Uechi Masami, Matsuoka Mika, Kuwajima Emi, Kaneko Tomonari, Yamashita Kazushi, Fukushima Ushio, Ishikawa Yumi
Veterinary Teaching Hospital, Kitasato University Higashi, Towada, Aomori, Japan.
J Vet Med Sci. 2003 Oct;65(10):1057-61. doi: 10.1292/jvms.65.1057.
Torasemide is a new loop diuretic that combines the effects of furosemide and spironolactone. There are no reports on the effects of torasemide in cats and dogs. This study compared the diuretic effects of furosemide and torasemide in cats and dogs. Cats with pressure overload cardiac hypertrophy were given oral placebo, torasemide 0.3 mg/kg, or furosemide 1 mg/kg or 3 mg/kg. Control and mitral regurgitation dogs were given oral placebo, torasemide 0.2 mg/kg, and furosemide 2 mg/kg for 7 days. Urine samples were obtained at baseline and 1, 2, 3, 4, 5, 6, 8, 12, and 24 hr after each drug dose. Urine volume and urine Na(+) and K(+) were measured. Both furosemide and torasemide increased urine volume 1 hr after administration. Furosemide caused a dose-dependent increase in urine volume that peaked at 2-3 hr in cats and dogs. The diuretic effect of furosemide disappeared 6 hr after administration, while that of torasemide peaked 2-4 hr after administration and persisted for 12 hr in cats and dogs. In MR dogs, torasemide for 7 days significantly decreased urine potassium excretion. Plasma aldosterone increased with torasemide, whereas there was no change with furosemide. In conclusion, about 1/10 concentration of torasemide was as potent as furosemide and had a longer diuretic effect in cats and dogs. These data suggest that torasemide is useful for treating congestive heart failure or edema in cats and dogs.
托拉塞米是一种新型袢利尿剂,兼具呋塞米和螺内酯的作用。目前尚无关于托拉塞米对猫和狗作用效果的报道。本研究比较了呋塞米和托拉塞米对猫和狗的利尿作用。对压力负荷性心肌肥厚的猫口服给予安慰剂、0.3 mg/kg托拉塞米、1 mg/kg或3 mg/kg呋塞米。对对照犬和二尖瓣反流犬口服给予安慰剂、0.2 mg/kg托拉塞米和2 mg/kg呋塞米,持续7天。在每次给药后的基线以及1、2、3、4、5、6、8、12和24小时采集尿液样本。测量尿量以及尿钠和钾含量。呋塞米和托拉塞米在给药后1小时均增加尿量。呋塞米使尿量呈剂量依赖性增加,在猫和狗中于2 - 小时达到峰值。呋塞米的利尿作用在给药后6小时消失,而托拉塞米的利尿作用在给药后2 - 4小时达到峰值,并在猫和狗中持续12小时。在二尖瓣反流犬中,托拉塞米连续使用7天可显著降低尿钾排泄。托拉塞米使血浆醛固酮升高,而呋塞米则无变化。总之,托拉塞米约为呋塞米1/10的浓度时,在猫和狗中具有同等效力且利尿作用持续时间更长。这些数据表明托拉塞米可用于治疗猫和狗的充血性心力衰竭或水肿。