Which diuretic does not have sulfa?
Diuretics that do not contain a sulfonamide group (eg, amiloride hydrochloride, eplerenone, ethacrynic acid, spironolactone, and triamterene) are safe for patients with an allergy to sulfa.
Which diuretic is the best choice for a patient with a sulfa allergy?
Which diuretic do you recommend for a hypertensive patient allergic to sulfonamides? Spironolactone would be a first choice. Another alternative is the loop diuretic with the least cross-reactivity to the sulfonamides, ethacrynic acid.
Do all loop diuretics have sulfa?
1,3,4 Ethacrynic acid is the only loop diuretic on the US market that does not contain a sulfonamide sub- stituent. Unfortunately, the sole US producer of ethacrynic acid (Ede- crin; Merck & Co, West Point, Pa) is currently unable to provide this drug; in fact, it has stopped produc- tion of the oral form indefinitely.
Can I take hydrochlorothiazide if I’m allergic to sulfa?
Antibiotics containing chemicals called sulfonamides (“sulfa drugs”) can trigger an allergic reaction if you have a sulfa allergy….Sulfa drugs to consider for people with Bactrim allergies.
| Medication type | Medication name |
|---|---|
| Diuretics (water pills) | Chlorthalidone |
| Furosemide (Lasix) | |
| Hydrochlorothiazide | |
| Indapamide |
What medications contain sulfa?
Sulfa-containing drugs include:
- sulfonamide antibiotics, including sulfamethoxazole-trimethoprim (Bactrim, Septra) and erythromycin-sulfisoxazole (Eryzole, Pediazole)
- some diabetes medications, such as glyburide (Diabeta, Glynase PresTabs)
What medications have sulfa in them?
Can I take Lasix if I am allergic to sulfa?
Can I take furosemide if allergic to sulfa?
No allergic reactions occurred for those patients given furosemide. The researchers concluded that there was little clinical or pharmacological evidence to suggest that a self-reported sulfa allergy was likely to produce a life- threatening cross-reaction with acetazol- amide or furosemide.
Which medications contain sulfa?
Can you take furosemide if you are allergic to sulfa?
For most patients with sulfa allergy who have no history of life-threatening reactions and are not allergic to more than one class of sulfonamides, however, available evidence suggests that furosemide can be used safely in an emergency.
Is furosemide a sulfonamide?
After some reflection and discussion with my patient, I believe that, considering her history of serious reaction to hydrochlorothiazide, all possible alternatives should be explored before using another sulfonamide diuretic, such as furosemide.
What drugs are sulfa based?
Is torsemide a sulfonamide?
Torsemide belongs to the pyridine-sulfonylurea class of loop diuretics. Its primary site of activity is the thick ascending limb of the loop of Henle, where it blocks active reabsorption of sodium and chloride, resulting in diuresis, natriuresis, and other effects.
What are some sulfa drugs?
Sulfonamides, or “sulfa drugs,” are a group of medicines used to treat bacterial infections….Commonly prescribed sulfonamides include:
- Gantrisin (sulfisoxazole)
- Bactrim or Septra (trimethoprim and sulfamethoxazole)
- Sulfadiazine.
- Azulfidine (sulfasalazine)
- Zonegran (zonisamide)
Is furosemide a sulfa drug?
Although furosemide indeed carries a sulfa moiety, I have not in the past hesitated to prescribe it to patients who are allergic to sulfa antibiotics because I thought cross-reactivity was very unlikely.
Can you take torsemide If you have a sulfa allergy?
You should not use torsemide if you are allergic to sulfa drugs or if you are unable to urinate.
Does furosemide cause sulfa allergy?
For example, the package insert for furosemide states that “patients allergic to sulfonamides may also be allergic to furosemide” [1]. Therefore, in clinical practice, the use of thiazide or some loop diuretics is often avoided in patients with a prior history of sulfonamide allergy.