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Medicine General a2475caf

Treatment of choice for polyuria in lithium induced diabetes insipidus is:

A
Vasopressin
B
Mineralocoicoid antagonist
C
Amiloride
D
Loop diuretic
High-Yield Explanation
Answer is C (Amiloride): Amiloride is currently the treatment of choice for polyuria in lithium induced diabetes insipidus. Amiloride a potassium-sparing diuretic is the drug of choice to treat polyuria and raise maximum urinary osmolality in lithium-treated patients. Amiloride blocks the cellular uptake of lithium ENaC, thus antagonizing the inhibitory effects of Lithium on Vasopressin induced water transpo

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