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Benemid and Ethacrynic acid

Determining the interaction of Benemid and Ethacrynic acid and the possibility of their joint administration.

Check result:
Benemid <> Ethacrynic acid
Relevance: 19.08.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

Some investigators suggest that probenecid may acutely decrease the pharmacologic effects of loop diuretics by competitively inhibiting their renal secretion in the proximal tubule. A marked increase in diuresis and natriuresis may then follow due to increased amount of diuretic available at renal acceptor sites once probenecid has been cleared from the urine. In a study of eight normal volunteers, pretreatment with probenecid led to an overall increased response to a 40 mg dose of furosemide, as indicated by a 37% increase in sodium excretion and a 28% increase in urine volume over an eight-hour period. However, others have not corroborated these findings. One study reported no effect of probenecid on either cumulative response or time course of response of bumetanide, while another reported an increase in initial diuretic efficiency of furosemide but no change in cumulative urinary sodium excretion over five hours. No particular intervention is necessary during concomitant therapy with these agents, but clinicians should be aware of the potential for interaction.

References
  • Leary WP, Reyes AJ "Drug interactions with diuretics." S Afr Med J 65 (1984): 455-61
  • Brater DC, Chennavasin P "Effect of probenecid on response to bumetanide in man." J Clin Pharmacol 21 (1981): 311-5
  • Velasquez MT, Wan SH, Barr JW, Maronde RF "Effect of probenecid on the natriuresis and renin release induced by bumetanide in man." J Clin Pharmacol 21 (1981): 657-62
  • Vree TB, van den Biggelaar-Martea M, Verwey-van Wissen CP "Probenecid inhibits the renal clearance of frusemide and its acyl glucuronide." Br J Clin Pharmacol 39 (1995): 692-5
  • Brater DC "Effects of probenecid on furosemide response." Clin Pharmacol Ther 24 (1978): 548-54
  • Odlind B, Beermann B "Renal tubular secretion and effects of furosemide." Clin Pharmacol Ther 27 (1980): 784-90
  • Brater DC, Leinfelder J, Anderson SA "Clinical pharmacology of torasemide, a new loop diuretic." Clin Pharmacol Ther 42 (1987): 187-92
  • Homeida M, Roberts C, Branch RA "Influence of probenecid and spironolactone on furosemide kinetics and dynamics in man." Clin Pharmacol Ther 22 (1977): 402-9
  • Brater DC, Fox WR, Chennavasin P "Interaction studies with bumetanide and furosemide: effects of probenecid and of indomethacin on response to bumetanide in man." J Clin Pharmacol 21 (1981): 647-53
  • Sommers DK, Meyer EC, Moncrieff J "The influence of co-administered organic acids on the kinetics and dynamics of frusemide." Br J Clin Pharmacol 32 (1991): 489-93
  • Honari J, Blair AD, Cutler RE "Effects of probenecid on furosemide kinetics and natriuresis in man." Clin Pharmacol Ther 22 (1977): 395-401
  • Chennavasin P, Seiwell R, Brater DC, Liang WM "Pharmacodynamic analysis of the furosemide-probenecid interaction in man." Kidney Int 16 (1979): 187-95
Benemid

Generic Name: probenecid

Brand name: Benemid

Synonyms: n.a.

Ethacrynic acid

Generic Name: ethacrynic acid

Brand name: Edecrin, Edecrin Sodium, Sodium Edecrin

Synonyms: Ethacrynic Acid

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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