Acetazolamide is a systemic carbonic anhydrase inhibitor with weak diuretic activity.


Each film-coated tablet contains:
Acetazolamide BP 250 mg;
Excipients q.s.

  • edema syndrome (mild or moderate severity, in combination with alkalosis);
  • relief of an acute attack of glaucoma, preoperative preparation of patients, persistent cases of glaucoma (in complex therapy);
  • for epilepsy as an additional therapy to antiepileptic drugs;
  • acute “altitude” illness (the drug reduces the acclimatization time);
  • liquorodynamic disorders, intracranial hypertension (benign intracranial hypertension, intracranial hypertension after ventricular bypass surgery) in complex therapy.

The drug is taken orally, strictly as prescribed by the doctor.
If you miss a dose of the drug, do not increase the dose at the next dose.

Edema syndrome
At the beginning of treatment, take 250 mg in the morning. To achieve the maximum diuretic effect, it is necessary to take the drug Diureym 1 time per day, every other day or 2 days in a row with a one-day break. Increasing the dose does not enhance the diuretic effect. If the previously achieved response to acetazolamide therapy decreases, the drug should be discontinued for a day (to restore the activity of carbonic anhydrase in the kidneys).

The drug Diureym should be taken as part of complex therapy.
For adults with open-angle glaucoma, the drug is prescribed at a dose of 250 mg 1-4 times a day. Doses exceeding 1000 mg do not increase the therapeutic effect. For secondary glaucoma
the drug is prescribed at a dose of 250 mg every 4 hours during the day. In some patients, the therapeutic effect appears after short-term administration of the drug at a dose of 250 mg 2 times a day.
For acute attacks of glaucoma: the drug is prescribed 250 mg 4 times a day.

For children over 3 years old during attacks of glaucoma, the drug is prescribed at a dose of 10-15 mg/kg body weight per day in 3-4 doses.

After 5 days of taking it, take a break for 2 days. With long-term treatment, it is necessary to prescribe potassium supplements and a potassium-sparing diet.

In preparation for surgery, 250-500 mg is prescribed the day before and on the morning of the operation.

Doses for adults: 250-500 mg/day in one dose for 3 days, break on the 4th day. When using the drug Diureym simultaneously with other anticonvulsants, at the beginning of treatment, use 250 mg 1 time per day, gradually increasing the dose if necessary. The maximum daily dose in adults is 1000 mg.

Doses for children over 3 years of age: 8-30 mg/kg per day, divided into 1-4 doses. The maximum daily dose is 750 mg.

Acute “high altitude” illness
It is recommended to use the drug at a dose of 500-1000 mg per day.
In case of rapid ascent – 1000 mg per day.
The drug should be used 24-48 hours before climbing. If symptoms of illness appear, treatment is continued for the next 48 hours or longer if necessary.