The present disclosure is directed to compounds and methods for the treatment of disorders associated with fluid retention or salt overload, such as
heart failure (in particular, congestive
heart failure), chronic
kidney disease, end-stage renal
disease,
liver disease, and
peroxisome proliferator-activated
receptor (PPAR) gamma
agonist-induced fluid retention. The present disclosure is also directed to compounds and methods for the treatment of hypertension. The present disclosure is also directed to compounds and methods for the treatment of
gastrointestinal tract disorders, including the treatment or reduction of pain associated with
gastrointestinal tract disorders. The methods generally comprise administering to a
mammal in need thereof a pharmaceutically effective amount of a compound, or a pharmaceutical composition comprising such a compound, that is designed to be substantially active in the gastrointestinal (GI) tract to inhibit NHE-mediated antiport of
sodium ions and
hydrogen ions therein. More particularly, the method comprises administering to a
mammal in need thereof a pharmaceutically effective amount of a compound, or a pharmaceutical composition comprising such a compound, that inhibits NHE-3, -2 and / or -8 mediated antiport of
sodium and / or
hydrogen ions in the GI tract and is designed to be substantially impermeable to the layer of epithelial cells, or more specifically the
epithelium of the GI tract. As a result of the compound being substantially impermeable, it is not absorbed and is thus essentially systemically non-bioavailable, so as to limit the
exposure of other internal organs (e.g., liver, heart, brain, etc.) thereto. The present disclosure is still further directed to a method wherein a
mammal is administered such a compound with a fluid-absorbing
polymer, such that the combination acts as described above and further provides the ability to sequester fluid and / or salt present in the GI tract.