» Articles » PMID: 3366161

Effects of Triamterene on Serum and Skeletal Muscle Electrolytes in Diuretic-treated Patients

Overview
Specialty Pharmacology
Date 1988 Jan 1
PMID 3366161
Citations 5
Authors
Affiliations
Soon will be listed here.
Abstract

The effects on plasma and skeletal muscle electrolytes of the combination of triamterene 37.5 mg and hydrochlorothiazide 25 mg daily were studied in 19 patients on prior long-term (greater than 1 year) diuretic therapy for arterial hypertension and/or congestive heart failure. A further 20 patients fulfilling the same admission criteria were used as controls. Blood samples and skeletal muscle biopsies were taken before the study and after 6 months on therapy. The diuretic-treated group had a significant increase in skeletal muscle potassium and magnesium after 6 months on therapy as compared to the controls. Thus, the combination of triamterene and hydrochlorothiazide appeared effective in preserving the cellular content of potassium and magnesium on a long-term basis in the type of patient studied.

Citing Articles

Not just chlorthalidone: evidence-based, single tablet, diuretic alternatives to hydrochlorothiazide for hypertension.

Roush G, Ernst M, Kostis J, Kaur R, Sica D Curr Hypertens Rep. 2015; 17(4):540.

PMID: 25821163 DOI: 10.1007/s11906-015-0540-6.


Do diuretics cause magnesium deficiency?.

Davies D, Fraser R Br J Clin Pharmacol. 1993; 36(1):1-10.

PMID: 8373706 PMC: 1364546. DOI: 10.1111/j.1365-2125.1993.tb05883.x.


Absence of magnesium sparing effect of a single dose of triamterene in combination with frusemide in healthy male adults.

van Meyel J, Smits P, Gribnau F Br J Clin Pharmacol. 1990; 30(5):774-7.

PMID: 2271378 PMC: 1368180. DOI: 10.1111/j.1365-2125.1990.tb03849.x.


Comparison of the diuretic effect and absorption of a single dose of furosemide and free and the fixed combinations of furosemide and triamterene in healthy male adults.

van Meyel J, Tan Y, Smits P, Russel F, van Ginneken C, Gribnau F Eur J Clin Pharmacol. 1990; 39(6):595-7.

PMID: 2095345 DOI: 10.1007/BF00316104.


Effects of a new pteridine derivative on urinary sodium, potassium and magnesium excretion in conscious saline-loaded rats.

Netzer T, Ullrich F, Priewer H, Majewski M, Mutschler E Br J Pharmacol. 1992; 106(1):222-6.

PMID: 1504728 PMC: 1907469. DOI: 10.1111/j.1476-5381.1992.tb14318.x.

References
1.
Dyckner T, Wester P . Ventricular extrasystoles and intracellular electrolytes before and after potassium and magnesium infusions in patients on diuretic treatment. Am Heart J. 1979; 97(1):12-8. DOI: 10.1016/0002-8703(79)90108-x. View

2.
FISCH C . Relation of electrolyte disturbances to cardiac arrhythmias. Circulation. 1973; 47(2):408-19. DOI: 10.1161/01.cir.47.2.408. View

3.
HANZE S, Seyberth H . [Studies of the effect of the diuretics furosemide, ethacrynic acid and triamterene on renal magnesium and calcium excretion]. Klin Wochenschr. 1967; 45(6):313-4. DOI: 10.1007/BF01747104. View

4.
Helgeland A . Treatment of mild hypertension: a five year controlled drug trial. The Oslo study. Am J Med. 1980; 69(5):725-32. DOI: 10.1016/0002-9343(80)90438-6. View

5.
Whang R, Welt L . Observations in experimental magnesium depletion. J Clin Invest. 1963; 42:305-13. PMC: 289283. DOI: 10.1172/JCI104717. View