Edema

Updated: November 13, 2022

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Background

Epidemiology

Anatomy

Pathophysiology

Etiology

Genetics

Prognostic Factors

Clinical History

Physical Examination

Age group

Associated comorbidity

Associated activity

Acuity of presentation

Differential Diagnoses

Laboratory Studies

Imaging Studies

Procedures

Histologic Findings

Staging

Treatment Paradigm

by Stage

by Modality

Chemotherapy

Radiation Therapy

Surgical Interventions

Hormone Therapy

Immunotherapy

Hyperthermia

Photodynamic Therapy

Stem Cell Transplant

Targeted Therapy

Palliative Care

Medication

 

triamterene hydrochlorothiazide

1-2 tablets/capsules 37.5mg/25mg (triamterene/hydrochlorothiazide) or
50mg/25mg (triamterene/hydrochlorothiazide) orally every Day
1 tablet 75mg/50mg (triamterene/hydrochlorothiazide) orally every Day



clopidogrel 

75

mg

Tablet

Orally 

every day



bumetanide 

0.5 - 2

mg

Orally 

once a day

; may be repeated every 4-5 hours for up to 2 doses; maximum daily dose is 10 mg

IM- 0.5-1 mg intramuscular once; may be repeated every 2-3 hours for up to 2 doses; maximum daily dose is 10 mg.

IV- 1 mg intravenous at first, then 0.5-2 mg/hr



nylidrin 

12 - 48

mg

Tablet

Orally 

divided into 3 to 4 doses every day



dexamethasone 

Indicated for cerebral edema
10 mg intravenously followed by 4 mg of intramuscular injection every 6 hours until improvement is achieved
Reduce the dose 2-4 days and discontinue gradually over 5-7 days



methyclothiazide 

Initial dose is 2.5 mg taken orally daily
dose may be adjusted upwards if necessary
dose should not exceed 10 mg taken orally daily



indapamide 

Start with 2.5 mg orally daily and may raised up to 5 mg daily



sodium chloride hypertonic, ophthalmic  

Indicated for corneal Edema
Ophthalmic solution- Administer 1-2 drops into the affected eye(s) every 3-4 hours or as instructed by a healthcare professional
Ophthalmic ointment- lower the eyelid(s) gently and administer a small quantity (approximately 1/4 inch) of ointment on the inner surface of the eyelid
Apply one time daily and follow the instructions of healthcare provider



spironolactone 


Indicated for Edema:
The recommended oral dosage for this medication ranges from 25 to 200 mg every day, either as a single dose or multiple doses
Initial dose should be continued for at least five days, after that adjust to maintenance dose
NOTE:
Additional diuretic treatment may be necessary if adequate diuresis is not achieved within five days, and the dosage of the initial drug should remain unchanged in this case
Hypertension:
To begin treatment, the recommended initial oral dose is 50 to 100 mg every day, either as a single dose or multiple doses
Treatment should continue for at least 2 weeks to achieve the maximum response, after which the dose may be adjusted based on the patient's response
Congestive Heart Failure:
25 mg every day ,assuming serum potassium levels are ≤5 mEq/L and serum creatinine levels are nearly equal to 2.5 mg/dL
Patients who tolerate the initial dose may increase their dose to 50 mg orally every day or decrease to 25 mg orally every other day
Hyperaldosteronism:
For the purpose of diagnosing primary hyperaldosteronism:
Long test-400 mg orally every day for 3 to 4 weeks
Short test-400 mg orally every day for 4 days
Maintenance dose-100-400mg orally every day till surgery



cyclandelate 

2 gm each day initially
Maintain the dose at 800-1200 mg each day
Keep the maximum dose upto 2 gm in daily divided doses



benzthiazide 

starting dose: 25-100 mg orally given two times a day after the meals
Maintenance dose: 50-150 mg daily given orally in 2-3 divided doses. Maximum recommended dose is 200 mg daily orally in 2-4 divided doses



Dose Adjustments

Dosing modifications
Renal impairment
CrCl less than 25 mL/min: usually not recommended.
CrCl 25 to 80 mL/min: starting dose: 25 mg orally given two times a day after the meals. Maintenance dose: 50-100 mg daily given orally in a single or in two divided doses.
Liver impairment
Not known

piretanide 

with heart failure :

3 to 6 mg in a day



chlorthalidone 

12.5-25 mg orally once daily
Administer alternatively on specific weekdays
Increase the dose as required based on tolerability and response up to 100 mg each day
Administer in combination with loop diuretics
To avoid over-diuresis and determine the efficacy, assess the status of the volume every 2-3 days
Continue the medication until the restoration of euvolemia occurs



hydroflumethiazide 

In cardiac cases, renal or hepatic, including the iatrogenic oedema: 50 to 200 mg given daily in 1 to 2 divided doses initially, preferably morning, may be reduced to 25 to 50 mg on alternate days or according to the patient's response



fenquizone 

10 to 20 mg daily



beraprost 


Indicated for Peripheral vascular disease
120 mcg orally every day in divided three times a day
Primary pulmonary hypertension
Initial dose: 60 mcg orally every day in divided three times a day It may enhance to 180 mcg orally every day in divided three-four times a day



bencyclane 

100 to 200 mg thrice a day



triamterene / benzthiazide 

Take one capsule orally thrice a day after a meal



torsemide 

The initial oral dose is 10 to 20 mg once daily, the dosage can be enhanced, by doubling it, till the desirable diuretic outcome is attained
Doses exceeding 200 mg have not undergone thorough investigation



bendroflumethiazide 

5 to 10 mg orally given daily in the morning or on the alternate days. 5 to 30 mg weekly in divided doses as maintenance dose. Maximum dose: 20 mg daily



bendroflumethiazide 

1 month to 2 years: 50 to 100 mcg/kg daily
Above 2 to 12 years: 50 to 400 mcg/kg daily (maximum dose of 10 mg), then 50 to 100 mcg/kg daily



bendroflumethiazide 

1 month to 2 years: 50 to 100 mcg/kg daily
Above 2 to 12 years: 50 to 400 mcg/kg daily (maximum dose of 10 mg), then 50 to 100 mcg/kg daily



polythiazide 

At starting, take 1 mg to 4 mg orally one time a day during morning time



amiloride 

maintenance dose:

5

mg

Tablet

Orally 

5-10mg orally every 24hours



cyclothiazide 

The oral starting dose is 1 to 2 mg one time a daily, basically in the morning hours
For the maintenance therapy, the dose is 1 to 2 mg twice or thrice a week



cyclopenthiazide 

Initial dose: 0.25 to 0.5 mg is given daily and can be reduced to the lowest effective dosage for maintenance. In pan patients with heart failure, up to 1 mg is given daily



trichlormethiazide 

Take a dose of 1 to 4 mg orally daily



buflomedil 

Buflomedil is a vasodilator medication that improves muscle cell metabolism, platelet aggregation inhibition, and the deformability of red blood cells (RBC)
It is a mild calcium channel blocker and an inhibitor of alpha-adrenoceptors
The recommended usual dose is 300-600 mg via oral administration in a day
The recommended usual IM dose is up to max 100 mg in a day
The recommended usual IV dose via slow IV injection is up to max 200 mg in a day or up to max 400 mg in a day by infusion



Dose Adjustments

Limited data is available

triamterene 

Take a dose of 100 to 300 mg orally every day or divided dose every 12 hours



dihydroergocristine 

Indicated in the treatment of peripheral vascular disease and cerebrovascular insufficiency related mental deterioration
Typically, a divided daily dose of 3–6 mg is advised



Dose Adjustments

Limited data is available

hydrochlorothiazide 

25-100mg orally once or twice a day



triamterene/hydrochlorothiazide 

1 tablet of 75 mg triamterene and 50 mg HCTZ orally every day
1-2 tablets/capsules of 37.5-50 mg triamterene and 25 mg HCTZ orally every day



 

sodium chloride hypertonic, ophthalmic  

Indicated for corneal edema
Ophthalmic solution-Administer 1-2 drops into the affected eye(s) every 3-4 hours or as instructed by a healthcare professional
Ophthalmic ointment- lower the eyelid(s) gently and administer a small quantity (approximately 1/4 inch) of ointment on the inner surface of the eyelid
Apply every 3-4 hours or as instructed by a healthcare professional



spironolactone 


Indicated for Edema as off label
1-3.3 mg/kg every day orally or in divided two times a day
It should not exceed 3.3 mg/kg in a day or 100 mg in a day
Hypertension as off-label
1-3.3 mg/kg every day orally or in divided two times a day
It should not exceed 3.3 mg/kg in a day or 100 mg in a day



hydroflumethiazide 

above 12 years: Initial Recommended dose is 1 mg/kg daily



triamterene / benzthiazide 

Take one capsule orally thrice a day after a meal



hydrochlorothiazide 

< 6 months:1-3 mg/kg/day orally every 12 hours
6 months years:1-3 mg/kg/day orally once a day
2-12 years: 1-3mg/kg/day



 

triamterene / benzthiazide 

Take one capsule orally thrice a day after a meal



hydrochlorothiazide 

Administer 12.5 to 25mg/day orally



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Edema

Updated : November 13, 2022

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