Bendroflumethiazide Flashcards

1
Q

Class

A

Diuretic

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2
Q

Actions

A

Causes moderate
degree of diuresis by
inhibiting NaCl
reabsorption

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3
Q

Mechanism of action

A

Inhibits the Na+/Cl- co-
transporter in the luminal
membrane of the distal
convoluted tubule

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4
Q

Clinical use

A
Hypertension
Mild heart failure
Nephrogenic
diabetes insipidus
Kidney stones
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5
Q

Adverse effects

A
Potassium loss
Metabolic alkalosis
Hyperuricaemia
Increased insulin
requirement
Erectile dysfunction
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6
Q

What is Bendroflumethiazide

A

a Thiazide diuretic

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7
Q

what does Bendroflumethiazide do

A

diuretic increases urinary excretion of water, and can cause blood vessel dilatation. It has two mechanisms of action,

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8
Q

two mecanisms for action of Bendroflumethiazide

A

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.

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9
Q

the antihypertensive mechanism of Bendroflumethiazide

A

1) inhibiting carbonic anhydrases in the smooth muscle

2) activating the large-conductance calcium-activated potassium (KCa) channel, in the smooth muscle.

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10
Q

wtf

A

It may act although it may be mediated

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11
Q

common useage?

A

Much less commonly used following recent hypertension guidelines.

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