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Drugs used on Urinary
System
Presented By:
Ms. Sayali Dilip Powar
(Master of Pharmacy )
5/12/2020
1
Content
• Diuretics
• Antidiuretics
• Urinary Antiseptics
• Cholinergics & Anticholinergics
• Acidifiers
• Alkalanizers.
5/12/2020 2
Composition
 Action
 Dosage
 Route
 Indications,
Contraindications
 Drug Interactions
 Side Effects,
Adverse, Effects,
Toxicity
 Role Of Nurse
Content
ANTIDIURETICS
5/12/2020 3
Composition
 Action
 Dosage
 Route
 Indications,
Contraindications
 Drug Interactions
 Side Effects,
Adverse, Effects,
Toxicity
 Role Of Nurse
Antidiuretics
Antidiuretics reduce urine volume, particularly
in diabetes insipidus
5/12/2020 4
5/12/2020 5
ADH
• .
5/12/2020 6
ADH is also called arginine vasopressin. It's a hormone made by the
hypothalamus in the brain and stored in the posterior pituitary gland. It
tells your kidneys how much water to conserve. ADH constantly
regulates and balances the amount of water in your blood
5/12/2020 7
CLASSIFICATION
5/12/2020 8
Antidiuretic
Hormoes and its
analogues
• Vasopressin
• Desmopressin
Natriuretics
• Thiazides
• Amiloride
Miscellaneous
• Carbamazepine
• Chlorpropamide
MECHANISM OF ACTION
5/12/2020 9
Reduces urine flow by acting
reabsorption of water by
kidney tubules
INDICATION AND USE
5/12/2020 10
1. Diabetes insipidus.
2. Primary bed wetting
3. Nocturia associated with multiple sclerosis
EXAMPLE
5/12/2020 11
CONTRAINDICATION
5/12/2020 12
Hypersensitivity, impaired renal function, with
ongoing diuretic treatment, Caution in CV
disease, edema, hypertension, cystic fibrosis,
fluid and electrolyte imbalance, pregnancy
and lactation.
ADVERSE EFFECT
5/12/2020 13
Nasal irritation, Rhinitis, Abdominal cramps,
Urge defecate, fluid retention, congestion,
Ulceration, nausea, pallor, Backache in
females (due to uterine contraction)
NURSING RESPONSIBILITIES
5/12/2020 14
• Monitor electrolyte imbalance.
• Monitor vital signs and B.P. regularly.
• Observe for sign of hypersensitivity
reactions.
• Monitor laboratory values.
• Stop medication if hypertension exists.
5/12/2020 15

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