In eight hypertensive patients treated with transdermal clonidine for one year, there was plasma dilution, as shown by a reduction in serum sodium, hemoglobin, and serum protein levels. Free water clearance did not change significantly. Plasma dilution was likely sustained by increased water intake due to “dry mouth”, as frequently seen with central acting drugs such as Clonidine.
ReidJL. Central alpha-2 receptors and the regulation of blood pressure in humans. J Cardiovasc Pharmacol1985; 7:S45–S50.
2.
ItskovitzHD. Clonidine and the kidney. J Cardiovasc Pharmacol1980;2:S47–S60.
3.
KaukerML, ZeiglerDW, ZawadaETJr.Influence on renal function of centrally acting antihypertensive alpha-adrenoreceptor agonists. Diuretics II: Proceedings of the 2nd International Congress on Diuretics, 1986 (in press).
4.
EpsteinM.Renal complications of liver disease. Clinical Symposia1985; 37:3–32.
5.
ZawadaETJr, JohnsonM, SicaD.Ethanol induced water diuresis is not prostaglandin dependent. Nephron1985;40:149–51.
6.
MacKenzieT, ZawadaETJr, JohnsonM, GreenS.The importance of age on postaglandin E2 excretion in normal and hypertensive men. Nephron1984; 38:178–82.
7.
DiBonaGF. Neural control of renal function: role of renal alpha adrenoreceptors. J Cardiovasc Pharmacol1985; 7:S18–S23.
8.
KimuraT, ShartL, WangBC, CroftonJT. The role of central adrenoreceptors in the control of vasopressin release and blood pressure. Endocrinology1981; 108:1829–36.
9.
GilmanAG, GoodmanLS, RailTW, MuradF.The pharmacological basis of therapeutics. New York: MacMillan, 1985; 790–2.
10.
LevitanD, MassrySG, RomoffM, CampeseVM. Plasma catecholamines and autonomic nervous function in patients with early renal insufficiency and hypertension: effect of Clonidine. Nephron1984; 36:24–9.