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Furosemide

呋塞米
Mechanism of action:
Furosemide 是一種袢利尿劑(loop diuretic),屬於磺胺類(sulfonamide)衍生物。Furosemide 的利尿作用發生在腎臟亨利氏環的上升段粗枝(thick ascending limb of the loop of Henle),抑制鈉鉀氯共轉運蛋白2(Na⁺/K⁺/2Cl⁻ transporter 2,NKCC2)。正常情況下,NKCC2 負責將鈉、鉀與氯離子從腎小管腔再吸收回細胞。Furosemide 抑制此轉運蛋白活性後,使 NaCl 再吸收大幅下降,導致大量水分隨鈉排出。
Reference(s):
1. Prandota J et al. (2001). Clinical pharmacology of furosemide in children: a supplement. Am J Ther.
2. Ponto LL et al. (1990). Furosemide (frusemide). A pharmacokinetic/pharmacodynamic review (Part I). Clin Pharmacokinet.
3. Prandota J et al. (2002). Furosemide: progress in understanding its diuretic, anti-inflammatory, and bronchodilating mechanism of action, and use in the treatment of respiratory tract diseases. Am J Ther.
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