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Clinical pharmacy 2024/2025                            Level 3 Pharm D                             Pharmacology 1 (PO 502)





















































                                                  Osmotic diuretics
                                           ex.  Glycerol (oral) mannitol (iv)


                           Osmotic pressure of the plasma ➔ attract water from interstitial
                             & transcellular fluids.
               MOA        It is filtered at the glomerulus but is not reabsorbed from the renal

                             tubules ➔ osmotically attracts & retains water as it moves through
                             the nephron & into the urine.

                Uses      Mannitol ➔ treat cerebral edema & reduce intracranial pressure.
                          Glycerol & mannitol ➔ ttt of acute glaucoma.
                          Excessive plasma volume expansion ➔  heart failure & pulmonary

                             edema.

                S/E







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