Bumetanide vs Amiloride: side-by-side comparison
Bumetanide (Loop diuretic) and Amiloride (Potassium-sparing diuretic) belong to different therapeutic classes and are rarely substitutes for each other. The comparison is useful when a single patient is weighing both options for adjacent or overlapping needs.
| Property | Bumetanide | Amiloride |
|---|---|---|
| Therapeutic class | Loop diuretic | Potassium-sparing diuretic |
| CAS | 28395-03-1 | 2609-46-3 |
| ATC | C03CA02 | C03DB01 |
| Molecular weight | 364.42 g/mol | 229.63 g/mol |
| Brands with this active ingredient | 1 | 1 |
What they share
Bumetanide and Amiloride share the common regulatory framework for prescription active ingredients, bioequivalence standards for generics, and pharmacist oversight. Beyond that, points in common are limited.
Key differences
Bumetanide acts by a different mechanism than Amiloride, with indications that barely overlap. Comparing the two is useful when a clinician has mentioned both in the same context or the patient wants to understand why one was prescribed instead of the other.
Mechanisms compared
Bumetanide: Bumetanide blocks the Na-K-2Cl cotransporter in the thick ascending limb of the loop of Henle, producing potent natriuresis and diuresis. Amiloride: Amiloride blocks the epithelial sodium channel (ENaC) in the distal convoluted tubule and collecting duct of the kidney, reducing sodium reabsorption and indirectly decreasing potassium and hydrogen ion excretion.
Indications compared
Bumetanide: Bumetanide is approved for oedema in heart failure, hepatic cirrhosis or chronic kidney disease, and for refractory oedema unresponsive to other diuretics. Amiloride: Amiloride is approved for hypertension (typically in combination with thiazides), oedema in heart failure or hepatic cirrhosis (in combination), and primary hyperaldosteronism (Liddle syndrome and pseudohyperaldosteronis…
Safety profile
Bumetanide: Common adverse effects include hypokalaemia, hyponatraemia, hypomagnesaemia, dehydration, hyperuricaemia, hyperglycaemia, ototoxicity (rare, dose-dependent) and orthostatic hypotension. Amiloride: Common adverse effects include hyperkalaemia (the main risk), hyponatraemia, dehydration and gastrointestinal upset.
Frequently asked questions
Is Bumetanide better than Amiloride? ▾
Bumetanide and Amiloride are not "better or worse" — they treat different things. The sensible question is which fits your specific need.
Can Bumetanide and Amiloride be combined? ▾
Whether they can be combined depends on the indications and the interaction profile of each. If both are in a single prescription, the prescriber has weighed it; in self-medication they should never be combined.
Do they have the same side-effect profile? ▾
No — they belong to different classes and have distinct side-effect profiles. Each has its own prescribing information.
Products with Bumetanide
Products with Amiloride
The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.