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Spiromide Tablet


Overview

Introduction

Spiromide Tablet is a combination of two medicines used to reduce excess fluid levels in the body while maintaining the potassium balance. It is used to treat edema (fluid overload) and some cases of hypertension.

Spiromide Tablet is a combination of two medicines used to reduce excess fluid levels in the body while maintaining the potassium balance. It is used to treat edema (fluid overload) and some cases of hypertension. It is best to take this medicine in the morning along with food in order to avoid frequent urination at night time. Regular monitoring of kidney function and electrolytes is important while using this medicine. This medicine may produce enlargement of breast in male patients as a side effect but it gets back to normal after the medicine is discontinued. Dizziness may occur as a side effect initially, but this improves with time.

Uses of Spiromide Tablet

Side effects of Spiromide Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Spiromide

  • Dehydration
  • Decreased sodium level in blood
  • Breast enlargement in male
  • Decreased magnesium level in blood
  • Decreased calcium level in blood
  • Increased blood uric acid

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Dehydration
    Make sure you drink enough fluids (not alcohol or coffee). Cooled or iced liquids may go down more easily. Eat moist food such as fruits, vegetables and soups. Use a moisturizing cream on your skin and a lubricating lip balm if your lips are dry.
  • Coping with Breast enlargement in male
    Counselling and talking therapy can help you cope with anxiety and depression caused by this side effect. Talk to your doctor about medicines and procedures that may help reduce excess breast tissue.
  • Coping with Decreased magnesium level in blood
    You will need a blood test to find out if the magnesium level in your blood is low. If your medicine is causing this, you may need to stop taking it. To help manage low levels, ask your doctor about taking a suitable magnesium supplement. Drink plenty of water and fluids to stay hydrated. Avoid alcohol and smoking as they can decrease the absorption of magnesium. Some foods contain higher levels of magnesium. These include almonds, pumpkin seeds, dark chocolate and peanuts. In general, seeds, nuts, cocoa, beans, oily fish and whole grains are good sources. Talk to your doctor if the condition persists.

How to use Spiromide Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Spiromide Tablet is to be taken with food.
Avoid Spiromide Tablet with dietary sodium.

How Spiromide Tablet works

Spiromide Tablet is a combination of two medicines: Furosemide and Spironolactone. Furosemide is a diuretic which removes extra water and certain electrolytes from the body through urine. Over time, it also relaxes blood vessels, but causes potassium loss. Spironolactone is also a diuretic which conserves potassium, thereby balancing its levels in the body.

Safety Advice

Alcohol
UNSAFE
It is unsafe to consume alcohol with Spiromide Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Spiromide Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breastfeeding
SAFE IF PRESCRIBED
Spiromide Tablet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Spiromide Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Spiromide Tablet should be used with caution in patients with kidney disease. Dose adjustment of Spiromide Tablet may be needed. Please consult your doctor.
Use of Spiromide Tablet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Spiromide Tablet should be used with caution in patients with liver disease. Dose adjustment of Spiromide Tablet may be needed. Please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
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Quick Tips

  • Spiromide Tablet helps removes excess water from your body.
  • Take it in the morning with breakfast to avoid getting up at night to urinate.
  • It may cause dizziness or sleepiness. Don't drive or do anything requiring concentration until you know how it affects you.
  • To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
  • It may cause excessive urine production, dehydration, and low electrolyte levels. Notify your doctor if you experience dizziness, tiredness, or muscle weakness that doesn't go away.
  • Your doctor may regularly monitor your blood pressure, kidney function and the level of salts such as potassium and sodium in your blood while you're taking this medication.

Fact Box

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Patient Concerns

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My grandmother is PATIENT PATIENT she is an heart patients also she has asthma. But now her leg is too thick. I think she has deep vein thrombosis diseases. So sir please advise me what thing to do
Dr. Nabajit Talukdar
Cardiology
Show her to a cardiologist probably fluid exceesss n edema
Diabetic macular edema treatment
Dr. Richa Jain
Ophthalmology
Laser or antivegf injection
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User Feedback


FAQs

Q. What are the recommended storage conditions for Spiromide?

Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

Q. What are the contraindications associated with the use of Spiromide?

The use of Spiromide should be avoided in patients with hypersensitivity to furosemide, sulfonylureas or spironolactone or any other ingredient of the product. The use of this medicine should also be avoided in patients with anuria, acute renal insufficiency, hepatic coma and pre-coma, low blood pressure (hypotension), cardiac arrhythmias, patients taking aminoglycosides or cephalosporins, kidney dysfunction due to drugs which cause renal damage, patients with high potassium levels (hyperkalemia), Addison's disease and in children with moderate to severe renal impairment.

Q. What is Spiromide?

Spiromide is a fixed-dose combination of furosemide (a loop diuretic) and spironolactone (an antagonist of aldosterone). Both are diuretics and they help to remove excess fluid from the body. The use of this combination is advised in patients of congestive heart failure (heart failure leading to fluid accumulation in the lung and rest of the body), nephrotic syndrome (a kidney disorder), liver cirrhosis with fluid retention (edema) and swelling of the abdomen (ascites).

Q. Is it safe to use Spiromide?

Yes, Spiromide is safe for most of the patients. However, in some patients it may cause common side effects like dizziness, dehydration, decreased sodium level in blood, breast enlargement in males, decreased magnesium level in blood, decreased calcium level in blood, increased blood uric acid. Inform your doctor if you experience any persistent problem while taking this medicine.

Q. Can the use of Spiromide cause gout?

Yes, Spiromide can cause gout. Spiromide contains furosemide which can increase the blood uric acid levels by increasing its absorption from the kidneys. Increased uric acid levels can cause a gout attack. Inform your doctor if you have hyperuricemia (excess of uric acid in blood) or a history of gout before taking this medicine. Use of Spiromide should be avoided in patients with gout.

Q. Can the use of Spiromide cause dizziness?

Yes, the use of Spiromide can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, it is better to rest for some time and resume once you feel better. Do not drive or use any machines.

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1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. Lactomide. [Accessed 11 Apr. 2019] (online) Available from:External Link
  2. Furosemide+Spironolactone. Rzeszow, Poland: Sanofi-Aventis Sp. z o.o.; 2018. [Accessed 11 Apr. 2019] (online) Available from:External Link
  3. Furosemide+Spironolactone. Ankleshwar: Sanofi India Limited; Jan. 2018. [Accessed 11 Apr. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

463, 4 th Floor, RPG HOUSE, Dr. Annie Besant Road, Worli, Mumbai – 400 030. Maharashtra, INDIA
Country of Origin: India
A licensed vendor partner from your nearest location will deliver Spiromide Tablet. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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