Description
TolvaptanisaninhibitorofthevasopressinreceptorsubtypeV2;itactsasadiuretic,inhibitingreabsorptionofwaterinthekidneywithoutlossofsodium.Tolvaptanisaclinicallyeffectivediureticusedincongestiveheartfailure(CHF)andseverechronickidneydiseasethatdoesnotinducehypernatremia.Thiscompoundcanalsobeusedtotreatthesevereorchronichyponatremiastemmingfromsyndromeofinappropriateantidiuretichormonesecretion(SIADH)thatoccursaftertraumaticbraininjury.
References
OtsukaT,SakaiY,OhnoD,etal.Theeffectsoftolvaptanonpatientswithseverechronickidneydiseasecomplicatedbycongestiveheartfailure.ClinExpNephrol.2013Mar13.[Epubaheadofprint].PMID:23483323.
GrazianiG,CucchiariD,AroldiA,etal.Syndromeofinappropriatesecretionofantidiuretichormoneintraumaticbraininjury:whentolvaptanbecomesalifesavingdrug.JNeurolNeurosurgPsychiatry.2012May;83(5):510-2.PMID:22323742
GheorghiadeM,TeerlinkJR,MebazaaA.Pharmacologyofnewagentsforacuteheartfailuresyndromes.AmJCardiol.2005Sep19;96(6A):68G-73G.PMID:16181825.