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	<title>Get Pharmacy Advice &#187; sulfa in diuretics</title>
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		<title>Sulfa Allergy and Diuretics</title>
		<link>http://www.getpharmacyadvice.com/sulfa-allergy-and-diuretics/</link>
		<comments>http://www.getpharmacyadvice.com/sulfa-allergy-and-diuretics/#comments</comments>
		<pubDate>Fri, 23 Jul 2010 03:14:30 +0000</pubDate>
		<dc:creator>Cate Sibley, Pharm.D.</dc:creator>
				<category><![CDATA[High Blood Pressure]]></category>
		<category><![CDATA[Medication Side Effects]]></category>
		<category><![CDATA[diuretics]]></category>
		<category><![CDATA[sulfa allergy]]></category>
		<category><![CDATA[sulfa in diuretics]]></category>
		<category><![CDATA[sulfa in water pills]]></category>
		<category><![CDATA[water pills]]></category>

		<guid isPermaLink="false">http://www.getpharmacyadvice.com/?p=1222</guid>
		<description><![CDATA[Is it safe to take diuretics (aka water pills) if you have a sulfa allergy?  Check out my video below to find out!  Just a little disclaimer to go with the clip: this is not my best video to date.  Don&#8217;t know what happened! So, those potassium-sparing diuretics I mentioned that do not contain sulfa are [...]]]></description>
			<content:encoded><![CDATA[<p>Is it safe to take diuretics (aka water pills) if you have a sulfa allergy? </p>
<p>Check out my video below to find out! </p>
<p>Just a little disclaimer to go with the clip: this is not my best video to date.  Don&#8217;t know what happened!</p>
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<p>So, those potassium-sparing diuretics I mentioned that <span style="text-decoration: underline;">do not contain sulfa</span> are <strong>amiloride</strong>, <strong>triamterene</strong>, and <strong>spironolactone.  </strong></p>
<p>The additional diuretic that does not contain sulfa, but is not a potassium-sparing diuretic is <strong>ethacrynic acid.  </strong></p>
<p>Just wanted to provide those medication names in case you absolutely cannot take a sulfa-containing diuretic!</p>
<p>Whoa, that was a little rough, but at least you&#8217;ve got some info to start with, and if you need some clarification on the matter, definitely get in touch with me at <a href="mailto:Cate@getpharmacyadvice.com">Cate@getpharmacyadvice.com</a>.</p>
<p>Thanks for checking in!</p>
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		<item>
		<title>Do All Diuretics Contain Sulfa?</title>
		<link>http://www.getpharmacyadvice.com/do-all-diuretics-contain-sulfa/</link>
		<comments>http://www.getpharmacyadvice.com/do-all-diuretics-contain-sulfa/#comments</comments>
		<pubDate>Fri, 23 Oct 2009 00:19:32 +0000</pubDate>
		<dc:creator>Cate Sibley, Pharm.D.</dc:creator>
				<category><![CDATA[High Blood Pressure]]></category>
		<category><![CDATA[diuretics]]></category>
		<category><![CDATA[sulfa]]></category>
		<category><![CDATA[sulfa in diuretics]]></category>
		<category><![CDATA[sulfa water pills]]></category>
		<category><![CDATA[water pills]]></category>

		<guid isPermaLink="false">http://www.getpharmacyadvice.com/?p=673</guid>
		<description><![CDATA[Hey my fellow GPA blog family members!    We’re back from our trip to Asia, and we’ll share some photos with you soon, but first I’m going to share with you a question we received from a reader.   Here’s the question:   Is there any diuretic that does not have sulfa in it?   [...]]]></description>
			<content:encoded><![CDATA[<p>Hey my fellow GPA blog family members! </p>
<p> </p>
<p>We’re back from our trip to Asia, and we’ll share some photos with you soon, but first I’m going to share with you a question we received from a reader.</p>
<p> </p>
<p>Here’s the question:</p>
<p> </p>
<p><strong><em><span style="text-decoration: underline;">Is there any diuretic that does not have sulfa in it</span></em></strong><strong><em>?</em></strong><strong><em></em></strong></p>
<p> </p>
<p>With a question comes an answer – here ya go!</p>
<p> </p>
<p><em>“Thanks for submitting a question!  Sorry I didn&#8217;t get back to you sooner &#8211; I&#8217;m out traveling around.  It&#8217;s a nice vacation from the pharmacy, and what&#8217;s great is that I can take GetPharmacyAdvice.com along.  </em></p>
<p><em> </em></p>
<p><em>To answer your question, there is one diuretic that does not have sulfa in it &#8211; <strong>ethacrynic acid</strong>.  </em></p>
<p><em> </em></p>
<p><em>The brand name would be <strong>Edecrin</strong>, but to be honest, I&#8217;ve never seen the brand version dispensed in the pharmacy and I&#8217;m not sure we even have it on the shelves (I&#8217;ll look into that when I get back to work). </em></p>
<p><em> </em></p>
<p><strong><em>Ethacrynic acid is a great alternative to all the sulfa-containing diuretics</em></strong><em>.  Even if you&#8217;ve had a severe reaction to the other diuretics, you will not have that reaction to ethacrynic acid (<strong>there is no chance of what&#8217;s called cross-reactivity</strong>)!  </em></p>
<p><em> </em></p>
<p><em>However, if you cannot get your hands on ethacrynic acid for whatever reason (there was a shortage on it at one point), it would be very rare that you would have an allergic reaction to the sulfa-containing diuretics even if you have an allergy to sulfa.  <strong>This is true even if you experienced an allergic reaction to a sulfa-containing antibiotic</strong>.  </em></p>
<p><em> </em></p>
<p><em>If you have had an allergic reaction to diuretics and you can&#8217;t get your hands on ethacrynic acid, <strong>a physician may be willing to do what&#8217;s called a dose-graded challenge</strong>. </em></p>
<p><em> </em></p>
<p><em>In this situation, your doctor would start at a very low dose of the offending diuretic and increase the dose over a certain time interval (i.e. every 15 minutes).  They would increase the dose until the target dose is reached, you would be monitored closely, and they would be well prepared for a possible severe reaction (epinephrine injection and antihistamines on hand!).  </em></p>
<p><em> </em></p>
<p><em>If by chance you truly have an allergic reaction, physicians could also try to make your body less sensitive to the sulfa-containing diuretic by using a similar method as the abovementioned dose-graded challenge.</em></p>
<p><em> </em></p>
<p><em>I think that&#8217;s it for now.  I hope this was helpful to you and not too confusing!”</em></p>
<p><em> </em></p>
<p>Whoop, there it is!</p>
<p> </p>
<p>Any questions, any questions at all?  If so, e-mail me at <a href="mailto:cate@getpharmacyadvice.com">cate@getpharmacyadvice.com</a> or comment on this post! </p>
<p> </p>
<p>And no worries, our FREE video course on how to save the moolah on your prescription drugs is still available.  Get it instantly by going to <a href="http://www.getpharmacyadvice.com/freegift.html" target="_blank">http://www.getpharmacyadvice.com/freegift.html</a>! </p>
<p> </p>
<p>Happy savings!</p>
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