fluid from the body, and with it, toxins.

The basic indications for the appointment of diuretics is arterial hypertension, most of all this applies to elderly patients. Diuretic drugs are prescribed for sodium retention. These conditions include ascites, chronic renal and heart failure.

With osteoporosis, the patient is prescribed thiazide diuretics. Potassium-sparing drugs are indicated for congenital Liddle syndrome (elimination of huge amounts of potassium and sodium retention).

Loop diuretics have an effect on renal function, are prescribed for high intraocular pressure, glaucoma, cardiac edema, cirrhosis.

For the treatment and prevention of arterial hypertension, doctors prescribe thiazide drugs, which in small doses have a sparing effect on patients with moderate hypertension. It has been confirmed that thiazide diuretics in prophylactic doses can reduce the risk of stroke.

Taking these drugs in higher doses is not recommended, it is fraught with the development of hypokalemia.

In the treatment of diuretics, active therapy and supportive therapy are distinguished. In the active phase, moderate doses of potent diuretics (Furosemide) are indicated. With maintenance therapy, regular use of diuretics.

Patients with decompensated cirrhosis of the liver, hypokalemia, the use of diuretics is contraindicated. Loop diuretics are not prescribed for patients who are intolerant to certain sulfanilamide derivatives (hypoglycemic and antibacterial drugs).

For people with respiratory and acute renal failure, diuretics are contraindicated. Diuretics of the thiazide group (Methiklothiazide, Bendroflumethiozide, Cyclomethiazide, Hydrochlorothiazide) are contraindicated in type 2 diabetes mellitus, as the patient may sharply increase blood glucose.

Ventricular arrhythmias are also relative contraindications to the appointment of diuretics.

For patients taking lithium salts and cardiac glycosides, loop diuretics are prescribed with great care.

The use of diuretics is negatively affected when this is not clearly necessary – for weight loss, for sports purposes, in order to “dry out”. Doctors warn about the dangers of such methods of getting rid of excess weight: if in a healthy body there is no increased level of fluid or salts, water-salt balance may be disturbed by diuretics, which will lead to further health problems. The loss of kilograms in this way is justified only in severe obesity, during which excess fluid and sodium accumulate.

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Diuretic products

For various diseases specific diuretics are provided, having a different mechanism of action.

  1. Drugs that affect the functioning of the renal tubule epithelium, list: Triamteren Amiloride, Ethacrylic acid, Torasemide, Bumetamide, Flurosemide, Indapamide, Clopamide, Metolazone, Chlortalidone, Methclothiazide, Bendroflumethiozide, Hydrochlorazolezid.
  2. Osmotic diuretics: Monitol.
  3. Potassium-sparing diuretics: Veroshpiron (Spironolactone) refers to antagonists of mineralocorticoid receptors.

Classification of diuretics by the effectiveness of leaching of sodium from the body:

  • Ineffective – remove 5% sodium.
  • Medium efficiency – 10% of sodium is excreted.
  • Highly effective – remove more than 15% sodium.

The mechanism of action of diuretics can be studied by the example of their pharmacodynamic effects. For example, a decrease in blood pressure is due to two systems:

  1. Decreased sodium concentration.
  2. Direct effect on blood vessels.

Thus, arterial hypertension can be stopped by a decrease in fluid volume and long-term maintenance of vascular tone.

A decrease in the oxygen demand of the heart muscle when using diuretics is associated with:

  • with stress relief from myocardial cells;
  • with improved microcirculation in the kidneys;
  • with a decrease in platelet adhesion;
  • with a decrease in the load on the left ventricle.

Some diuretics, for example, Mannitol, not only increase the amount of excreted fluid during edema, but are also able to increase the osmolar pressure of interstitial fluid.

Diuretics, due to their properties, relax the smooth muscles of arteries, bronchi, and bile ducts, have an antispasmodic effect.

Diuretics that affect the activity of the renal tubules prevent sodium from entering the body again and excrete the element along with the urine. Diuretics of medium effectiveness Methiclothiazide Bendroflumethioside, Cyclomethiazide make it difficult to absorb chlorine, and not just sodium. Because of this action, they are also called saluretics, which means “salt”.

Thiazide-like diuretics (Hypothiazide) are mainly prescribed for edema, kidney disease, or heart failure. Hypothiazide is especially popular as a hypotensive agent.

The drug removes excess sodium and reduces pressure in the arteries. In addition, thiazide drugs enhance the effect of medicines, the mechanism of action of which is aimed at lowering blood pressure.

With the appointment of an increased dose of these drugs, fluid excretion may increase without lowering blood pressure. Hypothiazide is also prescribed for diabetes insipidus and urolithiasis.

The most effective diuretics include Furosemide (Lasix). With the intravenous administration of this drug, the effect is observed after 10 minutes. The drug is relevant for;

  • acute failure of the left ventricle of the heart, accompanied by pulmonary edema;
  • peripheral edema;
  • arterial hypertension;
  • elimination of toxins.

Ethacrinic acid (Ureghit) is close in its action to Lasix, but acts a little longer.

The most common diuretic Monitol is administered intravenously. The drug enhances the osmotic pressure of plasma and lowers intracranial and intraocular pressure. Therefore, the drug is very effective in oliguria, which is the cause of burns, trauma or acute blood loss.

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Aldosterone antagonists (Aldactone, Veroshpiron) prevent the absorption of sodium ions and inhibit the secretion of magnesium and potassium ions. Drugs of this group are indicated for edema, hypertension and congestive heart failure. Potassium-sparing diuretics practically do not penetrate the membranes.

Diuretic drugs are drugs of various chemical structures, which to a greater / lesser extent affect the increase in the intensity of the kidneys and, as a result, profuse urination. Thanks to diuretics in the tubules of the kidneys, reabsorption (absorption) of salts and water is inhibited, which leads to the rapid formation of urine and the excretion of these substances.

Removing excess fluid along with sodium from the body, diuretics relieve swelling, both external and internal, associated with diseases of the kidneys and liver, reduce the load on the heart, and reduce blood pressure. In addition to the obvious positive effect, different diuretics have a number of negative effects, so they should be taken only as directed by the doctor and in the specified dosage. It is not recommended to buy diuretics on your own, this can lead to complications:

  • Removal of significant potassium reserves from the body. This mineral element helps to absorb carbohydrates, providing the body with energy, and is also involved in protein synthesis. The normal level of potassium ensures an even correct rhythm of heartbeats, the necessary force of contractions of the heart muscle, and controls electrophysiological cardiac processes.
  • Some diuretics can cause an imbalance of potassium with sodium, which leads to arrhythmia, tachycardia, the appearance of extrasystoles – in some cases, this leads to death.
  • A lack of potassium leads to a constant feeling of muscle weakness, apathetic mood, numbness of the extremities, causes seizures and drowsiness. Diuretics that lower the level of a mineral element in the body can cause arterial hypotension (lowering blood pressure), severe dizziness, urinary retention, and constipation.
  • Change in hormonal levels. Some diuretics can lead to unpleasant consequences of a hormonal nature – this applies mainly to the long-term unauthorized use of diuretics. In this case, when taking diuretics, men have a risk of getting impotence, sometimes there is an increase in the mammary glands, and women risk a violation of the menstrual cycle and the appearance of facial hair.
  • Individual reactions of the body. With the uncontrolled use of diuretics, the following side effects may occur – urticaria, itching, allergies, subcutaneous hemorrhage, and a decrease in white blood cell count. Especially careful should be taken diuretics for pregnant women, as well as people with diabetes – some diuretics are completely contraindicated in these groups of people. Diuretic drugs can contribute to the development of diabetes mellitus, as they increase cholesterol.
  • Wear of the kidneys, heart. Diuretics create an additional burden on these organs, therefore, with prolonged use of diuretics, a deterioration can be observed.

The new generation diuretics have become more advanced, therefore they have much less side effects. To select a good diuretic for the patient, the doctor must conduct an examination that will help identify the causes of the disease, the exact condition of the patient. Specialists prescribe modern medicinal diuretics of both plant and synthetic origin, depending on the severity of the disease and the tolerability of certain components to patients. Below we will talk about different groups of diuretic drugs.

Herbal diuretics have been known since ancient times when there were no synthetic preparations for improved fluid excretion. Despite the fact that such diuretics are less effective, they do not have side effects for a long time, but a doctor should prescribe them, depending on the nature of the disease. Herbal diuretics:

  • Birch infusion. Diuretic for diseases of the kidneys and heart.
  • Decoction of lingonberry leaves. It has a diuretic, anti-inflammatory effect.
  • A decoction of bearberry leaves. It treats the bladder, urinary tract. It can not be used for kidney disease and during pregnancy.
  • Rosehip tea. Creates a diuretic, restorative effect, useful after illness with antibiotics.

Strong diuretics

To diuretics of strong and medium exposure include thiazide, thiazide-like, loop diuretics. Loop preparations of diuretics are considered the most powerful, they are used in extreme cases when an urgent effect is needed. The first two groups of diuretic drugs effectively reduce pressure, cause fewer adverse reactions. Strong drugs:

  • Furosemide, loop diuretic. It is used for severe heart failure, hypertension. Possible adverse reactions of the drug: increased sugar levels, dizziness, increased levels of uric acid in the blood, gout, dehydration. It is not recommended for pregnant women, people with kidney failure, patients with lupus, diabetics, children.
  • Torasemide, loop diuretic. A diuretic is used for essential hypertension, cardiac, renal failure. Side effects: increased glucose, uric acid, blood lipids, muscle cramps, arterial hypotension, headache, allergic reactions. Contraindications: renal failure with anuria, arterial hypotension, arrhythmia. Unknown reactions during pregnancy and lactation.

Potassium-sparing diuretic drugs are designed to maintain the necessary level of potassium in the body, removing excess fluid and salt. Potassium-sparing diuretics include aldosterone antagonists. These diuretics (for example, Veroshpiron) block the action of the hormone aldosterone, which is responsible for the retention of salt and water in the body. While taking such diuretics, the important problem of preserving potassium is solved – its level remains the same.

Doctors try to carefully prescribe diuretics for children, in small doses and intermittently, so that the child can replenish the supply of potassium, if it is not a potassium-sparing diuretic. Popular diuretics for children are Veroshpiron (a potassium-sparing group), Hypothiazide (a group of thiazide and thiaz-like diuretics), Furosemide (loop group). If the case does not require the appointment of a synthetic diuretic, children are prescribed herbal diuretics.

  • by the strength of their effect – a light diuretic, medium or strong diuretics,
  • by the speed of the onset of action,
  • by the mechanism of action,
  • by the duration of the diuretic effect.
  • Hypertensive affliction. You can drink diuretics before the onset of renal failure. These drugs reduce the volume of flowing blood and lower systolic pressure already in the first days of admission, while the decrease is gradual without the development of postural hypotension. Long-term use leads to the fact that after a couple of months the diastolic pressure also normalizes without changing the cardiac output.
  • Blood flow insufficiency in the chronic course, which is accompanied by edema, as well as hypertension with glomerular filtration failure. In this case, strong diuretics are prescribed, which are also effective in swelling of the brain substance, lungs and other serious ailments.
  • Secondary hyperaldosteronism. With this complication of hypertension, diuretics that delay potassium and have a pressure-reducing effect are prescribed;
  • Diabetes insipidus.
  • Eye disease with increased intraocular pressure in a chronic course.
  • syndromes of violation of all functions of the liver and kidneys, in which you can not take most of the funds. The exception is amiloride, which is allowed to drink with liver problems;
  • early pregnancy;
  • hydrochlorothiazide can not be used for swelling in patients with diabetes;
  • furosemide and uregitis can not be drunk with hypovolemia and severe anemia;
  • potassium-retaining diuretics should not be drunk with incomplete atrioventricular block and hyperkalemia;
  • You can not use several diuretics that delay potassium at the same time.

Natural diuretics for edema

The basis for natural diuretics are harmless healing herbs. The effectiveness of herbal preparations is lower compared to medicines, but sometimes it is quite enough to eliminate puffiness. Such products are available in the form of fees for dried herbs and teas. The following natural diuretics can be given as examples:

  1. Phytolysin. It consists of extracts of herbs: birch leaves, horsetail, bird highlander, fenugreek seeds, parsley root, wheatgrass rhizomes, lovage root. Also includes essential oils, agar-agar, glycerin, vanillin. Available in paste form for suspension. Due to the large amount of rutin in the composition, it helps with pyelonephritis, pyelitis, urolithiasis. It is forbidden to paste in case of glomerular nephritis, heart failure, allergies to the composition, nephrosis, childhood, phosphate urolithiasis and nephrolithiasis. Side effects: phototoxic and photoallergic reactions on the skin, allergies, nausea.
  2. Lespenephril. Contains capitate lespedesa. Available in the form of tincture and powder. They are indicated for nephropathy, an increase in blood nitrogen, chronic kidney failure, extrarenal hyperazotemia. Lespenephryl is not used at the age of 15 years, individual intolerance, pregnancy, lactation. Among adverse reactions, tachycardia, dizziness, headache, weakness are distinguished.

Angioprotectors

The effectiveness of angioprotectors in edema is due to vasodilation, restoration of their walls and tone. These drugs are available in the form of capsules, tablets, injections, gels, ointments. Inside, take such drugs as Detralex, Phlebodia, Eskuzan. For external use, Indovazin, Lyoton, Hepatothrombin are indicated. All angioprotectors, depending on the composition, are divided into:

  1. Vegetable. These include Coumarin, Diosmin, Aescusan.
  2. Synthetic. Include Naphthazone, Benzarone, Calcium Dobesylate.
  3. Combined. Such are Indovazin, Detralex, Antistax, Venodiol.

Angioprotectors are used to remove puffiness of various etiologies. A specific list of indications includes the following diseases or pathologies:

  • atherosclerotic lesion;
  • rheumatism;
  • vasculitis;
  • a threat or already begun thrombosis;
  • violation of coronary or cerebral blood flow;
  • venous insufficiency;
  • prevention of vascular diseases.

Elimination of puffiness in the elderly

It should also be remembered that many plants are allergenic and are capable of causing appropriate reactions in humans. Therefore, during the first application of the new alternative method, the recommended dose should be reduced several times and the reaction of the body should be observed for 6 hours. With the development of an allergic or any other pathological reaction, the administration of the composition should be discontinued.

  • Replenish the lack of magnesium and potassium

Even taking into account the fact that folk diuretics during edema, during pregnancy do not have an aggressive effect on the body, unlike drugs, they are also able to remove useful salts from the body, such as. To replenish their lack in the diet should add oatmeal, raisins or grapes, rose hips, apricots or dried apricots, as well as rice, bananas.

It is best to combine folk methods with proper nutrition for the prevention of edema, for this you need to consult doctors – a nutritionist, phytotherapist, who can help in adjusting the diet, filling up the deficit of mineral salts in the heat without foods saturated with salt.

Effective folk diuretics for edema help really quickly and safely. If properly used natural diuretics, unlike synthetic diuretics, it is possible to achieve the absence of loss of minerals and electrolytes.

  • Decoction of the roots of the forest cupar

It is a universal remedy for edema, especially if the cause of the swelling could not be established. In addition to the diuretic effect, the plant well strengthens the vascular wall. A decoction is prepared as follows: 1 tablespoon of chopped roots of a forest cupar is poured with a glass of boiling water and kept in a steam bath for at least half an hour, after which they are allowed to infuse the broth for 20 minutes and filtered.

  • A good diuretic effect has an infusion of knotweed and birch leaves

The infusion is prepared simply: 1 teaspoon of the indicated mixture of plants is poured with a glass of water and boiled for a quarter of an hour, after which it is insisted for about half an hour. An infusion is taken twice, in the morning and in the evening, half a glass, regardless of food intake.

  • Common burdock is considered an effective natural diuretic.

To prepare the infusion, use: 1 teaspoon of the crushed raw material is poured with boiling water in the volume of polter and left to infuse overnight. This volume is divided into equal parts and taken over the next day.

  • Cucumbers, pears, tomatoes, parsley, melon, watermelon, cranberries have a natural diuretic effect.

These vegetables and fruits can be consumed independently or used in dishes, combining delicious food with benefits for the body. Green tea, beloved by many, copes with edema perfectly, which can be brewed in half with fennel – another natural diuretic.

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With the help of diuretics, alternative medicine can also cure swelling with hypertension. Here are some of the ways:

  • Honey, lemon, beets, cranberries and vodka

It will take one lemon, 2 cups of cranberry and beet juice, 250 g. honey, 1 cup of vodka, combine and take 3 r / day on an empty stomach. Another recipe without alcohol, 1/2 cup honey and raw beets (grated) mix and take also 3 r / day for 1 tbsp. spoon.

300 gr sugar and a pound of chokeberry rubbed to obtain a paste that can be taken 2 r / day, 100 g. You can also use another folk method with chokeberry – pour a glass of boiling water for 2 tsp of mountain ash (chopped) after 30 minutes, strain, consume 3 tablespoons in the morning and evening, store all the mixtures in the refrigerator.

  • Onions, honey, walnut partitions, vodka

Requires a partition of 10 pcs. walnuts, 1 kg. onions, 150 gr. honey, 150 ml of vodka. Mix vodka, honey with onion juice and nuts partitions, leave for 10 days, you can take 3 r / day for 1 tablespoon.

  • Bearberry, nettle, dogrose, plantain

All herbs and berries to take an equal amount, chop, mix. Then brew half a liter of boiling water one tablespoon of the collection, let it infuse for an hour, then strain and take this volume of infusion 3-4 times a day.

  • Burdock with sugar or honey

The roots of burdock should be chopped, pour 1 liter of boiling water 3 tablespoons of the root, boil until half of the liquid has evaporated, add honey or sugar to the broth to taste. Drink 0,5 cups 3 r / day.

  • Lovage root, licorice, juniper fruit

Grind equal amounts of fruits and roots, mix well, first pour one tablespoon of cold water and wait six hours, then boil the mixture for 15 minutes, strain, take 4 r / day in 1/4 cup.

  • Greens and parsley root, lemon

Grind the root, add the same amount of greens, pour 1 cup of mass with half a liter of boiling water, leave for 10 hours, then pour into a separate container, strain and add the juice of 1 lemon, take 1/3 tbsp in the morning and in the afternoon. Take a 3-day break and continue this scheme until the swelling decreases.

An affordable and effective remedy for edema is pumpkin, in addition to combating edema, it perfectly promotes the elimination of toxins and bad cholesterol from the body (see). A kilogram of pumpkin is crushed together with 3 sour apples, mixed, raisins are added, the mixture is stored in the refrigerator. It should be taken before meals in 3 tablespoons.

If you use a mixture of cranberries and lingonberries – this is the most useful, safe and correct folk remedy, which is not only a diuretic, but also fortified. as an excellent antimicrobial agent. To prepare the infusion, you need to boil a handful of lingonberries with cranberries in 3 cups of boiling water for 10 minutes, let the broth brew for 3-4 hours, strain, and drink this amount per day in several stages.

Such a cocktail of celery and cucumber is very good for health; for its preparation, one cucumber and 3 celery pods are enough, grind in a blender, dilute with water and drink 4 p / day in a glass every day.

In the treatment of puffiness, folk remedies are also used, but only after consulting a doctor. Decoctions and infusions of medicinal herbs, diuretic collections have a milder and sparing effect than pharmacy drugs, have a minimum of contraindications and adverse reactions.

To eliminate leg swelling in folk medicine, the following plant materials are used:

  • birch leaves and buds;
  • burdock root;
  • flax seeds ;
  • elderberry bark;
  • knotweed grass;
  • bearberry leaves;
  • juniper berries;
  • cowberry leaves;
  • parsley leaves;
  • Dill seeds;
  • berries, leaves and flowers of hawthorn;
  • strawberry leaves.

They are effective in physiological edema, additionally have anti-inflammatory, vasoconstrictive effects, have beneficial effects on the work of the cardiovascular system.

In the treatment of edema at home, some folk recipes are used, which include medicinal herbs. Infusions and decoctions of berries are also effective. Cranberries and lingonberries from edema are used in the form of juice and stewed fruit. Pouring out excess liquid helps pouring cold and warm water, baths, taking various decoctions inside. Folk remedies for leg edema include:

  • parsley and dill;
  • rose hips;
  • pumpkin;
  • cabbage leaf;
  • flax seeds;
  • peppermint;
  • Lungwort;
  • wheat grass creeping;
  • burdock root;
  • birch buds;
  • bearberry;
  • horsetail;
  • plantain;
  • Highlander

Infusions and decoctions

Parsley from edema is used in the form of a decoction. You can use the one that grows in your garden. The recipe for the preparation of parsley:

  1. Take about 80 g of leaves.
  2. Rinse, rinse with boiling water.
  3. When the water drains, chop finely.
  4. Pour milk so that it completely covers the leaves.
  5. To simmer in a not very hot oven so that the milk is melted, but not boiled.
  6. Finished product strain.

It is necessary to take 1-2 tablespoons every hour. This popular method enjoys good reviews, even when drugs have not helped. According to another recipe, dogrose from edema is used. It helps thanks to the large amount of ascorbic acid in the composition. An extract of rosehip is prepared according to the following recipe:

  1. Take 1 tablespoon of fruit.
  2. Pour 250 ml of boiling water, it is better to use a thermos.
  3. Insist for 6-8 hours.
  4. Take 0,5 cup 3 times daily before meals.

Herbs from swelling of the legs are also used in the form of compresses or baths. For them, they take an ordinary cabbage leaf. Such folk remedies are prepared from cabbage:

  1. Compress. It is necessary to lower the cabbage leaf in boiling water so that it becomes soft. Before applying, squeeze a couple drops of lemon juice on it and sprinkle with baking soda. Next, the sheet is applied to the swollen place, fixed with a bandage or gauze. The compress is left until the morning.
  2. Bath. Take 2 tablespoons of cabbage, pour a glass of hot water. Let stand for 2 hours. Further, the legs are kept in this infusion for about 15-20 minutes.

Decoctions and teas

The easiest way to prepare decoctions and infusions of herbs with a diuretic effect. Here are some simple recipes that will help with swelling of the legs and other parts of the body.

  • A liter of boiling water is poured into a teaspoon of ground flaxseed and boiled for a quarter of an hour. The agent is left to stand for about an hour in a closed container, then taken in part of the glass every 2 hours in a warm form.
  • Tea from rose hips has a general strengthening effect and diuretic effect, it is recommended for postoperative edema and with long-term use of antibacterial agents. To prepare the drug you need 2-3 tsp. rose hips pour a cup of boiling water. To enhance the effect, the raw materials must first be crushed and brewed in a thermos. A glass of drug must be drunk per day. The course of admission is about 10 days with a subsequent weekly break.
  • The best plant-based diuretic is a bearberry decoction, which is drunk during inflammation of the bladder and ureter. To prepare this healing potion, you need to steam up to 1 g of crushed bearberry leaves in a glass of boiling water and take 3-5 times daily. With renal pathologies, this remedy is prohibited;
  • A decoction of lingonberry leaves is a good diuretic that helps relieve inflammation and suppress the development of pathogenic microflora. You need to take the drug up to 4 times a day, and brew at 1 dose up to 2 g of dry raw materials.
  • Kidney tea from the leaves of a cat’s whisker helps to cope with the problems of the urinary system, relieves inflammation, cramps, helps to remove excess fluid from the body, and normalizes the production of gastric juice. You need to take the drug up to 6 times a day for six months. You can drink it for pregnant and lactating women with the permission of a doctor.
  • You can use a diuretic collection of juniper berries, angelica root, cornflower inflorescences and horsetail. Each ingredient must be taken in 20 g, mixed and 1 table. pour the resulting mixture with two glasses of boiling water. Boil for 10 minutes, strain and drink 1 tablespoon. up to 4 times a day before meals;
  • Decoction of white radish. To prepare it, you need 0,4 kg of radish to fill with a liter of water and add 1 tsp. salt, boil, stirring 10 minutes and drink chilled instead of water.
  • Folk remedy from birch leaves, intended for internal use, allows you to eliminate edema of the renal and cardiac nature. To prepare it, you need to take 100 g of young birch leaves and fill them with half a liter of water, insist for six to seven hours, strain and squeeze, leave until a precipitate forms, which is then filtered. Strained infusion is taken three times a day.

Compresses

Remedies for facial edema

A common cause of facial swelling is lack of sleep. This problem is also caused by a large amount of food before bedtime, the use of salty foods, alcohol, and canned food. Even ordinary overwork leads to edema. If you have shortness of breath, the condition may indicate heart problems. Swelling under the eyes indicates pathology of the kidneys. Among the drugs to eliminate edema, use:

Relying solely on folk recipes is not worth it. Some of them can only aggravate the situation. In general, the following herbs are used against puffiness on the face:

  • rose hips;
  • lingonberry leaves;
  • parsley;
  • lemon balm;
  • peppermint;
  • daisy;
  • sage;
  • birch leaves;
  • horsetail.

The latter plant helps to quickly eliminate facial swelling. The advantage of horsetail in the additional removal of mild inflammation without getting used to the decoction of it. Instructions for the preparation and use of this folk remedy include the following steps:

  1. Take as much field horsetail so that after chopping it turns out 4 tsp. raw materials.
  2. Pour the grass with half a liter of boiling water.
  3. Leave on for 20 minutes, then strain.
  4. Ready broth take 3 tbsp. up to 4 times a day. Exceeding the dose can cause dehydration.

Are there any side effects

Diuretics can remove ions of chemical elements that are necessary for the body, which causes side effects in the form of electrolyte imbalance, heart rhythm failure, hypotension and impotence. We describe the negative effect of diuretics on the microelement composition of the body.

  • The level of potassium from all types of drugs of this action is reduced.
  • Magnesium is falling. To a greater extent, it is excreted by loop diuretics, less thiaz >

Diuretics can not be taken with heart failure and heart rhythm problems, since it is these drugs that can cause similar situations. There is an opinion that prolonged treatment of hypertension with thiazide drugs can provoke not just a failure of the heart rhythm, but a sudden coronary death. The following conditions may provoke the development of arrhythmia:

  • hypokalemia – it causes pathological changes in the ECG, namely myocardial instability, elongated QT syndrome;
  • severe left ventricular hypertrophy, which in itself slows down the heart rhythm;
  • stressful states;
  • taking beta agonists.

Others

Many diuretics negatively affect the body under certain conditions. Consider other side effects caused by diuretics.

  • LV myocardial weight is reduced by almost 11%. Most of all, this side effect is characteristic of Indapamide.
  • Powerful and moderate diuretics lead to an increase in the content of uric acid in the blood – hyperuricemia. This effect is characteristic of obese people. Also, taking diuretics in rare cases can cause gout or chronic nephropathy.
  • Blood glucose can confidently increase, this condition can turn into progressive diabetes mellitus.
  • At the initial stage of using thiazide diuretics for hypertension, hyperlipidemia can be observed, accompanied by an increase in atherogenic lipoproteins. Over time, this condition normalizes.
  • Powerful and moderate diuretics can disrupt the acid-base balance and cause metabolic alkalosis, eliminated by the KCl medication. And taking drugs that delay potassium, you can face an increase in its amount in the blood and metabolic acidosis.
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Despite the high effectiveness of diuretics in the fight against edema, they have side effects. These include violations of:

  • water balance (dehydration and hyperhydration processes),
  • electrolyte balance (potassium, magnesium, sodium, calcium),
  • phosphate metabolism
  • uric acid metabolism
  • lipid metabolism,
  • carbohydrate metabolism
  • acid-base condition
  • in the work of the endocrine system,
  • excretory function of the kidneys,
  • in the digestive system.

Irrational use of loop diuretics is dangerous ototoxic effect, that is, hearing loss, vestibular disorders. Sometimes, when using diuretics, an allergic reaction develops. More often, its manifestations are possible after the appointment of thiazides, furosemide, acetazolamide. To reduce the likelihood of developing side effects, it is necessary to take diuretics strictly as prescribed by a specialist and in accordance with the instructions for the drug.

Diuretics for edema of the legs are conventionally divided into two groups: natural origin and synthetic drugs (for example, in the form of tablets). The first group has a mild diuretic effect. Medicines are more effective in eliminating edema, but the main condition for their use is the appointment of a doctor. Regardless of the choice of a diuretic, the treatment of the disease should be under the supervision of a specialist, taking into account all the available contraindications.

Diuretics on the thiazide list can increase blood uric acid levels. For this reason, patients diagnosed with gout may observe a worsening condition.

Diuretics of the thiazide group (hydrochlorothiazide, hypothiazide) can lead to undesirable consequences. If the wrong dosage has been selected or the patient is intolerant, the following side effects may appear:

  • headache;
  • diarrhea is possible;
  • nausea;
  • weakness;
  • dry mouth;
  • drowsiness.

An imbalance of ions entails:

  1. decreased libido in men;
  2. allergies
  3. increase in blood sugar;
  4. skeletal muscle spasms;
  5. muscle weakness;
  6. arrhythmia.

Side effects of furosemide:

  • decrease in potassium, magnesium, calcium;
  • dizziness;
  • nausea;
  • dry mouth;
  • frequent urination.

With a change in ion exchange, the level of uric acid, glucose, calcium increases, which entails:

Side effects of aldosterone antagonists include:

  1. skin rashes;
  2. gynecomastia;
  3. convulsions;
  4. headache;
  5. diarrhea, vomiting.

In women with the wrong purpose and the wrong dosage are observed:

Foot swelling

There is no definite answer as to which medicine to drink for leg edema, since the therapeutic program is drawn up individually, taking into account the main reasons that provoked the pathological process, and the condition of the patient himself.

If puffiness arose as a result of the course of cardiovascular diseases, kidney diseases or metabolic disorders, then initially you need to treat the underlying disease. At the same time, you need to change your usual lifestyle, adjust your diet, and reduce fluid intake.

Drug therapy is based on the use of decongestant medications intended for oral administration, and external ointments and creams.

The cure for leg edema can be topical. Cream against edema stimulates the outflow of fluid from the extremities and helps eliminate stress. Due to the wide variety of such drugs, many discomforting problems can be resolved.

It is worth remembering that ointments and creams cannot solve the main problem, they only eliminate discomfort, relieve swelling and heaviness in the legs.

Among the diseases that cause peripheral edema of the legs, cardiovascular insufficiency, kidney pathologies, varicose veins, lymphedema, hypothyroidism are distinguished. To resolve the problem, the following categories of drugs are used:

  • diuretics – Indapamide, Hypothiazide, Veroshpiron;
  • potassium preparations – Panangin, Asparkam;
  • cardioprotectors;
  • osmotic diuretics – Mannitol.

You can cope with puffiness with the help of folk remedies. These are lotions, decoctions, infusions, baths and compresses. The series, burdock root, chamomile, motherwort have a diuretic effect. Among effective folk recipes distinguish:

  • peppermint infusion;
  • a mixture of cucumber, lemon and carrot juice;
  • corn stigma infusion;
  • decoction of parsley;
  • tincture of hawthorn.

The latter remedy, in addition to supplying the body with vitamins and many minerals, helps to support the health of the kidneys and urinary tract, normalizes the water balance. These properties help eliminate leg swelling. Hawthorn infusion is prepared and taken as follows:

  1. Take 10 tbsp. hawthorn fruit.
  2. Place them in a glass container, pour half a liter of vodka.
  3. Cover the container with a lid, send to a warm place for 2 weeks.
  4. Take 25 drops diluted in a small amount of water.

Such a problem as edema is known to almost every adult. In order to get rid of it, there are a huge number of completely different ways, ranging from folk medicine to medications. Diuretics for swelling of the legs give a much greater effect in combination with procedures such as baths with cool water or chilled compresses.

Diuretics

The bulk of edema occurs due to excessive accumulation of fluid, as a result of which diuretics are often used for swelling of the legs. Diuretics are aimed at removing excess fluid from the soft tissues of the whole organism.

In the absence of contraindications, with edema, some folk medicine can be used. In the event that the edema is not provoked by any disease of the internal organs, the use of folk remedies is indicated, since they have a much smaller number of contraindications and are not addictive to the body.

  • decoction of birch leaves or buds;
  • decoction of horsetail;
  • bearberry broth (the second name of the plant is a bear’s ear);
  • decoction of parsley;
  • juices from cranberries or cranberries.

The use of such drugs must be approached carefully. Taking even folk medicine in the presence of heart disease, pregnancy or kidney disease can be extremely dangerous.

It may seem strange, but with constant swelling, doctors advise drinking as much fluid as possible. This recommendation is mandatory if diuretic tablets are used for leg swelling. The fact is that at the same time electrolytes and useful salts are removed from the body in excess moisture, and the water consumed compensates for their deficiency and prevents dehydration.

The best diuretic of the carbonic anhydrase inhibitor group

Diacarb

It is characterized by a rather weak diuretic effect, which develops one hour after taking the pill and lasts for 10 hours.

  • It can be used for diseases not associated with impaired renal function, heart.
  • Eliminates mild swelling.
  • Effectively reduces intracranial pressure, including in young children.
  • Helps to remove flu >

The stronger the remedy, the greater the volume of fluid it will help your body naturally excrete through the kidneys and urine.

It seems to some that taking a strong remedy is a blessing. Especially when you need to get a quick result. But this is not so. It is necessary to take into account the features of the functioning of the body.

In some cases, it is right to take a fast diuretic, but not strong. The fluid that enters our body does not directly enter the bladder.

It enters the bloodstream through the gastrointestinal tract, thereby increasing the volume of circulating blood (hereinafter BCC). By the way, this is why taking such drugs can lower blood pressure. By decreasing bcc, we lower the pressure, the body no longer needs high pressure to push through a large volume of blood. The body uses this fluid and removes excess through the bladder.

Suppose, for some reason, the body functions abnormally. You decide to help him with a very strong cure for edema. What’s happening. Firstly, mineral salts in much larger quantities are washed out of the body. Than it is necessary.

Secondly, you take a potent drug, and a large amount of fluid is removed from the body. If you take such a drug on a regular basis – several times a week, your body begins to struggle with the fact that it loses fluid, and begins to store these excess fluids so that at the next loss of fluid, it will replenish the BCC.

It retains these excesses in tissues. Those. even more fluid begins to be deposited, and your swelling increases.

You, to reduce these edema, begin to take an even larger dose. The body is rebuilt again and begins to accumulate even more fluid. So you very quickly reach the maximum dose.

This, by the way, is one of the reasons why the self-administration of such drugs is highly undesirable. They should be prescribed by a doctor in combination with concomitant treatment, then such a negative effect will not occur.

Only a doctor can prescribe a specific drug. The choice is made taking into account the causes of puffiness. It is impossible to prescribe a medicine for yourself. All of them have contraindications and side effects. In addition, for various diseases, a diuretic of one or another group may be required. A person without qualification can not determine what means he needs.

Diuretics and type 2 diabetes

Note! It must be borne in mind that when you can use only some diuretics, that is, the appointment of diuretics without taking into account this disease or self-medication can lead to irreversible consequences in the body.

Thiazide diuretics for type 2 diabetes mellitus are prescribed mainly to lower blood pressure, with edema and for the treatment of cardiovascular insufficiency.

Also, thiazide diuretics are used to treat most patients with arterial hypertension that lasts for a long time.

These drugs significantly reduce the sensitivity of cells to the hormone insulin, which leads to an increase in blood levels of glucose, triglycerides and cholesterol. This imposes significant restrictions on the use of these diuretics in type 2 diabetes.

However, recent clinical studies on the use of diuretics for type 2 diabetes have shown that these negative effects are most often observed with high doses of the drug. At low doses, side effects practically do not occur.

Important! In patients with type 2 diabetes, when prescribing thiazide diuretics, patients should eat as many fresh vegetables and fruits as possible. This will help offset the significant loss of potassium, sodium, and magnesium. In addition, the risk of lowering the body’s sensitivity to insulin should be considered.

In type 2 diabetes mellitus, the most commonly used drug is Indapamide, or rather, its derivative Arifon. Both Indapamide and Arifon have virtually no effect on carbohydrate and lipid metabolism, which is very important for type 2 diabetes.

Other diuretics for type 2 diabetes are prescribed much less often and only if certain conditions exist:

  1. loop diuretics for type 2 diabetes are mainly used only once in those cases when it is necessary to achieve rapid normalization of blood pressure;
  2. combined thiazide and combined potassium-sparing diuretics – when it is necessary to minimize potassium loss.

With some types of diseases, fluid retention occurs in the body, and swelling of the hands, feet, and face appears. For symptomatic treatment, improving the patient’s condition, special diuretics are used, which provoke an increased excretion of urine, which removes excess fluid and salts from the body. Diuretic drugs or diuretics help to cope with the severe course of diseases such as hypertension, heart failure, obesity, cirrhosis, intracranial pressure, swelling of the walls of blood vessels, and are used for kidney diseases.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.

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