High dosage metolazone in chronic renal failure
- PMID: 5082545
- PMCID: PMC1786502
- DOI: 10.1136/bmj.4.5834.196
High dosage metolazone in chronic renal failure
Abstract
Metolazone is a modified quinazolinesulphonamide and in a dose of between 4 and 7.5 mg is an effective diuretic in man with normal renal function. Fourteen patients with non-oedematous stable chronic renal failure (creatinine clearance ranging from 1.2 to 12 ml/min) were given metolazone in doses ranging from 20-150 mg. A noticeable increase in urine flow and sodium excretion occurred, free water clearance increased, and there was a small but significant increase in potassium excretion. No side effects were noted.
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