Torsemi 20mg Tablet

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FDC Ltd

Composition for Torsemi 20mg Tablet

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Primarily used for

Potentiallyunsafewith
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Alcohol
41.5
₹4.15/Tablet
10 tablets in 1 strip
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Medicine Overview of Torsemi Tablet

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Uses of Torsemi Tablet

Torsemi 20mg Tablet is used in the treatment of hypertension
It is also used to relieve fluid overload (edema) associated with heart, liver, kidney or lung disease.
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Side effects of Torsemi Tablet

Common

Dehydration, Decreased potassium level in blood, Decreased magnesium level in blood, Increased blood uric acid, Hearing loss.

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How to use Torsemi 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. It can be taken with or without food, but it is better to take Torsemi 20mg Tablet at a fixed time.

How Torsemi Tablet works

Torsemi 20mg tablet is a diuretic. It acts on kidneys and removes excess water and electrolytes from the body through urine.

In Depth Information on Torsemi Tablet

Expert advice for Torsemi Tablet

  • Inform your doctor if you have dizziness, fatigue, or muscle weakness that stays for a long time.
  • Torsemi can cause dehydration and lower blood potassium levels. Take potassium supplements or diet rich in potassium (banana, spinach, coconut water etc.) as Torsemi may cause potassium deficiency.
  • Get kidney function tests, blood electrolyte, glucose, uric acid and lipid levels on a regular basis.
  • Before taking Torsemi, inform your doctor if you have
    • Allergy to Torsemi or to sulfonylureas which are used to treat diabetes (e.g. glibenclamide, glipizide)
    • Diabetes mellitus, as Torsemi can increase your sugar levels
     
  • Torsemi starts to work in half an hour.
  • Avoid taking Torsemi at bedtime as it makes you urinate frequently. Take it at least four hours before going to bed. 
  • Torsemi can cause low blood pressure and you may feel dizzy for first few days. 
    • Do not stand up suddenly from a sitting or lying position, you may fall. 
    • Avoid driving or use of any machines that requires you to be alert.
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Warnings
Special precautions for Torsemi 20mg Tablet
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Alcohol
CAUTION
Taking Torsamide with alcohol may have additive effects in l
owering your blood pressure. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate.
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Pregnancy
PROBABLY SAFE
Torsemi 20mg Tablet is probably safe to use during pregnancy.

Animal studies have shown low or no adverse effect on the foetus, however, there are limited human studies. Please consult your doctor.
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Lactation
Torsemi 20mg Tablet is probably safe to use during lactation
. Limited human data suggests that the drug does not represent a significant risk to the baby.
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Driving
Torsemi 20mg Tablet may make you feel dizzy, sleepy, tired,
or decrease alertness. If this happens, do not drive.
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Kidney
SAFE
Torsemi 20mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Torsemi 20mg Tablet is recommended.

However, inform your doctor if you have any kidney disease as the use of Torsemi 20mg Tablet should be avoided in case you are unable to pass urine or the kidney damage is due to some medicines.
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Liver
CAUTION
Torsemi 20mg Tablet should be used with caution in patients
with liver disease. Dose adjustment of Torsemi 20mg Tablet may be needed. Please consult your doctor.
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Severely interacts with other drugs like
Stamlo 2.5mg Tablet, Amcard 5mg Tablet, Amlodac 5mg Tablet, Amlogard 10mg Tablet

Missed Dosageuses

If you miss a dose of Torasemide, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Patient Concerns

Frequently asked questions for Torsemi 20mg Tablet

Frequently asked questions for Torasemide

Yes, Torsemi can cause gout. It increases the blood uric acid levels by increasing its absorption from the kidneys which can cause a gout attack. Inform your doctor if you have hyperuricemia or a history of gout before taking this medicine. Use of Torsemi is contraindicated in patients with gout.
Q. How is Torsemi different from furosemide?
Both Torsemi and furosemide are loop diuretics and are used to treat high blood pressure and edema caused by underlying liver, kidney or lung diseases but Furosemide is also used in the treatment of hypercalcemia (high calcium levels in the blood). However, Torsemi works for a long time and is safe to use in patients with renal failure as compared to furosemide.
Torsemi can increase your blood sugar levels. This can worsen your diabetes control and affect your blood and urine sugar tests. Inform your doctor if you are a diabetic before taking Torsemi.
Q. How is Torsemi different from chlorthalidone?
Both Torsemi and chlorthalidone are diuretics, however, they belong to different groups and act on different parts of the kidney. Chlorthalidone is less potent than Torsemi but has a better blood pressure lowering effect. Chlorthalidone increases calcium levels while Torsemi decreases calcium levels but both lower the blood potassium levels (hypokalemia).
Q. Can I use Torsemi with spironolactone?
Torsemi can be taken with spironolactone. When used together the diuretic effect gets added along with maintaining the blood potassium levels. Torsemi is a loop diuretic and causes loss of potassium from your body while Spironolactone is a potassium-sparing diuretic which prevents the loss of potassium.
Diarrhea is a common side effect of Torsemi. Other commonly seen gastrointestinal side effects are the loss of appetite, upper abdominal pain, nausea, vomiting, and constipation.
Q. Can I take Torsemi with allopurinol?
Torsemi can be taken with allopurinol. Torsemi can increase uric acid levels and allopurinol lowers uric acid levels. So, allopurinol is given to decrease the hyperuricemic effects of Torsemi. However, allopurinol is not safe in patients with renal failure, so may need to be replaced with another similar medicine like febuxostat.
No, Torsemi should not be used if you have a history of sulfa allergy or to sulfonamide group of anti-diabetic drugs.
Torsemi can decrease weight by removing excessive water from your body. However, it is not used for weight loss in obese patients as it does not affect body fat.
Yes, Torsemi can cause electrolyte abnormalities as it works by removing water and salt from your body. It can decrease the blood potassium, sodium, chloride, magnesium, and calcium levels and increase blood sugar and uric acid levels. It is very important to get electrolytes and kidney function tests done on a regular basis while you are taking this medicine.
Torsemi is a safe drug if used in prescribed dose and for prescribed duration as advised by your doctor.
Torsemi is not known to cause hair loss. Consult your doctor if you have hair loss while you are taking Torsemi.
No, Torsemi does not cause kidney failure, rather it is used to remove extra fluid from the body (edema) which is caused by conditions such as heart failure, liver disease, and kidney disease.
Q. Can I take Torsemi with prednisone?
Torsemi can be taken with prednisone. However, when used together, they can lower blood potassium levels (hypokalemia) which can be severe, causing muscle pains or cramps, loss of appetite, weakness, dizziness, or confusion. Inform your doctor if you have these symptoms. Take potassium supplements or foods rich in potassium like orange, lemon or other citrus fruit.
Q. Can I use Torsemi with metolazone?
Both Torsemi and metolazone are potassium-lowering diuretics. When given together, they can lower blood potassium level (hypokalemia) which can be severe, causing muscle pains or cramps, loss of appetite, weakness, dizziness, or confusion. Inform your doctor if you have these symptoms. Take potassium supplements or foods rich in potassium like orange, lemon or other citrus fruit.
Serious side effects reported with the use of Torsemi are atrial fibrillation, ventricular tachycardia, chest pain, diarrhea, digitalis intoxication, gastrointestinal hemorrhage, hyperglycemia, hyperuricemia, hypokalemia, hypotension, hypovolemia, shunt thrombosis, rash, rectal bleeding, and syncope.
Yes, Torsemi is useful in the treatment of heart failure. It works by removing excess water and salt from your body and decreases the workload on the heart and as well decreases the lung congestion. This helps in improving the function of the heart in these patients.
Torsemi can cause dehydration and lower the levels of electrolytes like potassium in your body. You can take potassium supplements or diet rich in potassium (banana, spinach, coconut water etc.) while you are taking this medicine after consulting with your doctor.
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