Edema		Diuretics
Water Retention

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diuretic will enhance the urinary excretion of sodium as well as water Therefore water is a diuretic but not a clinically effective one Indications for the use of a diuretic include

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this level will not increase diuresis Because the mechanisms of action are the same changing to a second loop diuretic will not work if an adequate dosage of the first is not effective 36 Consider adjusting the dosage for renal insufficiency since larger dosages may be necessary to attain the threshold amount of drug in the tubular fluid 36 The efficacy of diuretics becomes

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classes may be used Reducing sodium reabsorption in the distal nephron by adding a thiazide or potassium sparing diuretic may improve diuresis when loop diuretics alone do not work Prevention and patient education Take the time to educate patients about the side effects of their medication Instruct them to avoid OTC medications since some including NSAIDs may cause

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Ephedra Herb Ephedra sinica C S Powder

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Chicory Root Cichorium intybus Raw Roasted C S

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Calamus Root Sweet Acorus calamus C S Powder

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Corn Silk Zea mays C S Powder

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Colombo Root Cocculus palmatus C S

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Cayenne Pepper Capsicum annuum Powder 40 000 H U 90 000 H U 180 000 H U

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Comfrey Leaf Root Symphytum officinalis C S Powder

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Celery Seed Apium graveolens Whole

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Clary Sage Herb Salvia sclarea C S Properties and Uses It is feebly tonic

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Carrot Root Wild Daucus carota U S C S Powder

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Echinacea Purpurea Root Herb Echinacea purpurea C S Powder C S

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Chervil Leaf Anthriscus cerefolium C S

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Chaste Tree Berry Vitex agnus castus Powder Whole

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Chamomile Matricaria recutita Whole Powder

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Dead Nettle Leaf Lamium album C S

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Cowslip Flowers Primula varis Whole

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Cyani Flowers Whole Centaurea cyanus Artichoke

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