Diuretic Diver: mechanism of action of the drug

In medicine «Diver» — a diuretic active substance torasemid, is assigned to eliminate edema triggered by heart failure. Its main difference and advantage is the possibility of continuous daily use at elevated pressures. This medicine must be taken as directed by your healthcare doctor, strictly adhering to the specified doses. Self-medication can greatly increase the risk of side effects.

General information

Loop diuretic «Diver» contains in its composition as active ingredient torasemid, as well as the following additional components:

  • food emulsifier Е572;
  • milk sugar;
  • carboximetilkrahmal sodium;
  • food additive E551;
  • maize starch.

The described diuretic drug after penetration inside quickly and almost all absorbed by the gastrointestinal tract. Split the elements of the drug by the liver and exported from the body through the kidneys in unchanged form and in the form of inactive metabolic products. The medicine should be protected from moisture and keep it in the temperature regime from 15 to 28 degrees Celsius. If stored properly shelf life «of Divera» is 36 months.

Shape of release and mechanism of drug action

In the drugstores you can buy a diuretic «Diver» in blister packs containing tablets having a white opal. In the form of pills and rounded on two sides is the convexity. Each tablet is engraved with the numbers, meaning the dosage of the active substance in the medicine. Diuretic pills are placed in cardboard boxes, which are 2 plates for 10 pills.

Drug «Diver» refers to the loopback diureticum, which have a strong diuretic action. Their activation occurs in the loop of Henle part of the kidney where reabsorption of water and sodium in the blood, and the active substance is described by means of reduces this process and increases the secretion of urine by the kidneys. As a result, the body leaving excess fluid and salt reduces the swelling and lowered blood pressure.

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Indications and dosage

It is recommended to take the drug «Diver» in the following cases:

  • for the treatment of pathologies of kidneys, lungs and liver;
  • at infringement of function of heart chronic;
  • for lowering high blood pressure.

How to take water pills «Diver»?

The admission of pharmaceuticals «Diver» should be implemented after consultation with the doctor who will perform the required diagnostic tests and prescribe the patient’s individual dosage. Use «Diver» 1 pill once a day, after the morning meal, squeezed small amount of liquid. Patients with edema that arose due to heart dysfunction, kidney and liver is recommended to drink 5 mg per day. According to the testimony of a doctor may increase the dose to 20-40 mg, and if necessary even higher. Taking a diuretic medicine for a long time, until the swelling disappear or the treating doctor will not say to complete the therapeutic course. For the normalization of high blood pressure initial dose of 2.5 mg in 24 hours and, if necessary, may be increased to 5 mg.

Contraindications

Not assigned to a diuretic drug «Diver» patients with the following pathologies:

  • hypokalemia;
  • hypovolemia;
  • renal dysfunction;
  • hyperuricemia;
  • the violation of the outflow of urine;
  • mitral stenosis;
  • the acute phase of glomerulonephritis;
  • lactase deficiency;
  • hypersensitivity to components of drug.

Side effects

Failure to comply with the recommendations of a physician regarding dosages and available to the drug the diuretic action «Diver» contraindications, you may experience the following negative consequences:

  • cramps;
  • heart palpitations;
  • headache;
  • felt sick;
  • muscle weakness;
  • collapse;
  • retching;
  • burning sensation in the esophagus;
  • sharp fall in blood pressure to a low level;
  • arrhythmia;
  • hypovolemia;
  • oliguria;
  • increased blood levels of urea and creatinine;
  • hypokalemia;
  • thrombosis;
  • hematuria;
  • frequent loose stools;
  • hearing loss;
  • the aggravation of pancreatitis;
  • renal dysfunction;
  • exacerbation of gout;
  • vasculitis;
  • noise in the ears;
  • reduced potency;
  • fever;
  • itching of the skin;
  • urticaria;
  • leukopenia.
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It is not possible to combine a diuretic?

Before you start treatment edema diuretic «Diver», you must inform the attending doctor about taking informed medicines. It is worth considering that medicine, in which the active substance acts torasemid increases the effectiveness of diazoxide, which is dangerous to the development of side effects. In addition, «Diver» reduces the effect of hypoglycemic drugs and Pressor amines.

Not recommended to use «Diver» together with corticosteroids, since this combination increases the risk of developing the disease, characterized by low levels of potassium in the blood. You cannot combine «Diver» the drug lithium, as it can cause toxicity. Taking along the drugs NSAIDs with the described diuretic you need to be prepared for the fact that its main effect will be reduced significantly and plus everything else disrupted activity in plasma renin.

Is it possible to use for pregnant and nursing?

It is not recommended to drink tablets diuretic action «Diver» pregnant, as their substances penetrate the placental barrier, leading to failure of fluid and electrolyte balance in the fetus. In some cases, the pharmaceutical agent can be assigned to women during pregnancy, but only when the potential benefit for the mother exceeds the risk for intrauterine growth of the baby. Contraindicated medication in lactation period due to the lack of sufficient clinical data.