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NDT Advance Access originally published online on August 22, 2005
Nephrology Dialysis Transplantation 2005 20(11):2299-2301; doi:10.1093/ndt/gfi109
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© The Author [2005]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org


Editorial Comment

Thiazides: do they kill?

Peter Gross and Catrin Palm

Nephrology, Medizinische Klinik III, Universitätsklinikum C.G. Carus, Dresden, Germany

Correspondence and offprint requests to: Peter Gross, Nephrology, MK III, Universitätsklinikum C.G. Carus, Fetscherstr. 74, D-01307 Dresden, Germany. Email: peter.gross@mailbox.tu-dresden.de

Keywords: aquaporin-2; hyponatraemia; thiazides

The first 10% of the full text of this article appears below.



   Introduction
 
In 2000 and 2002 after the ALLHAT-study had been published [1,2] there was a paradigm shift in the use of thiazides. ALLHAT was a study of cardiovascular endpoints in relation to different antihypertensive treatments in 33 357 hypertensive patients observed over an average of 4.9 years. The study [1,2] found no differences between the three treatment groups [diuretics in the form of chlorthalidone vs calcium antagonists (amlodipine) vs ACEI (lisinopril)]. Consequently, after ALLHAT, it was emphasized that thiazides ought to be an integral part of the hypertensive patient's prescription sooner or later—and health policy makers clearly favoured ‘sooner’ over ‘later’ because of their low cost. Indeed, the sale of thiazide-like agents has more than doubled between 2001 and 2004 in Germany alone. . . . [Full Text of this Article]



   Why is the lady comatose?
 


   Thiazide-hyponatraemia: do they die?
 


   What is wrong with summer?
 


   Any new kids on the block?
 


   Conclusions
 

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