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Cyclothiazide

Structure of Cyclothiazide

  • Cyclothiazide is a thiazide diuretic with a cyclohexane ring substitution, differing structurally from other thiazides.

  • Chemical Formula: C₁₂H₁₅ClN₃O₄S₂

Mode of Action

  • Thiazide Receptor Blocking: Inhibits the sodium-chloride symporter in the distal convoluted tubule.

  • Sodium and Chloride Excretion: Promotes diuresis by increasing the excretion of sodium and chloride ions.

  • Potassium Loss: Enhances excretion of potassium and hydrogen ions, potentially causing hypokalemia and metabolic alkalosis.

Uses

  1. Hypertension: Utilized to reduce blood pressure through diuretic and vasodilatory effects.

  2. Edema: Treats fluid retention in conditions such as congestive heart failure, liver cirrhosis, and renal disorders.

  3. Nephrolithiasis Prevention: Assists in preventing calcium-containing kidney stones.

  4. Heart Failure: Part of diuretic therapy to manage edema and reduce cardiac workload.


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