Understanding Diabetes Insipidus Medications: A Patient's Guide

Essential Information About Treatment Options and Management

Endocrinology

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Last updated: Mar 24, 2025

Introduction

Diabetes insipidus (DI) is a rare condition affecting water balance in the body. This guide explains the medications used to treat different types of DI.

Types of Medications

1. Desmopressin (DDAVP)

  • Primary medication for Central DI
  • Available forms:
    • Nasal spray
    • Oral tablets
    • Sublingual melts
  • Typical dosing: 1-3 times daily

2. Thiazide Diuretics

  • Used for: Nephrogenic DI
  • Common options:
    • Hydrochlorothiazide
    • Chlorthalidone

3. NSAIDs

  • Supplementary treatment for Nephrogenic DI
  • Examples: Indomethacin

Administration Guidelines

Desmopressin Tips

  1. Take at consistent times
  2. Monitor fluid intake
  3. Watch for signs of water intoxication

Storage Requirements

  • Keep nasal sprays at room temperature
  • Protect tablets from moisture
  • Check expiration dates regularly

Side Effects to Monitor

Common Side Effects

  • Headache
  • Nausea
  • Nasal irritation (spray form)

Warning Signs

  • Severe headache
  • Confusion
  • Seizures
  • Unusual weight gain

When to Contact Your Doctor

  • Medication seems less effective
  • Experiencing concerning side effects
  • Changes in urination patterns
  • Before starting new medications

Regular Monitoring

  • Blood sodium levels
  • Urine output
  • Body weight
  • Blood pressure

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