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British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1978 Aug;6(2):129–133. doi: 10.1111/j.1365-2125.1978.tb00837.x

Effects of piretanide, bumetanide and frusemide on electrolyte and urate excretion in normal subjects.

C J Roberts, M Homeida, F Roberts, W Bogie
PMCID: PMC1429422  PMID: 678389

Abstract

1. The pharmacological actions of a new short acting loop diuretic were investigated in nine healthy male subjects and compared with those of frusemide and bumetanide. Subjects received 6 mg piretanide/day, 40 mg frusemide/day or 1 mg bumetanide/day for a period of 1 week. 2. Comparison of effects following the first dose administered showed that 6 mg piretanide is of similar potency to 40 mg frusemide in terms of diuresis, natriuresis and kaliuresis but is less potent than 1 mg bumetanide. 3. All three diuretics caused a decrease in urate excretion and a rise in serum uric acid. 4. Piretanide was well tolerated. Further investigation is required to ascertain what clinical advantage it offers over frusemide and bumetanide.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adamson A. R., Jamieson S. W. Urinary excretion of sodium and potassium in relation to plasma aldosterone concentration. J Endocrinol. 1972 Jun;53(3):425–431. doi: 10.1677/joe.0.0530425. [DOI] [PubMed] [Google Scholar]
  2. BRYANT J. M., YU T. F., BERGER L., SCHVARTZ N., TOROSDAG S., FLETCHER L., Jr, FERTIGH, SCHWARTZ M. S., QUAN R. B. Hyperuricemia induced by the administration of chlorthalidone and other sulfonamide diuretics. Am J Med. 1962 Sep;33:408–420. doi: 10.1016/0002-9343(62)90237-1. [DOI] [PubMed] [Google Scholar]
  3. Branch R. A., Read P. R., Levine D., Elst E. V., Shelton J., Rupp W., Ramsay L. E. Furosemide and bumetanide: a study of responses in normal English and German subjects. Clin Pharmacol Ther. 1976 May;19(5 Pt 1):538–545. doi: 10.1002/cpt1976195part1538. [DOI] [PubMed] [Google Scholar]
  4. Branch R. A., Roberts C. J., Homeida M., Levine D. Determinants of response to frusemide in normal subjects. Br J Clin Pharmacol. 1977 Apr;4(2):121–127. doi: 10.1111/j.1365-2125.1977.tb00682.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Brenner B. M., Berliner R. W. Relationship between extracellular volume and fluid reabsorption by the rat nephron. Am J Physiol. 1969 Jul;217(1):6–12. doi: 10.1152/ajplegacy.1969.217.1.6. [DOI] [PubMed] [Google Scholar]
  6. Cannon P. J., Svahn D. S., Demartini F. E. The influence of hypertonic saline infusions upon the fractional reabsorption of urate and other ions in normal and hypertensive man. Circulation. 1970 Jan;41(1):97–108. doi: 10.1161/01.cir.41.1.97. [DOI] [PubMed] [Google Scholar]
  7. Davies D. L., Lant A. F., Millard N. R., Smith A. J., Ward J. W., Wilson G. M. Renal action, therapeutic use, and pharmacokinetics of the diuretic bumetanide. Clin Pharmacol Ther. 1974 Feb;15(2):141–155. doi: 10.1002/cpt1974152141. [DOI] [PubMed] [Google Scholar]
  8. Lant A. F., Baba W. I., Wilson G. M. On the clinical evaluation of diuretics with particular reference to a new phthalimidine diuretic, clorexolone. Clin Pharmacol Ther. 1966 Mar-Apr;7(2):196–211. doi: 10.1002/cpt196672196. [DOI] [PubMed] [Google Scholar]
  9. Musser A. W., Ortigoza C. Automated determination of uric acid by the hydroxylamine method. Tech Bull Regist Med Technol. 1966 Feb;36(2):21–25. [PubMed] [Google Scholar]
  10. Nicholls M. G., Espiner E. A., Donald R. A., Hughes H. Aldosterone and its regulation during diuresis in patients with gross congestive heart failure. Clin Sci Mol Med. 1974 Oct;47(4):301–315. doi: 10.1042/cs0470301. [DOI] [PubMed] [Google Scholar]
  11. Olesen K. H., Sigurd B., Steiness E., Leth A. Bumetanide, a new potent diuretic. A clinical evaluation in congestive heart failure. Acta Med Scand. 1973 Jan-Feb;193(1-2):119–131. [PubMed] [Google Scholar]
  12. Steele T. H. Control of uric acid excretion. N Engl J Med. 1971 May 27;284(21):1193–1196. doi: 10.1056/NEJM197105272842106. [DOI] [PubMed] [Google Scholar]
  13. de Wardener H. E. Control of sodium reabsorption. Br Med J. 1969 Sep 13;3(5671):611–contd. doi: 10.1136/bmj.3.5671.611. [DOI] [PMC free article] [PubMed] [Google Scholar]

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