Diuretics are a class of drugs which are used
to treat disorders that are caused due to increase in extracellular
fluid volume. Diuretics inhibits the reabsorption of water from the
tubules and increase the loss of water in the urine. The ascending
loop of Henle, distal convoluted tubules and collecting duct are
affected by diuretics.
Examples:
- Loop diuretic inhibit the
Na+/K+/Cl- transporter
present in the ascending loop of Henle. This transporter helps in
the absorption of sodium, potassium and chloride which results in
the reabsorption of water and other electrolytes back into the
bloodstream. But due to the blockage of the transporter, these
electrolytes passes through the nephrons and eliminate from the
body through kidneys and urinary bladder.
- Thiazide diuretic blocks the sodium/chloride
transporter present in the distal convoluted tubule and prevents
the absorption of sodium and chloride.
- Amiloride blocks
Na+ channels present in the collecting
duct.
- Spironolactone blocks the aldosterone
receptors present in the cortical collecting duct which results in
the decreased reabsorption of sodium ions and water and secretion
of potassium ions.