Despite the administration of cardiotonics and thiazide diuretic a patient with chronic heart failure has persistent edemas and the risk of ascites arose. What medication should be administered to enhance the diuretic effect of the administered drugs?

Answer options

1. Spironolactone
2. Amiloride
3. Clopamide
4. Furosemide
5. Manithol

Explanation

Thiazide diuretics are Potassium wasting diuretics. Spironolactone (Triamterene) is a Potassium-sparing diuretic that also relieves pulmonary and systemic edema. It reduces blood pressure and pre-load helping heart failure.