Which loop diuretic to give preference to: review of evidence-based medicine data

April 14, 2023

Diuretics belong to the first-line therapy of arterial hypertension, heart failure, edema, maintenance of target blood pressure in chronic kidney disease, and reduction of edema in nephrotic syndrome. Almost each of the pathologies listed above is the basis for the use of loop diuretics. Torasemide has a strong dose-dependent effect, a long half-life, a combined hepatic-renal excretion, and a minor effect on potassium excretion, and it is characterized by a good safety profile and good tolerability. The results of trials, systematic reviews, and meta-analyses confidently prove the clinical benefits of using torasemide: improvement of functional class according to NYHA, reduction of the probability of repeated hospitalizations due to deterioration of the course of heart failure, potential reduction of mortality. Such pharmacological features and a reliable evidence base of effectiveness and safety make torasemide a loop diuretic of choice in the management of patients with heart failure and edema syndrome.


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