Effects of single doses of two antihypertensive rauwolfia-diuretic combinations on urinary excretion

S Afr Med J. 1986 Jul 19;70(2):95-8.

Abstract

In a double-blind placebo-controlled investigation, 14 healthy adult male volunteers were studied to assess and compare the urinary effects of acute single doses of two antihypertensive formulations containing: hydroflumethiazide 50 mg, Rauwolfia serpentina 50 mg and potassium chloride 625 mg (HFRK) (Rautrax-50; Squibb Laboratories); and clopamide 5 mg, reserpine 0.1 mg and dihydroergocristine 0.5 mg (CRE) (Brinerdin; Sandoz Products). Both significantly increased mean 24-hour urinary outputs of fluid, Cl-, Na+, K+ and Mg2+. CRE increased creatinine and decreased Ca2+ output. After dosing, times to maximal urinary flow of fluid, Cl-, Na+, Ca2+ and creatinine were shortened by HFRK and CRE and those corresponding to K+, Mg2+, phosphate and urate were unaffected. Both formulations thus acted mainly through their diuretic constituents.

Publication types

  • Clinical Trial
  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Adolescent
  • Adult
  • Antihypertensive Agents / pharmacology*
  • Clopamide / pharmacology
  • Dihydroergotoxine / pharmacology
  • Diuretics / pharmacology*
  • Double-Blind Method
  • Drug Combinations
  • Electrolytes / blood
  • Electrolytes / urine*
  • Humans
  • Hydroflumethiazide / pharmacology
  • Male
  • Potassium Chloride / pharmacology
  • Random Allocation
  • Reserpine / pharmacology
  • Secologanin Tryptamine Alkaloids / pharmacology*
  • Time Factors
  • Urination / drug effects*

Substances

  • Antihypertensive Agents
  • Diuretics
  • Drug Combinations
  • Electrolytes
  • Secologanin Tryptamine Alkaloids
  • Dihydroergotoxine
  • Clopamide
  • Hydroflumethiazide
  • Potassium Chloride
  • Reserpine