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Class Explorer · Cardiovascular

Loop diuretics

Block the Na-K-2Cl cotransporter in the thick ascending limb: the most powerful diuresis the nephron can give.

Members

Also in this class: Bumetanide (predictable oral absorption) · Ethacrynic acid (no sulfonamide group). Full pages arrive as the library grows.

Compare the members

Furosemide
Oral reliability
Erratic (10-90%)
Distinguishing point
The default; IV when gut is congested

Shared across the class

Indications
Congestion in HF · Edema states · Hypertension in advanced CKD
Adverse effects
Hypokalemia, hypomagnesemia · Volume depletion and AKI · Hyponatremia · Ototoxicity (high dose IV) · Gout
Contraindications
Anuria unresponsive to trial
Monitoring
Daily weight in active diuresis · Electrolytes and creatinine within days of changes · Symptoms of congestion vs depletion

What makes each agent different

  • Furosemide's oral absorption is erratic (10-90%); bumetanide's is reliable: the classic switch when oral response disappoints.
  • Ethacrynic acid is the refuge for true severe sulfonamide allergy.

Loops are threshold drugs: double the ineffective dose rather than repeating it.

Last reviewed 2026-08-15 · Goodman & Gilman's The Pharmacological Basis of Therapeutics, 14th ed.