يستعمل دواء سبيروميد 50/20مجم 10 اقراصspiromide 50/20mg 10 f.c.tab. combination diuretics combination diuretics

description -a benzoic-sulfonamide-furan. it is a diuretic with fast onset and short duration that is used for edema and chronic renal insufficiency. -mechanism of action furosemide a loop diuretic inhibits water reabsorption in the nephron by blocking the sodium-potassium-chloride cotransporter (nkcc2) in the thick ascending limb of the loop of henle. this is achieved through competitive inhibition at the chloride binding site on the cotransporter thus preventing the transport of sodium from the lumen of the loop of henle into the basolateral interstitium. consequently the lumen becomes more hypertonic while the interstitium becomes less hypertonic which in turn diminishes the osmotic gradient for water reabsorption throughout the nephron. because the thick ascending limb is responsible for 25% of sodium reabsorption in the nephron furosemide is a very potent diuretic.