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Desmopressin is a synthetic analog of the natural hormone vasopressin (antidiuretic hormone, ADH). It acts primarily as an antidiuretic by selectively stimulating V2 receptors in the renal collecting ducts, leading to increased water reabsorption and reduced urine production. Desmopressin is used to treat central diabetes insipidus, primary nocturnal enuresis (bedwetting), nocturia due to nocturnal polyuria in adults, and for certain bleeding disorders such as mild hemophilia A and type 1 von Willebrand disease. In bleeding disorders, it increases plasma levels of factor VIII and von Willebrand factor by promoting their release from endothelial storage sites[1][4][6][7]. The drug has minimal pressor activity compared to endogenous vasopressin due to its selectivity for V2 over V1 receptors.
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