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Desmopressin Treatment for Diabetes Insipidus

These instructions are for Children's Hospital of Philadelphia (CHOP) patients with diabetes insipidus, also known as arginine vasopressin deficiency (AVP-D) who take desmopressin (DDAVP).

Important information:

  • Learn more about diabetes insipidus, also called arginine vasopressin deficiency (AVP-D).

  • One of the most common treatments is a medicine called desmopressin, also known by the brand name, DDAVP. DDAVP is an artificial form of antidiuretic hormone (ADH), also known as vasopressin. This medicine limits the amount of urine that your child makes.

  • Desmopressin can be given as a tablet, nose spray, or injection. Your healthcare team will teach you how to give the medicine to your child.

Instructions for monitoring:

Desmopressin should keep diabetes insipidus (AVP-D) under control most of the time, but it is important to monitor your child in case they are receiving too much or too little medicine.

If the dose of desmopressin is too high, your child can store too much water in their body. Call your healthcare provider to discuss lowering the dose if your child has any of the following symptoms:

  • Decreased urine from usual

  • Less thirsty than usual

  • Swelling or puffiness

  • Nausea or vomiting

  • Confused

  • Cranky

  • Severe headache

  • Bulging soft spot on your infant's head

If the dose of desmopressin is too low, your child may lose too much water and get dehydrated. Call your healthcare provider to discuss increasing the dose if your child has any of the following symptoms:

  • Urinating more than usual

  • Bedwetting

  • Weight loss

  • Drinking more

  • Crying without tears

  • More tired than usual

  • Confused

  • Cranky

  • Sunken soft spot on your infant's head

If your child gets desmopressin as a nasal spray and they have allergies, a stuffy nose, or other breathing problems, the desmopressin may not work properly.

If your child shows signs of a life-threatening emergency, like losing consciousness, call 911.

Division of Endocrinology and Diabetes

8:30am-4:00pm, Monday-Friday
215-590-3174 and ask to speak with your healthcare provider
Evenings, weekends, and holidays
215-590-1000, ask the hospital operator for the endocrine fellow on-call
Urgent concerns
215-590-1000, ask the hospital operator for the endocrine fellow on-call
 

 

Reviewed on March 3, 2023, by Shana McCormack, MD, MTR; Elizabeth Rosenfeld, MD, MSCE

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