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Torsemide

Torsemide is a loop diuretic and it is used to treat conditions like edema (swelling) associated with heart, kidney, or liver failure, or conditions when there is excess body water. It is also used alone or with other medicines to treat high blood pressure.
Batch Expiry Date: November 2019
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Torsemide 20 mg (Normal Dosage)

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Torsemide 10 mg (Low Dosage)

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Drug Uses

Torsemide is used to treat edema (swelling) associated with heart, kidney, or liver failure, or conditions when there is excess body water. It is also used alone or with other medicines to treat high blood pressure and it works by making the kidney eliminate larger amounts of electrolytes (especially sodium and potassium salts) and water than normal (diuretic effect).

Usage

Medication must always be taken as advised by your medical practitioner/physician. If you are unsure, then please contact your physician for precise instructions. On the other hand, the medicine label usually contains dosage instructions which also may be followed.

Torsemide may be taken with a meal or without a meal to prevent stomach problems. You are advised to take this drug before 6 pm as it may disturb your sleep.

Medications are prescribed according to a dosage schedule which must be completed in order to reap the benefits of the treatment. Lapsed schedules render Torsemide ineffective. So, never stop in between unless advised by your physician.

One of the best ways to ensure that you do not miss out on a dose is to maintain a fixed regime for consuming Torsemide each day.



Drug Class and Mechanism

Torsemide falls under loop diuretic and it works by making the kidney eliminate larger amounts of electrolytes (especially sodium and potassium salts) and water than normal (diuretic effect).


Missed Dose

You must maintain a schedule for taking the medicine at the same time each day so that you do not miss out on any doses. But, in the advent of a missed dose, take it as soon as you remember so that you can compensate for the loss of the dose.

But, then you may need to adjust your remaining doses accordingly. And if it is almost time for the next dose, then please skip the missed dose and continue with the normal schedule.

Never try to compensate for the missed dose by taking a double dose together. It may cause adverse effects.

Storage

Torsemide must be stored at a cool and dark place that prevents it from direct exposure to sunlight. It should also be protected from kids and pets. You can store it at room temperature between 68 and 77 degrees F (20 and 25 degrees C).

Warning/Precautions

If you are allergic to any ingredient in Torsemide (you may check medicine label) then please do not use it without consulting your doctor.

You must also avoid using Torsemide if you have conditions like

you are allergic to sulfonylureas (e.g., glyburide);
you are unable to urinate.

Ensure that your doctor is aware of your past and current medical history before you start any new treatment or medication. This must include any and all diseases that you have suffered /suffer from, all subscription and over the counter medication that you are taking, including vitamins and herbal supplements. This will help avoid a possible interaction or allergy.

In some cases, the medication might be altered or require special attention if you suffer from conditions like

if you have allergies to medicines or other substances
if you have fluid in your abdomen, hearing impairment, diabetes mellitus, low urine output, high blood uric acid levels, a blood disorder, kidney disease, lupus, had a heart attack, are dehydrated, or have liver disease or heart failure

Certain medicines may interact with this drug like

Aminoglycosides (eg, gentamicin) or cisplatin because the risk of temporary or permanent hearing loss may be increased
Nonsteroidal anti-inflammatory drugs (NSAIDs; eg, ibuprofen, naproxen) or probenecid, Chloral hydrate, digitalis (eg, digoxin), lithium, suramin Nondepolarizing muscle relaxants (eg, pancuronium).



Diabetic patients are always advised to carry an ID card on their person that mentions about their diabetic condition and Torsemides they are using currently. This information may prove to be invaluable in certain scenarios.

Torsemide is not to be used for treating Type I diabetes.

Diabetic medications like Torsemide work most effectively when they are combined with lifestyle changes like regular exercise and a healthy diet.

Constant blood sugar monitoring must be carried out in diabetic patients. If you find that your blood sugar levels are not improving despite using Torsemide, then contact your physician immediately.

If you are experiencing rapid heartbeats, vision changes, headaches, chills, or tremors, hunger, then please note that these are signs of low blood sugar. This is a common situation that can be avoided by consuming all meals and medications on time. Never skip a meal or a dose of medication.

Also quickly consuming a source of sugar (table sugar, honey, candy, orange juice, or non–diet soda) is the first aid for low blood sugar. Consume it and then seek medical attention.

If you are planning to have a baby or are pregnant already then you must seek advice from your doctor before using Torsemide. Discuss the effects and possible risks that Torsemide usage may have on the unborn baby.

If you are breast feeding your child, then too seek medical advice before using Torsemide. Some drugs may be excreted in the breast milk and may harm the baby.
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