Subcutaneous Furosemide in Heart Failure

Autor: Domenic A. Sica, MD, Pieter Muntendam, MD, Rene L. Myers, PhD, Jozine M. ter Maaten, MD, PhD, Mark E. Sale, MD, Rudolf A. de Boer, MD, PhD, Bertram Pitt, MD
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: JACC: Basic to Translational Science, Vol 3, Iss 1, Pp 25-34 (2018)
Druh dokumentu: article
ISSN: 2452-302X
DOI: 10.1016/j.jacbts.2017.10.001
Popis: Parenteral diuretics form the cornerstone of decongestion in heart failure. However, parenteral therapy routinely requires emergency room or inpatient care. A novel buffered furosemide formulation with neutral pH was developed to offer “hospital-strength” diuresis for outpatient use, including self-administration at home. Subcutaneous infusion using a biphasic delivery profile resulted in complete bioavailability (99.65%) and equivalent diuresis when compared with intravenous administration. Subcutaneous administration of buffered furosemide was well tolerated with no evidence of any drug-induced skin reactions. Subcutaneous infusion of buffered furosemide in the outpatient setting or home may help to reduce the burden of heart failure.
Databáze: Directory of Open Access Journals