Why Is Mannitol Contraindicated in Renal Failure?

Mannitol therapy should be discontinued if progression in renal damage or dysfunction, heart failure, or pulmonary congestion occurs. A test dose should be administered in patients with severe renal impairment. Diuresis caused by mannitol administration may exacerbate electrolyte imbalances.

How does mannitol cause renal failure?

Volume depletion and hypernatremia — Mannitol is freely filtered by the glomerulus and does not undergo tubular reabsorption. Thus, it acts as an osmotic diuretic, increasing urinary losses of both sodium and electrolyte-free water.

Why mannitol is contraindicated in acute renal failure?

Mannitol is not metabolized in the body and is not toxic. Be- cause it is not reabsorbed by the renal tubules, it is a highly effective osmotic diuretic.

Elena Rostova

Elena Rostova

Lead Health, Wellness & Medical Journalist

Elena Rostova holds a Master's degree in Public Health Journalism. She covers groundbreaking medical research, holistic wellness trends, mental health awareness, and nutritional science.