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Studies on urinary excretion of the potassium-retaining diuretic amiloride (Desmethyl-pipazuroyl-guanidine, MK 870) in man

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1. A spectrophotofluorometric procedure is described by which the potassium-retaining diuretic amiloride is isolated from the urine by means of thin-layer chromatography. - 2. After administering single doses of 10 mg, the drug can be demonstrated in the urine up to 24 h, and after giving 20 mg, up to 48 h. The percentage recovered is independent of the dosage applied and is not influenced by diuresis, or by the concomitant administration of the saluretic, etacrynic acid. In patients with cirrhosis of the liver and portal hypertension the recovery of amiloride is identical to that of healthy controls. After fasting for four hours following the ingestion of the drug, the quantity of the diuretic excreted in the urine is approximately twice that after administration of amiloride at breakfast or shortly before.

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Literature

  1. Alter, S., P. Cushman, and J. Hilton: A New Guanidine Diuretic, Amipramizide: Reduction of the Kaliuretic Effect of Ethacrynic Acid in Man. Clin. Pharmacol. Ther. 8, 243–247 (1967).

    PubMed  Google Scholar 

  2. Baer, J. E., C. M. Mucha, S. A. Spitzer, and H. W. Yee: A K+-sparing Natriuretic Pyrazinamide Derivative. Fed. Proc. 25, 197 (1966).

    Google Scholar 

  3. Brunner, F. P.: Klinische Erfahrungen mit dem neuen kaliumsparenden Diureticum Amilorid (Moduretic, Colectril, MK 870). Schweiz. med. Wschr. 97, 1542–1548 (1967).

    PubMed  Google Scholar 

  4. Glitzer, M.S., and S.L. Steelman: N-Amidino-3,5-diamino-6-chloropyrazine-carbocamide: an Active Diuretic in the Carboxamide Series. Nature (London) 212, 191–193 (1966).

    Google Scholar 

  5. GomBos, E. A., E. D. Frets, and A. Moghadam: Effects of MK 870 in Normal Subjects and Hypertensive Patients. New Engl. J. Med. 275, 1215–1220 (1967).

    Google Scholar 

  6. Gomez mont, F., L. Landa, C. Ramirez, and A. Perches: Treatment of Ascites due to Cirrhosis with a Derivative of 6-chloropyrazinamide. Gac. med. Méx. 96, 1341–1347 (1966).

    Google Scholar 

  7. Heidland, A., K. Klütsch, u. A. Moormann: Zur renalen Kalium-Retention nach Verabreichung von Amiloride HCl. Arzneimittel-Forsch. 10, 1314–1318 (1967).

    Google Scholar 

  8. Hitzenberger, G., H. Kampffmeyer, and J. Conway: The Diuretic Effect of Desmethyl-pipazuroylguanidine (MK 870) in Man. Clin. Pharmacol. Ther. 9, 71–79 (1968).

    PubMed  Google Scholar 

  9. Jones, C.B., H. F. Russo, and A. Zacchei: Fate of Pyrazinamide Derivatives with Natriuretic Activity. Fed. Proc. 25, 197 (1966).

    Google Scholar 

  10. Lundvall, O., and S. Berlind: Clinical Trial of a Potassium-sparing Saluretic Pyrazine Derivative (MK 870). Acta med. stand. 181, 457–463 (1967).

    Google Scholar 

  11. Moukheibir, N.W., and W.M. Kirkendall: Effect of Amipramizide (MK 870) on Electrolyte and Water Balance in Patients with Cirrhosis of the Liver. Clin. Res. Proc. 13, 425 (1965).

    Google Scholar 

  12. Reynolds, T. B., and H. C. Pelle: Effects of a New Diuretic Amipramidine (MK 870) in Patients with Cirrhosis and Ascites. Clin. Res. Proc. 14, 184 (1966).

    Google Scholar 

  13. Schmid, E., J. Adlung, G. Fricke u. G. Stoffels: Klinisch-pharmakologische Untersuchungen über die Arzneimittelresorption bei Lebererkrankungen. Verh. dtsch. Ges. inn. Med. 74, (1968, in print).

  14. Senewiratne, B., and S. Sherlock: Amiloride (MK 870) in Patients with Ascites due to Cirrhosis of the Liver. Lancet 1968 I, 120–122.

  15. Singh, B.N., D.E. Richmond, J.D. Wilson, and H.A. Simmonds: Evaluation of MK 870: a New Potassium-sparing Diuretic. Brit. med. J. 1967 I, 143–146.

  16. Sperber, R. J., and S. Fisch: Studies with MK 870 — a New, Non-steroid Potassium-sparing Diuretic. Clin. Res. Proc. 14, 262 (1966).

    Google Scholar 

  17. Stahl, E.: Dünnschichtchromatographie. Ein Laboratoriumshandbuch; 2. Aufl. Berlin-Heidelberg-New York: Springer-Verlag, 1967.

    Google Scholar 

  18. Stone, C. A.: Personal communication, Nov. 1964.

  19. Udenfriend, S.: Fluorescence Assay in Biology and Medicine. New York-London: Academic Press 1964.

    Google Scholar 

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Schmid, E., Fricke, G. Studies on urinary excretion of the potassium-retaining diuretic amiloride (Desmethyl-pipazuroyl-guanidine, MK 870) in man. Pharmacol. Clin. 1, 110–113 (1969). https://doi.org/10.1007/BF00404655

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  • DOI: https://doi.org/10.1007/BF00404655

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