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    Am J Ther. 2009 Jan 8. [Epub ahead of print]

    The Pleiotropic Effects of Ethacrynic Acid.

    Somberg JC, Molnar J.

    1Department of Pharmacology and Medicine, Division of Clinical Pharmacology, Rush University, Chicago, IL; and 2American Institute of Therapeutics, Lake Bluff, IL.

    Ethacrynic acid (EC), an effective loop diuretic especially in patients allergic to sulfa-containing drugs, possesses a number of potentially useful actions in addition to the inhibition of the Na-K-2Cl kidney symport. Inhibition of the enzyme glutathione S-transferase plays an important role in reducing chemotherapy drug resistance. Chemical modifications of EC increase inhibition of glutathione S-transferase and reduce toxicity due to diuretic action (hypotension and hypovolemia). This work may lead to effective therapies in reducing chemotherapy resistance in cancer chemotherapeutics. In addition, EC or conjurers may be a radiation enhancer, an anti-inflammatory agent, or a treatment for glaucoma.

    PMID: 19142157 [PubMed - as supplied by publisher]

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    Patient drug information

    • Ethacrynic Acid (Edecrin®)

      Ethacrynic acid, a 'water pill,' is used to treat high blood pressure and fluid retention caused by various medical problems. It causes the kidneys to get rid of unneeded water and salt from the body into the urine.