A pyrazine compound inhibiting sodium reabsorption through sodium channels in renal epithelial cells. This inhibition creates a negative potential in the luminal membranes of principal cells, located in the distal convoluted tubule and collecting duct. Negative potential reduces secretion of potassium and hydrogen ions. Amiloride is used in conjunction with diuretics to spare potassium loss. (From Gilman et al., Goodman and Gilman's The Pharmacological Basis of Therapeutics, 9th ed, p705)
For use as adjunctive treatment with thiazide diuretics or other kaliuretic-diuretic agents in congestive heart failure or hypertension.
ErasmusMC, Rotterdam, Netherlands
Cambridge University Hospitals NHS Foundation Trust, Cambridge, Cambridgeshire, United Kingdom
University Hospital Llandough, Cardiff, United Kingdom
Queen Elizabeth Hospital, Birmingham, United Kingdom
Juan Carlos Yugar-Toledo, São José do Rio Preto, São Paulo, Brazil
Brigham and Women's Hospital, Boston, Massachusetts, United States
Georgetown University, Washington, District of Columbia, United States
Hypertension Research Clinic at UAB, Birmingham, Alabama, United States
Clinical Pharmacology Unit, Box 110, Level 3 ACCI, Addenbrookes Hospital, Cambridge, United Kingdom
Odense University Hospital, Department of Endocrinology, Odense, Denmark
Sygehus Lillebaelt., Fredericia, Denmark
Sydvestjysk Hospital, Esbjerg, Esbjerg, Denmark
Cardiovascular and Renal Research, Odense, Denmark
Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow, United Kingdom
The Walton Centre, Liverpool, United Kingdom
Derriford Hospital, Plymouth, United Kingdom
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