Diuretics: Basic, Pharmacological, and Clinical Aspects

Proceedings of the International Meeting on Diuretics, Sorrento, Italy, May 26–30, 1986

  • V. E. Andreucci
  • Antonio Dal Canton

Part of the Developments in Nephrology book series (DINE, volume 18)

Table of contents

  1. Front Matter
    Pages i-lv
  2. Historical Review

    1. Front Matter
      Pages 1-1
    2. A. Dal Canton, M. Castellano
      Pages 3-8
  3. Effects of Diuretics on Ion Transport

    1. Front Matter
      Pages 9-9
    2. R. Greger, P. Wangemann, M. Wittner, A. Di Stefano, H. J. Lang, H. C. Englert
      Pages 33-38
    3. R. Garay, P. Hannaert, C. Nazaret, E. Deschamps De Paillette, G. Juin, P. Braquet
      Pages 50-52
    4. A. Montanari, A. Guerra, E. Sani, A. Novarini
      Pages 53-55
    5. J. Diez, I. Colina, J. Quiroga, R. Diaz-Tejeiro, L. Yap, F. Maduell et al.
      Pages 56-58
    6. R. Pedrinelli, A. Clerico, L. Graziadei, S. Taddei, M. Del Chicca, A. Salvetti
      Pages 59-61
    7. R. Boero, C. Guarena, F. Quarello, C. Rosati, B. Rolando, M. C. Deabate et al.
      Pages 62-64
    8. B. Baggio, G. Marzaro, G. Gambaro, F. Marchini, A. Borsatti, G. Clari
      Pages 65-67
    9. C. Guarena, R. Boero, C. Rosati, G. Forneris, G. Beltrame, F. Quarello et al.
      Pages 68-70
  4. Effects of Diuretics on Tubular Transport

About this book


The need for adequate means by which to improve urine output is very old. Even in the "Scuola Salernitana", the oldest medieval medical school in Western Europe, about 1000 years ago it was taught how to improve urine output. The list of known "diuretica" included herbs, plants, roots, vegetables, in particular asparagus, fennel and carrot. The first diuretic drugs, however, were mercurial compounds. Thus, calomel, mercurous chloride, was initially used as a diuretic in the sixteenth century by Paracelsus, being one of the ingredients of the so-called "Guy's Hospital pill". But calomel had a cathartic effect so that it was replaced by organic mercurial compounds. These diuretics were clearly toxic. After the discovery of the car­ bonic anhydrase, in the early 1930s, and the introduction of sulfanilamide as a chemotherapeutic agent, it was observed that this drug was inhibiting carbonic anhydrase in vitro and urinary acidification in vivo thereby causing metabolic acidosis; urine output, however, appeared to increase. Subsequent studies led to the synthesis of more potent analogs, in particular acetazolamide. Studies on car­ bonic anhydrase inhibitors led to the synthesis of benzothiadiazides which disclosed much less inactivating action on carbonic anhydrase and much more diuretic effect through an inhibition of tubular transport of sodium and chloride. Chlorothiazide was the first member of this class of diuretics. Thiazides are still used in clinical practice.


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Editors and affiliations

  • V. E. Andreucci
    • 1
  • Antonio Dal Canton
    • 1
  1. 1.Department of NephrologyUniversity of NaplesNaplesItaly

Bibliographic information

  • DOI https://doi.org/10.1007/978-1-4613-2067-8
  • Copyright Information Springer-Verlag US 1987
  • Publisher Name Springer, Boston, MA
  • eBook Packages Springer Book Archive
  • Print ISBN 978-1-4612-9227-2
  • Online ISBN 978-1-4613-2067-8
  • About this book
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