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Are certain diuretics also anticonvulsants?

D C Hesdorffer1, J P Stables, W A Hauser

  • 1Gertrude H. Sergievsky Center, Columbia University, New York, NY 10032, USA. dch5@columbia.edu

Annals of Neurology
|October 17, 2001
PubMed
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Diuretic use, including thiazides and furosemide, may protect against seizures. Both medications showed anticonvulsant activity in animal models and epidemiological studies, suggesting potential for seizure control.

Area of Science:

  • Neurology
  • Pharmacology
  • Epidemiology

Background:

  • Previous studies indicated diuretic use is protective against first unprovoked seizures in adults.
  • Emerging animal research suggests specific diuretics possess anticonvulsant properties.

Purpose of the Study:

  • To investigate the anticonvulsant potential of current diuretic use in older adults.
  • To evaluate chlorthiazide and furosemide for seizure protection in animal epilepsy models.

Main Methods:

  • A population-based, case-control study was conducted in older adults.
  • Animal models (mice and rats) were used to test chlorthiazide and furosemide against electroshock-induced seizures.

Main Results:

  • Diuretic use was associated with a reduced risk of epilepsy (OR = 0.62).

Related Experiment Videos

  • Thiazide use showed a significant protective effect (OR = 0.53), and furosemide suggested protection (OR = 0.44).
  • Both chlorthiazide and furosemide demonstrated dose-dependent seizure suppression in animal models with low toxicity.
  • Conclusions:

    • Chlorthiazide and furosemide exhibit protective effects against unprovoked seizures.
    • Their low toxicity and cost warrant further investigation in clinical trials for seizure management.