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1.
Spectrochim Acta A Mol Biomol Spectrosc ; 302: 123069, 2023 Dec 05.
Artigo em Inglês | MEDLINE | ID: mdl-37390720

RESUMO

A green, novel, simple and sensitive spectrofluorimetric approach was investigated and validated for the analysis of two important cardiovascular drugs namely; sildenafil citrate and xipamide using silver nanoparticles as a fluorescence probe (Ag-NPs). Silver nanoparticles were prepared through chemical reduction of silver nitrate using sodium borohydride in distilled water without using non-green organic stabilizer. These nanoparticles were stable, water soluble and had high fluorescence. After addition of the studied drugs, noticeable quenching of Ag-NPs fluorescence occurred. The intensity of Ag-NPs fluorescence was measured at 484 nm (λex 242 nm) before and after complex formation with these studied drugs. The difference between these values (ΔF) were linear with the concentrations in the following ranges (1.0-10.0 µg/mL), (0.5-5.0 µg/mL) for sildenafil and xipamide, respectively. The formed complexes did not need to be separated by solvent extraction before measurement. For proving the complex formation between the two studied drugs and silver nanoparticles, stern volmer method was applied. The suggested method was perfectly validated in compliance with the international conference on harmonization (ICH) Guidelines and the outcomes were acceptable. Furthermore, suggested technique was perfectly applied for the assay of each drug in its pharmaceutical dosage form. Eventually assessment of method greenness was performed using different tools and found that the suggested method was safe and eco-friendly.


Assuntos
Nanopartículas Metálicas , Xipamida , Espectrometria de Fluorescência/métodos , Citrato de Sildenafila , Nanopartículas Metálicas/química , Ressonância de Plasmônio de Superfície , Prata , Água , Preparações Farmacêuticas
2.
J AOAC Int ; 105(1): 19-25, 2022 Feb 04.
Artigo em Inglês | MEDLINE | ID: mdl-34436582

RESUMO

BACKGROUND: Validated ultra-performance liquid chromatography (UPLC) and thin-layer chromatography (TLC) densitometric methods were prescribed for determination of antihypertensive components. OBJECTIVE: To establish and validate rapid and accurate UPLC and TLC densitometric methods for determination of Xipamide and Triamterene in pure and dosage forms. METHODS: The first method, UPLC, depended on using an Agilent Zorbax Eclipse Plus C8 (50 mm × 2.1 mm, 1.8 µm) column, a mobile phase composed of acetonitrile-water (70 + 30, v/v) adjusted by acetic acid to obtain pH 3, 0.2 mL/min flow rate, and UV detection at 231.4 nm. The second method was a TLC densitometric method. Separation was achieved by using toluene-methanol-ethyl chloride-acetic acid (7 + 2 + 1 + 0.2, v/v/v) as the mobile phase, pre coated silica gel plates as the stationary phase, and UV detection at 300.0 nm. RESULTS: The obtained results were validated and statistically compared with official and reported methods. The obtained results showed high accuracy and reproducible results with excellent mean recoveries for both drugs. CONCLUSION: The UPLC method showed shorter retention time for both Xipamide (0.88 min) and Triamterene (0.63 min), a lower detection limit of less than 0.055 µg/mL for both drugs with high selectivity, decreased injection volume (1 µL), and a lower flow rate than any HPLC method. Both proposed methods were sensitive, selective, and effectively applied to pure and dosage forms (Epitens®). HIGHLIGHTS: Unprecedented sensitive, rapid, and reproducible UPLC and TLC methods were developed for selective determination of mixtures of Xipamide and Triamterene, with LOD os less than 0.076 µg/mL for both drugs.


Assuntos
Preparações Farmacêuticas , Xipamida , Cromatografia Líquida de Alta Pressão , Cromatografia em Camada Delgada , Densitometria , Reprodutibilidade dos Testes , Triantereno
3.
Luminescence ; 32(4): 491-501, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27562288

RESUMO

A study of the performance of reversed-phase chromatography with a programmable multiwavelength fluorimetric technique using either conventional hydro-organic or micellar eluent is established for the determination of xipamide (XIP) in the presence of its degradation product, 2,6-xylidine (XY). In conventional liquid chromatography (CLC), the analyses were carried out on a Promosil ODS 100 Å column (250 mm × 4.6 mm i.d., 5 µm) using a mobile phase consisting of methanol/0.1 M phosphate buffer (65: 35, v/v) at pH 4.0. For micellar liquid chromatography (MLC), a short Spherisorb column (150 mm × 4.6 mm i.d., 5 µm) was employed in conjunction with a greener mobile phase (pH 5.0) containing 0.1 M sodium dodecyl sulfate and 15% n-propanol. CLC proved to be superior to MLC in terms of sensitivity for the determination of the degradation product because it could detect trace amounts down to 10.0 ng/ml of XY as a degradation product in XIP. However, MLC represents an eco-friendly approach for the simultaneous determination of XIP and XY. In addition, the opportunity for the direct introduction of biological matrices into the chromatographic system is one of the distinctive benefits of MLC. The proposed methods were applied for the determination of XIP in its tablets, human urine and content uniformity testing. The results of the proposed methods were statistically compared with those obtained using the comparison fluorimetric method, revealing no significant differences in the performance of the methods regarding accuracy and precision.


Assuntos
Cromatografia Líquida/métodos , Xipamida/urina , Adulto , Compostos de Anilina/urina , Soluções Tampão , Calibragem , Cromatografia Líquida de Alta Pressão/métodos , Cromatografia Líquida/instrumentação , Feminino , Humanos , Concentração de Íons de Hidrogênio , Limite de Detecção , Micelas , Concentração Osmolar , Reprodutibilidade dos Testes , Dodecilsulfato de Sódio , Espectrometria de Fluorescência , Comprimidos/análise , Xipamida/análise , Xipamida/metabolismo
4.
Acta Pharm ; 66(1): 109-18, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26959547

RESUMO

A novel, simple and robust high-performance liquid chromatography (HPLC) method was developed and validated for simultaneous determination of xipamide (XIP), triamterene (TRI) and hydrochlorothiazide (HCT) in their bulk powders and dosage forms. Chromatographic separation was carried out in less than two minutes. The separation was performed on a RP C-18 stationary phase with an isocratic elution system consisting of 0.03 mol L(-1) orthophosphoric acid (pH 2.3) and acetonitrile (ACN) as the mobile phase in the ratio of 50:50, at 2.0 mL min(-1) flow rate at room temperature. Detection was performed at 220 nm. Validation was performed concerning system suitability, limits of detection and quantitation, accuracy, precision, linearity and robustness. Calibration curves were rectilinear over the range of 0.195-100 µg mL(-1) for all the drugs studied. Recovery values were 99.9, 99.6 and 99.0 % for XIP, TRI and HCT, respectively. The method was applied to simultaneous determination of the studied analytes in their pharmaceutical dosage forms.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Hidroclorotiazida/química , Pós/análise , Pós/química , Triantereno/química , Xipamida/química , Calibragem , Reprodutibilidade dos Testes
5.
J Fluoresc ; 24(2): 363-76, 2014 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-24091803

RESUMO

A highly sensitive, simple and rapid stability-indicating spectrofluorimetric method was developed for the determination of metolazone (MET) and xipamide (XPM) in their tablets. The proposed method is based on the measurement of the native fluorescence of MET in methanol at 437 nm after excitation at 238 nm and XPM in alkaline methanolic solution at 400 nm after excitation at 255 nm. The fluorescence-concentration plots were rectilinear over the range of 2.0- 20.0 ng/mL for MET and 0.2- 2.0 µg/mL for XPM, with lower detection limits (LOD) of 0.35 ng/mL and 0.02 µg/mL and a lower quantification limit (LOQ) of 1.05 ng/mL and 0.07 µg/mL for MET and XPM, respectively. The method was successfully applied to the analysis of MET and XPM in their commercial tablets and the results were in good agreement with those obtained using the official and comparison methods, respectively. Furthermore, content uniformity testing of the studied pharmaceutical tablets was also conducted. The application of the proposed method was extended to stability studies of MET and XPM after exposure to different forced degradation conditions, such as acidic, alkaline, oxidative and photolytic degradation conditions, according to ICH Guidelines. Moreover, the method was utilized to investigate the kinetics of the alkaline, acidic and photolytic degradation of MET. The apparent first-order rate constants and half-life times were calculated. Proposals for the degradation pathways for both MET and XPM were postulated.


Assuntos
Metolazona/análise , Espectrometria de Fluorescência/métodos , Comprimidos/química , Xipamida/análise , Estabilidade de Medicamentos , Cinética , Limite de Detecção , Padrões de Referência
6.
Br J Pharmacol ; 171(1): 265-78, 2014 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-24117047

RESUMO

BACKGROUND AND PURPOSE: Loop diuretics are widely used to inhibit the Na(+), K(+), 2Cl(-) co-transporter, but they also inhibit the cystic fibrosis transmembrane conductance regulator (CFTR) Cl(-) channel. Here, we investigated the mechanism of CFTR inhibition by loop diuretics and explored the effects of chemical structure on channel blockade. EXPERIMENTAL APPROACH: Using the patch-clamp technique, we tested the effects of bumetanide, furosemide, piretanide and xipamide on recombinant wild-type human CFTR. KEY RESULTS: When added to the intracellular solution, loop diuretics inhibited CFTR Cl(-) currents with potency approaching that of glibenclamide, a widely used CFTR blocker with some structural similarity to loop diuretics. To begin to study the kinetics of channel blockade, we examined the time dependence of macroscopic current inhibition following a hyperpolarizing voltage step. Like glibenclamide, piretanide blockade of CFTR was time and voltage dependent. By contrast, furosemide blockade was voltage dependent, but time independent. Consistent with these data, furosemide blocked individual CFTR Cl(-) channels with 'very fast' speed and drug-induced blocking events overlapped brief channel closures, whereas piretanide inhibited individual channels with 'intermediate' speed and drug-induced blocking events were distinct from channel closures. CONCLUSIONS AND IMPLICATIONS: Structure-activity analysis of the loop diuretics suggests that the phenoxy group present in bumetanide and piretanide, but absent in furosemide and xipamide, might account for the different kinetics of channel block by locking loop diuretics within the intracellular vestibule of the CFTR pore. We conclude that loop diuretics are open-channel blockers of CFTR with distinct kinetics, affected by molecular dimensions and lipophilicity.


Assuntos
Cloretos/metabolismo , Regulador de Condutância Transmembrana em Fibrose Cística/antagonistas & inibidores , Inibidores de Simportadores de Cloreto de Sódio e Potássio/farmacologia , Animais , Bumetanida/farmacologia , Cricetinae , Regulador de Condutância Transmembrana em Fibrose Cística/genética , Regulador de Condutância Transmembrana em Fibrose Cística/metabolismo , Relação Dose-Resposta a Droga , Furosemida/farmacologia , Humanos , Cinética , Potenciais da Membrana , Camundongos , Estrutura Molecular , Ratos , Inibidores de Simportadores de Cloreto de Sódio e Potássio/química , Relação Estrutura-Atividade , Sulfonamidas/farmacologia , Xipamida/farmacologia
7.
Artigo em Inglês | MEDLINE | ID: mdl-22771563

RESUMO

A simple, selective and sensitive spectrophotometric method for the determination of trace amounts of Zr(IV) in aqueous samples was performed, based on complexation reaction between Zr(IV) and 4-chloro-N-(2,6-dimethylphenyl)-2-hydroxy-5-sulfamoylbenzamide (xipamide). The important analytical parameters and their effects on the reported system were investigated. Zr(IV) react with xipamide in the ratio 1:1 in the pH range 8 to form a complex with an absorption maximum 333 nm. The apparent stability constant (logß(n)) and the free energy change (ΔG) of formation of the complex was calculated using the results of mole ratio and continuous variation methods. Beer's law was obeyed in the concentration range 0.2-3.6 µg/mL. For more accurate analysis, Ringbom optimum concentration range was found from 0.3 to 3.5 µg/mL. The molar absorptivity, Sandell sensitivity, detection and quantification limits were also calculated. Taking a constant concentration of Zr(IV) and determining its concentration in the presence of large number of foreign ions tested the effect of foreign ions. The practical applicability of the elaborated method was examined using for determination of mentioned ion in water samples, biological, plant leaves and soil samples where excellent agreements between reported and obtained results were achieved. The relative standard deviation (n=6) were 0.195%. The precision and accuracy of the results were comparable via F and t test at the 95% confidence level.


Assuntos
Benzamidas/química , Meio Ambiente , Folhas de Planta/química , Espectrofotometria/métodos , Água/química , Zircônio/análise , Absorção , Humanos , Concentração de Íons de Hidrogênio , Indicadores e Reagentes , Íons , Modelos Químicos , Espectrofotometria Ultravioleta , Xipamida/química , Zircônio/sangue
8.
J Pharm Biomed Anal ; 61: 78-85, 2012 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-22197154

RESUMO

An efficient chromatographic method for the simultaneous determination of triamterene (TRI) and xipamide (XIP) in urine samples, based on high performance liquid chromatography with photodiode array detector (HPLC-DAD) has been developed. The HPLC separation was performed on a RP stainless-steel C-18 analytical column (250 mm × 4.6 mm, 5 µm) with a gradient elution system of 0.05 M phosphate buffer adjusted to pH 4.0 and methanol as the mobile phase. The method was used to determine the urinary excretion profile and to calculate different urinary pharmacokinetic parameters following oral dose of their combination compared with single oral doses of each drug and hence comparing their bioavailability. Quantitation was performed using chlorthalidone as internal standard. The calibration graphs of each drug were rectilinear in the range of 0.2-40 µg/mL urine for TRI and 0.2-15 µg/mL urine for XIP. An HPLC-DAD method was also successfully developed for the simultaneous determination of the investigated drugs in pharmaceutical preparations. The methods were validated in terms of linearity, accuracy, precision, selectivity, limits of detection and quantitation and other aspects of analytical validation.


Assuntos
Triantereno/farmacocinética , Triantereno/urina , Xipamida/farmacocinética , Xipamida/urina , Administração Oral , Adulto , Disponibilidade Biológica , Combinação de Medicamentos , Humanos , Masculino , Triantereno/administração & dosagem , Xipamida/administração & dosagem
9.
Drug Test Anal ; 2(3): 113-21, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20878892

RESUMO

Sensitive and validated UV-spectrophotometric, chemometric and TLC-densitometric methods were developed for determination of triamterene (TRM) and xipamide (XIP) in their binary mixture, formulated for use as a diuretic, without previous separation. Method A is the isoabsorptive point spectrophotometry, in which TRM concentration alone can be determined at its λ(max) while XIP concentration can be determined by measuring total concentration of TRM and XIP at their isoabsorptive point followed by subtraction. Method B is the ratio subtraction spectrophotometry, where XIP can be determined by dividing the spectrum of the mixture by the spectrum of TRM (as a divisor) followed by subtracting the constant absorbance value of the plateau region, then finally multiplying the produced spectrum by the spectrum of the divisor, while TRM concentration can be determined at its λ(max). Method C is a chemometric-assisted spectrophotometry where classical least squares, principal component regression, and partial least squares were applied. Method D is a TLC-densitometry; this method depends on quantitative densitometric separation of thin layer chromatogram of TRM and XIP using silica gel plates at 254 nm. The proposed methods were successfully applied for the analysis of TRM and XIP in their pharmaceutical formulation and the results were statistically compared with the established HPLC method.


Assuntos
Preparações Farmacêuticas/química , Triantereno/análise , Xipamida/análise , Calibragem , Cromatografia em Camada Delgada/instrumentação , Cromatografia em Camada Delgada/métodos , Contaminação de Medicamentos , Estrutura Molecular , Reprodutibilidade dos Testes , Espectrofotometria Ultravioleta/instrumentação , Espectrofotometria Ultravioleta/métodos , Triantereno/química , Xipamida/química
10.
Arzneimittelforschung ; 55(1): 1-14, 2005.
Artigo em Alemão | MEDLINE | ID: mdl-15727159

RESUMO

Xipamide (CAS 14293-44-8) shows structural features comparable with the thiazide- as well as the class of loop diuretics. According to earlier findings this diuretic, in contrast to the thiazides, should not decrease the glomerular filtration rate (GFR) and be effective even in patients with advanced renal failure. Therefore recently the question, which class of diuretics xipamide should be related to, has been increasingly discussed. In order to solve this issue, the diuretic effect of xipamide was assessed in healthy volunteers once without and once under strict water and salt restriction. Additionally, changes in GFR were monitored by means of measurement of the creatinine clearance. Kinetic parameters were determined in plasma and urine; further, in patients with liver cirrhosis, renal elimination kinetics of the diuretic were correlated with the concentration of direct plasma bilirubin, as a marker of cholestasis, at the beginning of a treatment with xipamide, 40 mg qd. The investigations proved that xipamide, like a typical thiazide diuretic, gives rise to a temporary decrease in GFR of about 30 %, provided the renin-angiotensin-aldosterone system of the volunteer is activated by previous salt and water restriction. Xipamide leads to an increase of K+ and Mg2+ excretion, but to a decrease of Ca2+ excretion in urine, a charactaristical feature of the thiazide-like diuretics. The correlation between Na+ excretion and drug excreted in urine over time showed a functional graph that is characteristic for a "low ceiling" thiazide diuretic. In patients with renal failure FE(Na) was increased when related to the GFR-adjusted drug excretion rate, whereas it was diminished in conditions with decreased effective circulating volume like in liver cirrhosis with ascites. It could be shown that the elimination kinetics of xipamide are determined by renal drug clearance, which proportionally decreases with GFR. In patients with liver failure, a decrease of non-renal drug clearance went along with an increase in urinary drug excretion. The amount of drug excreted in urine (Ae) proportionally increased with the concentration of the patients' direct plasma bilirubin. Thus, from a pharmacological as well as clinical point of view xipamide acts like a thiazide diuretic. As could be shown for other thiazides some time ago, xipamide is effective not only in patients with cardiovascular diseases, but also in those with advanced renal failure.


Assuntos
Diuréticos/farmacologia , Diuréticos/farmacocinética , Nefropatias/metabolismo , Hepatopatias/metabolismo , Xipamida/farmacologia , Xipamida/farmacocinética , Bilirrubina/metabolismo , Colestase/diagnóstico , Creatinina/sangue , Dieta Hipossódica , Diurese/efeitos dos fármacos , Furosemida/farmacologia , Taxa de Filtração Glomerular , Humanos , Testes de Função Renal , Cirrose Hepática/metabolismo
12.
J Chromatogr Sci ; 42(2): 74-9, 2004 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-15023259

RESUMO

Experimental design methodologies are applied to the development of a capillary zone electrophoretic method for the separation of the angiotensin-converting enzyme inhibitor enalapril and its derivative enalaprilat and the diuretics xipamide and hydrochlorothiazide. The effects of pH, buffer concentration, proportion of boric acid in the mixed boric acid-potassium dihydrogen phosphate background electrolyte, temperature, applied voltage, and percentage of organic modifier are studied. Critical factors are identified in a screening design (a 2(6-2) fractional factorial design), and afterwards, optimal conditions for the separation are reached by means of an optimization design (a 2(2) + 2 x 2 + k central composite design). The studied response is the resolution between peaks. The four studied compounds can be separated in less than 3.5 min using an electrolyte of 20mM boric acid-potassium dihydrogen phosphate (75:25, v/v) with 5% MeOH adjusted to pH 8.0 with KOH, at a potential of 30 kV. The detection wavelength and temperature are 206 nm and 35 degrees C, respectively.


Assuntos
Inibidores da Enzima Conversora de Angiotensina/análise , Anti-Hipertensivos/análise , Diuréticos/análise , Eletroforese Capilar/métodos , Enalapril/análise , Enalaprilato/análise , Hidroclorotiazida/análise , Xipamida/análise
14.
Exp Toxicol Pathol ; 54(5-6): 375-9, 2003 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12877348

RESUMO

The objective of this study was to investigate the effect of tacrolimus (Tac) and xipamide (X) on mycophenolic acid (MPA) glucuronidation in precision-cut rat liver slices. To assess a possible effect of these two drugs, the influence of the anti-inflammatory drug niflumic acid (NA)--a well-known inhibitor for MPA glucuronidation in human liver microsomes--was used as a standard. MPA and its main metabolite mycophenolic acid glucuronide (MPAG) were determined by means of high-performance liquid chromatography. MPA glucuronidation rate showed a significant linear correlation (p = 0.012) with MPA concentrations from 15.61 up to 124.88 microM in the medium. That means, the enzyme(s) responsible for the glucuronidation of MPA worked far below Km-value. With all MPA concentrations tested, neither the addition of Tac (31.30 nM) nor of X (28.25 nM) influenced the glucuronidation of MPA. In comparison, NA at a concentration of 70.92 nM showed a marked inhibitory effect (by 72%). The present pilot-study indicates that precision-cut rat liver slices are a suitable in vitro model to characterize the glucuronidation of MPA to its primary metabolite MPAG and interferences with other substances.


Assuntos
Diuréticos/farmacologia , Inibidores Enzimáticos/metabolismo , Imunossupressores/farmacologia , Fígado/efeitos dos fármacos , Ácido Micofenólico/metabolismo , Tacrolimo/farmacologia , Xipamida/farmacologia , Animais , Área Sob a Curva , Cromatografia Líquida de Alta Pressão , Relação Dose-Resposta a Droga , Combinação de Medicamentos , Interações Medicamentosas , Glucuronídeos/antagonistas & inibidores , Glucuronosiltransferase/antagonistas & inibidores , Glucuronosiltransferase/metabolismo , Fígado/enzimologia , Masculino , Ácido Niflúmico/farmacologia , Técnicas de Cultura de Órgãos , Projetos Piloto , Ratos , Ratos Wistar
15.
J Am Soc Mass Spectrom ; 14(6): 658-70, 2003 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12781467

RESUMO

The diuretic agents bumetanide, xipamide, indapamide, and related compounds were investigated in order to determine the effect of different ionization sites on their collisionally activated dissociation and the corresponding fragmentation pathways. Therefore, analytes were selectively alkylated, and structural analogues as well as deuterium labeled compounds synthesized, which contain a reduced number of ionizable hydrogen atoms. Thus, specific hydrogen abstractions and their correlated dissociation routes of the negatively charged molecules were eliminated, providing evidence for the influence of the location of ionization on product ion spectra. Fragment ions such as m/z 78 indicate ionization at the commonly present sulfamoyl residue of diuretics but does not exclude additional ionization sites. Product ion spectra of the investigated diuretic agents proved to be composed by fragmentations initiated from different hydrogen abstractions. Moreover, the generation of radical anions by collision-activated dissociation of even-electron precursor ions was observed, the generation of which is discussed by proposed fragmentation pathways.


Assuntos
Diuréticos/química , Bumetanida/química , Cromatografia Gasosa-Espectrometria de Massas , Hidrogênio , Indapamida/análogos & derivados , Indapamida/química , Indicadores e Reagentes , Espectrometria de Massas por Ionização por Electrospray , Xipamida/análogos & derivados , Xipamida/química
18.
Wien Klin Wochenschr ; 114(21-22): 938-42, 2002 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-12528327

RESUMO

UNLABELLED: Diuretics are among the most frequently prescribed substances in elderly patients, but they are also associated with the highest incidence of adverse effects in this group of patients. Xipamide is a sulfonamide-like diuretic whose action does not depend on transtubular secretion. This characteristic makes it suitable for situations in which the kidney is highly sodium avid. Because of the potency of this substance the risk of adverse reactions like electrolyte disorders or hypovolemia is increased as well. We report seven patients (age 65-85) admitted to the emergency room of the University Hospital of Innsbruck between 1998 and 2002 who had developed serious adverse reactions upon initiation of treatment with xipamide as an additional diuretic. Six of these patients had received combinations with loop diuretics. The disturbances observed were hyponatremia (lowest value 108 mmol/l), hypokalemia (lowest value 1.5 mmol/l) and prerenal azotemia (highest serum urea 269 mg/dl, highest serum creatinine 5.13). CONCLUSION: With the exception of diuretic resistance in severe heart failure or renal insufficiency a combination therapy of xipamide with a second diuretic appears to be associated with an unnecessarily high risk of serious adverse reactions and thus should be avoided. This is especially true for elderly patients.


Assuntos
Diuréticos/efeitos adversos , Furosemida/efeitos adversos , Hidroclorotiazida/efeitos adversos , Hipopotassemia/induzido quimicamente , Hiponatremia/induzido quimicamente , Hipovolemia/induzido quimicamente , Inibidores de Simportadores de Cloreto de Sódio/efeitos adversos , Uremia/induzido quimicamente , Xipamida/efeitos adversos , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Diuréticos/administração & dosagem , Quimioterapia Combinada , Emergências , Feminino , Furosemida/administração & dosagem , Humanos , Hidroclorotiazida/administração & dosagem , Masculino , Fatores de Risco , Inibidores de Simportadores de Cloreto de Sódio/administração & dosagem , Xipamida/administração & dosagem
20.
Eur J Pharmacol ; 324(2-3): 289-94, 1997 Apr 18.
Artigo em Inglês | MEDLINE | ID: mdl-9145785

RESUMO

The diuretic drug xipamide improves myocardial relaxation in hypertensive patients with left ventricular hypertrophy, but its mechanism of action is unknown. Here, xipamide was tested in cultured rat heart myogenic H9c2 cells and newborn cardiomyocytes for its effects on cell acidification (and Ca2+ mobilization). In H9c2 cells, blocking Na+/H+ exchange with amiloride (2 mM) provoked cell acidification with rate = 0.82 +/- 0.17 pH units/h (n = 6). Xipamide 1 microM maximally inhibited 50 +/- 7% (n = 9) of cell acidification. The action of xipamide required the presence of HCO3- and was antagonized by the HCO3(-)-transport blocker DIDS (4,4'-diisothiocyanostilbene-2.2'-disulfonic acid). Conversely, the carbonic anhydrase (EC 4.2.1.1) inhibitor acetazolamide failed to prevent xipamide action. Finally, xipamide was without significant effect on the Ca2+ signals induced by endothelin-1, vasopressin or the Ca2+ ionophore ionomycin. In newborn rat cardiomyocytes, xipamide reduced amiloride-induced cell acidification at similar concentrations as in H9c2 cardiocytes, but with a slightly higher extent of maximal inhibition (70-80%). In conclusion, xipamide reduced amiloride-dependent cell acidification in the rat heart myogenic H9c2 cell line and in newborn rat cultured cardiomyocytes. This action of xipamide seems to be related to a complex interaction with DIDS-sensitive HCO3- movements. Prevention of cell acidification by xipamide could be involved in the beneficial effects of this compound in myocardial relaxation and left ventricle filling in hypertensive patients with left ventricular hypertrophy.


Assuntos
Amilorida/antagonistas & inibidores , Diuréticos/antagonistas & inibidores , Diuréticos/farmacologia , Coração/efeitos dos fármacos , Xipamida/farmacologia , Ácido 4,4'-Di-Isotiocianoestilbeno-2,2'-Dissulfônico/farmacologia , Animais , Cálcio/metabolismo , Anidrases Carbônicas/efeitos dos fármacos , Anidrases Carbônicas/metabolismo , Células Cultivadas/efeitos dos fármacos , Concentração de Íons de Hidrogênio , Miocárdio/citologia , Miocárdio/metabolismo , Ratos
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