The efficacy and safety of furosemide and a combination of spironolactone and hydrochlorothiazide in congestive heart failure.

Abstract:

:The therapeutic and biochemical effects of two commonly employed diuretic preparations were compared in a double-blind fashion in 32 patients with congestive heart failure. At the doses employed, furosemide and a fixed combination of spironolactone and hydrochlothiazide maintained control of the clinical manifestations of congestive heart failure to about the same degree. However, significant biochemical changes in the renin-aldosterone system were found in patients receiving the spironolactone/thiazide combination therapy. A significant increase in plasma renin activity and a significantly greater increase in aldosterone excretion were found in the spironolactone/thiazide group compared to the furosemide group. No significant differences were observed in serum potassium levels or 24-hour potassium excretion rates in patients treated with the two diuretic preparations.

journal_name

J Clin Pharmacol

authors

Levy B

doi

10.1002/j.1552-4604.1977.tb04625.x

subject

Has Abstract

pub_date

1977-07-01 00:00:00

pages

420-30

issue

7

eissn

0091-2700

issn

1552-4604

journal_volume

17

pub_type

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