The best diuretics
Various diseases affecting the kidneys, heart, lungs, liver, blood vessels can provoke the formation of edema, it can also be the consequences of allergic reactions, pregnancy, excessive water intake and other abnormalities. The best diuretics, selected by experts in the Top based on the recommendations of doctors, patient reviews, and clinical trials, can quickly and effectively solve the problem. How to choose what to buy from the proposed, will prompt the correct criteria, the reputation of the manufacturer's pharmaceutical company, as well as the proposed circumstances that require the use of such funds.

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Diuretic of which company is better to choose
The first criterion by which you can choose a safe diuretic with the desired therapeutic effect is a manufacturer with an impeccable reputation, successful activities and a good range of products. Recommendations of medical specialists and real reviews helped to identify worthy nominees. The following companies were included in the survey:
- Canonpharma production (Torasemid) is a modern Russian pharmaceutical company founded in 1998. For a short period of work, a production base has already been created according to the latest innovations and world standards.
- Obolensk Pharmaceutical Enterprise (Spironolactone) is a Russian pharmaceutical company founded in 1994. The foundation of the State Center for Applied Microbiology contributed to the emergence and development. The range of modern drugs fully complies with ISO and GMP standards.
- Sopharma (Furosemide) is a private manufacturer from Bulgaria, which has been improving the quality of human life for over 80 years. In 1933, pharmacists united to create their own laboratory, since then technologies have been regularly updated, creating natural, effective medicines.
- Hinoin RT. (Hypothiazid) is a pharmaceutical, chemical products plant, and also a subsidiary of Sanofi-Sintelabo from Hungary. It has two factories, one produces products in the form of tablets, capsules, the other - solutions for injections or vials.
- Gedeon Richter-Rus (Veroshpiron) is an international corporation producing medicines in more than 100 countries. But the head office is registered in Hungary. For over 115 years the brand has been providing clinics and their patients with high-quality effective treatment.
- Pharmapol-Volga (Asparkam) is a Russian pharmaceutical company engaged in the production of finished medicines and substances, medical products since 1998.
- Hemofarm (Indapamid) is an international pharmaceutical company that was founded in Serbia in 1960. And since 2006 it has been privatized by the well-known German company Stada Ag.
- OZONE (Hydrochlorothiazide) is one of the leading companies in Russia for the production of medicines for various fields of medicine. It stands out among domestic pharmaceutical companies with its huge competitive generic portfolio.
- Ratiopharm (Amiloride) is a German company famous for the production of effective, but inexpensive generics of the world's bestsellers in the pharmaceutical industry.Founded in 1974. The product range is distributed not only within Germany, but also in 35 countries around the world.
- LLC Grotex (Euphyllin) is a well-known Russian pharmaceutical company that produces sterile liquid medicines. All products comply with GMP standards.
- Herbapol (Fitolysin) is a Wroclaw herbal company that offers natural treatments for various diseases. It is the largest Polish manufacturer of natural products, which has been operating for over 60 years.
- Bionorica CE (Kanefron) is a world manufacturer of preparations of exclusively herbal composition, engaged in this business for over 80 years. The products are registered in more than 40 countries.
Rating of diuretics
In addition to the manufacturer, the deciding factor in the choice will be the doctor's prescription. The specialist determines what type of drug, composition, pharmacological action will be appropriate in a particular case. After that, you can use the help of the expert rating. The following characteristics helped to select the best diuretics of 2024:
- Type - weak, moderate or intense action;
- Indications - for edema of the limbs, face, weight loss, pregnancy, pressure;
- Composition - synthetic, semi-synthetic, herbal active ingredient;
- Special instructions - contraindications, risks of undesirable effects, dosages;
- Toxic effect - the period of elimination, effect on the kidneys, blood clotting, etc.;
- Efficiency - the speed of the onset of the effect, the time of exposure.
Also, the review was directly influenced by the reviews of medical specialists, the experience of patients and their personal observations. The calculation took into account the ratio of price and quality, the results of clinical trials of each pharmaceutical product, safety for the body.
The best diuretics for leg swelling
Swelling of the legs periodically occurs in many, but the systematic manifestation of such a symptom may indicate a violation of the cardiovascular system. Excessive consumption of liquids, alcohol, salty foods can also lead to this. With the help of diuretics, the work of the excretory system is being adjusted, cleansing the tissues of excess fluid and salts. Before naming the best offers in this category, experts studied more than a dozen drugs, doctors' recommendations, patient reviews.
Torasemid
A good diuretic for edema of the lower extremities and the face of moderate action. The main substance has the same name - torasemide. It helps to remove excess fluid, sodium at high blood pressure, in the case of heart, kidney failure, providing a saluretic, diuretic effect. The effect occurs one hour after ingestion, and the maximum effect occurs after 2 hours, remaining for about 12-18 hours. Available in tablet form.
Advantages
- Increased diuresis;
- Long-lasting effect;
- Moderate impact;
- Easy assimilation by the digestive tract;
- Prevention of fluid retention by the body;
- Reduced pressure.
disadvantages
- Not suitable for people with low blood pressure;
- Contraindications, risks of unwanted side effects.
Patients note that the increase in urination is not observed immediately and moderately, which makes it possible not to limit human activity in any way. If you do not violate the dosage according to the instructions, side effects will not occur, except for a slight decrease in pressure and excretion of potassium. This means that it is not suitable for hypotonic persons.
Spironolactone
The Russian diuretic differs from other analogs in that it is a magnesium-, potassium-sparing drug. It shows good results in the complex therapy of chronic heart failure, removes excess water without disturbing the acid-base balance.By the type of action, it belongs to weak diuretics, which means that a pronounced effect can be observed 2-5 days later after regular use of the tablets. Fully absorbed in the digestive tract, Spironolactone is excreted by the kidneys.
Advantages
- Maintains the level of potassium, magnesium in the body;
- Slowly removes moisture without risks to health;
- Reduces the level of stress on the heart;
- Rarely causes side effects;
- Allowed for the 2nd and 3rd trimester of pregnancy;
- Inexpensive price tag.
disadvantages
- Therapeutic effect after a few days;
- A large list of side symptoms.
Such a remedy is referred to as a weak hormonal drug. For this reason, it is advisable to use the tablets under the supervision of a doctor, especially for women during pregnancy. Among the reviews, you can rarely find people in whom Spironolactone caused unwanted symptoms.
The best diuretics for facial swelling
Another unpleasant consequence of disturbances in the body is swelling of the face, bags under the eyes, puffiness. After the reasons for this condition are found out, you can choose a safe drug. They helped determine the best diuretics reviews, clinical trial results, expert opinions.
Furosemide
The diuretic Furosemide is the most popular, widespread diuretic in Russia and the countries of the former CIS. According to the spectrum of action, it belongs to the group of strong medicines, which means that it will quickly remove excess water and sodium salts from the body. Thanks to this effect, it is possible to reduce blood pressure (BP), to improve the patient's condition with diseases of the heart, kidneys, liver. After taking the pills, relief is felt after 20-30 minutes, lasting up to 6 hours. Preferably taken on an empty stomach.
Advantages
- Fast pronounced effect;
- Decrease in blood pressure;
- Appropriateness for severe edema;
- Weight loss;
- Availability;
- Cheap price tag.
disadvantages
- Risks of dehydration
- Does not heal by providing an ambulance.
Doctors prefer to use such pills in critical situations when quick help is needed. If you enter an injection, the therapeutic effect occurs within 5 minutes. But for long-term therapy, Furosemide is not suitable, as it can lead to dehydration. Before buying, it is important to familiarize yourself with the contraindications, as there are many of them.
Hypothiazide
This remedy is based on hydrochlorothiazide, which promotes the elimination of sodium and potassium. In this regard, it belongs to the average therapeutic effect of thiazide diuretics. Most often, doctors prescribe Hypothiazide to eliminate puffiness of the face against the background of pathologies of the kidneys, heart, and also to prevent urolithiasis. After taking the tablets, the result is expected in 2 hours, in general it lasts 10-18 hours. It is used in mono therapy or complex treatment.
Advantages
- Hypotensive effect;
- A marked decrease in puffiness;
- Long lasting effect;
- Single or long-term use;
- Inexpensive price tag.
disadvantages
- Excretion of potassium;
- Inadmissibility in diabetes mellitus.
If you need temporary help, you can use the tablets once. For medical purposes, a course reception is practiced. In case of kidney disease, the drug should not be combined with potassium-containing, antiarrhythmic drugs.
The best diuretics for weight loss
Another relevant category is diuretics for weight loss, tablets or capsules that remove excess fluid and salts. But you need to understand that the fight against excess weight is not limited to this, at the same time they adjust their diet and lifestyle. After analyzing the patient experience, recommendations of medical specialists, efficacy and safety, the best offers of 2024 were selected.
Veroshpiron
Another potassium-sparing agent intended to alleviate the condition of a person with edematous syndrome against the background of pathologies of the endocrine system, a chronic form of heart failure. It belongs to the group of weakly acting diuretics that do not harm the acid-base balance. The maximum therapeutic result is observed after a couple of days of use. A moderate decrease in blood pressure also promotes the release of blood vessels from accumulated water.
Advantages
- Soft effect;
- Safety;
- Preservation of acid-base balance, potassium;
- Bringing blood pressure back to normal;
- Long-term preservation of the result.
disadvantages
- Hormonal structure;
- Risks of excretion of sodium, calcium.
Veroshpiron diuretic demonstrates the maximum benefit in the fight against excess weight in combination with a protein diet. The risks of side effects are minimal if you follow the instructions.
It is not recommended to abuse such a diuretic, since it is a hormone in structure and can lead to a deficiency of calcium and sodium.
Asparkam
Such a medicine is designed to regulate metabolic processes. The composition contains substances such as potassium and magnesium, which prevent dehydration. Correct use of Asparkam helps to cope with heart rhythm disturbances, insufficiency, and prevents the risks of heart attack. You can use pills after a hangover to get out of a broken state without loss. By itself, Asparkam regulates water-electrolyte balance, so it is used together with diuretics to prevent risks.
Advantages
- Fast action;
- Safe composition;
- No restrictions for pregnant women;
- Prevention of potassium and magnesium deficiency;
- Inexpensive price tag.
disadvantages
- Lack of enteric form;
- Possible adverse reactions from the gastrointestinal tract.
Asparkam can be used in combination with any diuretic for the purpose of losing weight, but preventing the deficiency of important body resources. As a mono means, tablets do not promise a special result. But with diet you can achieve quick good changes. If there are problems with the digestive system, such a remedy can provoke side effects.
The best diuretics for high blood pressure
Hypertension is a serious medical condition that requires constant medical support. With an increase in blood pressure, there is a violation of the removal of water from the body, which leads to edema of varying degrees. Often, without diuretics, patients with severe hypertension are unable to reduce blood pressure at all. Therefore, the question is which diuretics are the best for high blood pressure.
Indapamide
A mild agent helps to reduce swelling in the presence of acute heart failure. The active substance helps to reduce the load on the heart, and this in turn leads to a decrease in peripheral vascular resistance. As a result, there is a gradual, harmless decrease in blood pressure. After taking the pill, first aid arrives an hour later, after which positive changes persist for another 12-18 hours. It is extremely important to take antihypertensive drugs in a complex to stabilize the patient's well-being.
Advantages
- Good diuretic effect;
- Acceptability of long-term use of tablets;
- The best uniform hypotensive effect among thiazides;
- Saving the result up to 1 day;
- No risks to kidney function;
- Convenient way of receiving;
- Inexpensive price tag.
disadvantages
- Normalization of pressure is not immediate;
- Reducing the effectiveness of drugs to lower blood sugar.
It is enough just to take 1 tablet daily along with other medicines prescribed to normalize blood pressure. Among analogues, this is the best antihypertensive option, since it evenly reduces performance without the risk of jumps in the morning.But you need to drink it for a long time, it can reduce the efficiency of drugs to lower sugar in diabetics.
Hydrochlorothiazide
Such tablets are widely used in the treatment of diseases of the urinary, cardiovascular, and respiratory systems. They demonstrate good results in the fight against symptoms that were provoked by impaired circulation of blood and other fluids in the body. With hypertension, take 1-2 tablets daily, severe edema, take up to 4 tablets per day. Hydrochlorothiazide will help relieve the condition of increased eye pressure.
Advantages
- Sparing action;
- Wide range of applications;
- Convenient way of receiving;
- OTC sale;
- Decrease in arterial and ocular pressure.
disadvantages
- Risks of developing type II diabetes mellitus;
- A large list of contraindications.
Such a remedy is actively used by doctors as a concomitant drug to the complex of the main treatment. But before resorting to his help, it is important to familiarize yourself with the contraindications, as there are many of them. Long-term irrational use of hydrochlorothiazide can lead to the development of diabetes.
Amiloride
A potassium-sparing drug that not only removes excess water from the body, but also prevents important nutrient resources from being washed away. In addition, it also contributes to their accumulation, in particular, potassium, magnesium. Such an action will be indispensable for swelling, provoked by pathologies of the heart and blood vessels, kidneys, liver. With hypertension, Amiloride helps to gradually reduce the level of pressure without risks to the patient. After taking the pill, changes are observed after 2 hours, remaining up to 2 days.
Advantages
- Long-term preservation of the therapeutic effect;
- Good absorption;
- Complete excretion from the body;
- Blood pressure stabilization;
- Accumulation of magnesium, potassium;
- A minimum of side symptoms.
disadvantages
- Risks of unwanted symptoms from the digestive system;
- Deterioration of health.
The weak but long-lasting effect is ideal for a diagnosis such as hypertension. Amiloride is well absorbed, easily excreted, and acts for a long time. The mild hypotensive effect allows you to take the pills for a long time. Sometimes they cause nausea and other symptoms of the gastrointestinal tract, can cause a feeling of weakness.
Best diuretics for pregnancy
In the second, third trimester of pregnancy, women often experience increased swelling. For this reason, doctors can prescribe natural diuretics for edema without mild side effects. It is important not to self-medicate here, even if these are herbal medicines, so as not to harm the health of the fetus. Experts have identified the best safe diuretics for pregnant women with proven effectiveness.
Euphyllin
One of the best offers for pregnant women, helping to gently eliminate puffiness. The active component aminophylline promotes vasodilation, relieves spasms, helps the kidneys to remove water in a timely manner, and prevents pressure surges. Demonstrates good results in the treatment of placental insufficiency, bronchial asthma, chronic lung ailments. It is advisable to take in short courses. Euphyllin is rapidly and completely absorbed.
Advantages
- Cheapness;
- Pressure stabilization;
- Spasmolytic effect;
- Fast results;
- Low percentage of unwanted symptoms.
disadvantages
- Allergic reactions are possible;
- Contraindications.
Sufficient safety of the composition allows the use of a diuretic during gestation. But here it is important to observe the dosage, to stop therapy in a timely manner.
Of the minuses, experts note possible allergic manifestations against a background of hypersensitivity.
Phytolysin
Natural diuretic preparation based on medicinal plants - field horsetail, wheatgrass, birch leaves, goldenrod, parsley.This set guarantees an antispasmodic effect. Components such as oil of orange, pine, peppermint can boast of anti-inflammatory effect. Also, the plant extract helps to remove fluid from the kidneys, prevent stones. In addition to pregnancy with concomitant edema, Phytolysin is used in the complex treatment of urinary tract inflammation.
Advantages
- No age restrictions;
- Natural composition;
- Multicomponent;
- Soft action;
- Comprehensive action.
disadvantages
- Peculiar smell;
- Risks of developing allergies.
The complete composition includes 20 valuable herbs that support the functions of vital organs. It is produced in the form of a paste with a specific aroma and taste. You can use the medicine from the first days of life in children, while carrying a fetus. Despite the non-toxic composition, allergic reactions to herbs are possible.
Kanephron
The review is completed by the most popular herbal preparation of all-round action - a diuretic, antiseptic, antispasmodic, anti-inflammatory agent. Rosehip, lovage, rosemary, centaury are of particular value in the list of medicinal herbs included in the composition. Initially, Kanefron tea is intended for the complex treatment of infectious and inflammatory processes in the kidneys. Now doctors recommend it as a prophylaxis of urolithiasis, as well as a decongestant medication for pregnant women.
Advantages
- Soft all-round action;
- No side symptoms;
- No contraindications;
- Naturalness;
- Multi-component composition.
disadvantages
- Price;
- The need for long-term use.
Since we are talking about a completely herbal preparation, for prophylaxis or for medicinal purposes, take it for at least 1 month. For this, one bottle may not be enough, therefore, buyers note significant expenses as a minus.
Which diuretic is better to buy
Depending on the problems and disorders in the body, due to which swelling is observed, a drug is selected from the group of diuretics. By identifying the nominees in different categories, analyzing the strengths and weaknesses of each, the following ranking results were summed up:
- Quick help with severe swelling - Furosemide;
- For chronic diseases, for the prevention of crises - Torasemide;
- Long-acting potassium-sparing diuretic - Amiloride;
- The best antihypertensive effect of thiazide is Indapamide;
- The safest multidisciplinary remedy, the popular choice is Kanefron;
- The best value for money - Eufillin.
It is possible to use such funds only according to the testimony of a doctor, without deviating from the instructions in the instructions. Each announced nominee has both strengths and weaknesses, which is important to consider before buying one thing.
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