Another reason I saw my PCP yesterday was to ask her for a prescription for Moduretic. My cardiologist refused to provide one because he said it wasn't indicated. My PCP didn't write one because she is unfamiliar with this diuretic.
This may be an appropriate place to discuss Dr. Howard Wayne's rationale for using diuretics in his treatment of hypertension and coronary artery disease. Here are the good doctor's own words, taken from his last book, Do You Really Need Bypass Surgery? A Second Opinion. It is available at http://www.heartprotect.com.
"Diuretics remove excess fluid from the body by increasing the excretion of sodium and water by the kidneys. This is followed by a reduction of the volume of blood circulating within the blood vessels throughout the body. This leads to dilatation of the small blood vessels which lowers the resistance to the flow of blood. The result is a fall in blood pressure.
"Unfortunately, many cardiologists are reluctant to use diuretics in the treatment of both coronary artery disease and hypertension. This was the result of many years of misinformation that diuretics were actually harmful because they temporarily induced certain metabolic changes such as elevation of creatinine, cholesterol, triglycerides, blood sugra, calcium and uric acid, and caused a loss of potassium. Unfortunately the complications of undertreatment of hypertension and coronary artery disease caused for more problems than minor changes in the blood chemistries. Indeed, the metabolic changes that supposedly occurred following the administration of diuretics disappeared within a few months of continued usage and the addition of supplementary potassium medication."
Moduretic is a combined thiazide and potassium blocker. The generic name is hydrochlorothiazide and amiloride. Amiloride is a potassium sparing agent and is in an amount of 5 mg per tablet. The HCTZ in each tablet is 50 mg. The usual dosage of Moduretic is one 5/50mg tablet twice daily.