Diuretics and Disorders of Calcium Homeostasis

作者:Grieff Marvin*; Bushinsky David A
来源:Seminars in Nephrology, 2011, 31(6): 535-541.
DOI:10.1016/j.semnephrol.2011.09.008

摘要

Diuretics commonly are administered in disorders of sodium balance. Loop diuretics inhibit the Na-K-2Cl transporter and also increase calcium excretion. They are often used in the treatment of hypercalcemia. Thiazide diuretics block the thiazide-sensitive NaCl transporter in the distal convoluted tubule, and can decrease calcium excretion. They are often used in the treatment of nephrolithiasis. Carbonic anhydrase inhibitors decrease bicarbonate absorption and the resultant metabolic acidosis can increase calcium excretion. Their use can promote nephrocalcinosis and nephrolithiasis. This review will address the use of diuretics on disorders of calcium homeostasis.

  • 出版日期2011-11