Bendroflumethiazide Flashcards
Class
Diuretic
Actions
Causes moderate
degree of diuresis by
inhibiting NaCl
reabsorption
Mechanism of action
Inhibits the Na+/Cl- co-
transporter in the luminal
membrane of the distal
convoluted tubule
Clinical use
Hypertension Mild heart failure Nephrogenic diabetes insipidus Kidney stones
Adverse effects
Potassium loss Metabolic alkalosis Hyperuricaemia Increased insulin requirement Erectile dysfunction
What is Bendroflumethiazide
a Thiazide diuretic
what does Bendroflumethiazide do
diuretic increases urinary excretion of water, and can cause blood vessel dilatation. It has two mechanisms of action,
two mecanisms for action of Bendroflumethiazide
1) It inhibits the Na-Cl cotransporter, blocking active chloride reabsorption in the early distal tubule. This results in an increase in the excretion of sodium, chloride, and water.
2) It inhibits sodium ion transport across the renal tubular epithelium through binding to the thiazide sensitive sodium-chloride transporter. This results in an increase in potassium excretion via the sodium-potassium exchange mechanism.
the antihypertensive mechanism of Bendroflumethiazide
1) inhibiting carbonic anhydrases in the smooth muscle
2) activating the large-conductance calcium-activated potassium (KCa) channel, in the smooth muscle.
wtf
It may act although it may be mediated
common useage?
Much less commonly used following recent hypertension guidelines.