Acetazolamide in lithium-induced nephrogenic diabetes insipidus (NDI).
- Conditions
- ithium-induced nephrogenic diabetes insipidusLithium-induced nephrogenic diabetes insipidusRenal and Urogenital - Kidney disease
- Registration Number
- ACTRN12613000195752
- Lead Sponsor
- Department of Medicine University of Otago
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Stopped early
- Sex
- All
- Target Recruitment
- 6
stable patients treated with lithium for an affective disorder
men and women
age > 18 years
evidence of lithium- induced nephrogenic diabetes insipidus
pregnancy
diabetes mellitus
underlying renal disorders
significant cardiac/pulmonary comorbidity
heart rhythm disorders
side effects of lithium treatment
treatment with hydrochlorothiazide or amiloride in the preceding 2 weeks
concomitant treatment with other diuretics
hypotension (systolic blood pressure < 100 mm Hg)
renal insufficiency
hypo/hyperkalemia
hypercalcaemia
hypo/hyperthyroidism
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method A change in urinary concentrating ability.<br>This will measured by a standard water deprivation and urinary concentration test. Following an overnight fast, a baseline urine sample will be collected at 0830. Then 40ug desmopressin (dDAVP) will be administered intranasally. Urine samples will be collected at 2,4 and 6 hours to measure urine osmolality.<br>This will be done at baseline and at the end of 4 week.[at baseline and following 4 weeks of therapy.]
- Secondary Outcome Measures
Name Time Method Patients' reported fluid intake and urine output. <br>Clinical assessment at each visit.[At baseline and at each weekly visit for 4 weeks];Assessment of blood pressure. Clinical assessment at each weekly visit[At baseline and at each weekly vosit for 4 weeks];Assessment of renal function by routine weekly measurement of plasma creatinine[At baseline and weekly for 4 weeks];Assessment of plasma lithium concentrations by weekly blood tests.[At baseline and weekly for 4 weeks.]