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Water pills (called diuretics) basically put pressure on the kidneys to flush out excess water and salt through urination.

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There are actually three classes of diuretics that work in different ways, says Ellen Lunenfeld, MD, an internist at Summit Medical Group in New Jersey — thiazides, loop diuretics, and potassium-sparing diuretics. Each class works on a different part of the adrenal gland where urine is made, Lunenfeld says.

Actually, it goes a little deeper than that. Here’s what you need to know about water pills—and why you should definitely avoid self-prescribing them.

Note that word: prescribed. Water pills are supposed to help lower blood pressure, prevent fluid retention, and reduce inflammation, says Linda Anegawa, MD, an internist at Pali Momi Medical Center in Hawaii.

They are usually given to people with health problems such as high blood pressure, heart failure and idiopathic edema (unexplained swelling) – not to people who want to cure mild bloating or lose weight. Most doctors recommend using water tablets for this purpose.

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It might be tempting to reach for an OTC water pill at the drugstore if you’re feeling mildly bloated, but Lunenfeld cautions against it. This is because OTC water pills and prescription water pills are not the same thing.

“The problem with these kinds of OTC drugs is that you’re not sure exactly what they’re giving you,” she explains. “They are not regulated by the FDA, so they may not do what they say they do and could dehydrate you.” (With Rx, the doctor will monitor your dosage and duration of use – this does not happen with OTC water tablets, so there is a risk of dehydration.)

Taking it a step further, OTC water pills can even be toxic and interact badly with other medications you’re taking, Anegawa says. (Again, with a prescription, a doctor will monitor this.) OTC water pills also haven’t been studied in studies to prove their effectiveness, she adds.

Water pills aren’t habit-forming or dangerous, Anegava says—again, as long as you get them from your doctor. However, when you start taking them alone without the recommended dosages, you can cause serious harm to your body.

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“[Taking it] can cause worsening kidney function and dizziness or lightheadedness due to dehydration,” says Lunenfeld. Other dire symptoms caused by dehydration and wasting

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