Twindtor 40 Tablet

Reviewed By Dr. Rajeev Sharma, MBA, MBBS

Last updated on 21 Jan 2026 | 02:35 AM (IST)

Twindtor 40 Tablet is used to treat edema (swelling) caused by conditions such as heart failure, liver disease, kidney disease, or pulmonary edema. It helps the body eliminate excess fluid. It is also used to treat high blood pressure, helping to lower strain on the heart and improve overall circulation.

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₹116 MRP ₹131.2512% off

Twindtor 40 Tablet is currently sold out

Same composition alternative:

DYtor 40 Tablet

₹245~~₹271.2~~

Available alternative from Cipla

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Twindtor 40 Tablet

strip of 10 tablets

₹116

~~₹131.25~~

Same composition

DYtor 40 Tablet

strip of 10 tablets

Torasemide (40mg)

by Cipla Ltd

Get in 60 mins

₹245

₹20.8 per tablet

₹208

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₹1200

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General Information

Storage

Store below 30°C

The content is shown in English

Product introduction

Twindtor 40 Tablet helps your body get rid of extra water and salt through urine. It may be used alone or in combination with other medicines as per the dose advised by your doctor. It can be taken with or without food and should be taken at the same time each day. It is best to avoid taking this medicine within 4 hours of your bedtime to prevent having to get up at night to urinate.

It is important to continue taking this medication even if you feel well. If you stop taking it without consulting your doctor, your condition may worsen. Lifestyle changes like reducing stress, restricting salt intake, and stopping smoking may help this medication work better.

Common side effects of this medicine include headache, dizziness, dehydration, decreased blood pressure, and stomach upset. These are usually mild and disappear after a short time. Consult your doctor if they bother you or do not go away.

Before taking this medicine, let your doctor know if you have any liver problems. Pregnant or breastfeeding women should also consult their doctor before taking it. Regular monitoring of kidney function and electrolyte levels is important while using this medicine. It may reduce the potassium level in your blood so your doctor may ask you to add potassium-rich foods to your diet (such as bananas, coconut water, etc.) or prescribe supplements.

Uses of Twindtor Tablet

Benefits of Twindtor Tablet

Treatment of Hypertension (high blood pressure)
Hypertension, or high blood pressure, occurs when the force of blood against the artery walls is consistently too high, putting strain on the heart and blood vessels. Twindtor 40 Tablet helps control blood pressure by eliminating excess salt and water from the body, reducing the overall volume of fluid in the bloodstream. This lowers the pressure on the heart and arteries, helping prevent complications such as stroke, heart attack, and kidney damage.

Treatment of Edema
Edema is swelling caused by the accumulation of excess fluid in the body, often affecting the legs, ankles, or lungs due to problems with the heart, kidneys, or liver. Twindtor 40 Tablet helps the body remove extra salt and water through urine, effectively reducing this swelling. Easing fluid overload helps relieve discomfort, improve mobility, and help patients breathe more easily. When used regularly as prescribed, it helps prevent further fluid accumulation, allowing patients to feel lighter, more active, and more comfortable in their daily lives.

Side effects of Twindtor 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 Twindtor

Headache
Dizziness
Dehydration
Constipation
Decreased blood pressure
Upset stomach

How to use Twindtor 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. Twindtor 40 Tablet may be taken with or without food.

How Twindtor Tablet works

Twindtor 40 Tablet contains torsemide, a loop diuretic that works by blocking the reabsorption of sodium and chloride in the kidneys. This action increases urine production, helping the body eliminate excess salt and water. As a result, it reduces fluid buildup in tissues (edema) and decreases blood volume, which helps lower blood pressure and reduce the workload on the heart.

All substitutes for Twindtor 40 Tablet

For information purposes only. Consult a doctor before taking any medicine.

DYtor 40 Tablet

by Cipla Ltd

₹24.5/tablet

111% costlier

Torget 40 Tablet

by Zydus Cadila

₹23.1/tablet

99% costlier

MelTOR 40 Tablet

by Centaur Pharmaceuticals Pvt Ltd

₹18.9/tablet

63% costlier

Tide 40 Tablet

by Torrent Pharmaceuticals Ltd

₹20/tablet

72% costlier

Torvigress 40 Tablet

by La Renon Healthcare Pvt Ltd

₹7.09/tablet

39% cheaper

Quick tips

Take it in the morning with breakfast to avoid getting up at night to urinate.
Monitor your blood pressure after starting Twindtor 40 Tablet, and notify your doctor if it does not lower down.
Consult your doctor if you experience dizziness, tiredness, or muscle weakness that does not go away.
Take potassium supplements or a potassium-rich diet (such as bananas, spinach, or coconut water) as Twindtor 40 Tablet can decrease your potassium levels and lead to dehydration.
You may be asked to get regular blood tests done to monitor your kidney function.

Safety advice

Alcohol

CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with Twindtor 40 Tablet. Please consult your doctor.

Pregnancy

CONSULT YOUR DOCTOR

The safety of Twindtor 40 Tablet during pregnancy has not been established. There are no adequate and well-controlled studies in pregnant women, and animal data on reproductive toxicity are insufficient. Your doctor will weigh the benefits and any potential risks before prescribing.

Breast feeding

CONSULT YOUR DOCTOR

Information regarding the use of Twindtor 40 Tablet during breastfeeding is not available. Please consult your doctor.

Driving

UNSAFE

Twindtor 40 Tablet may decrease alertness, affect your vision, or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Twindtor 40 Tablet should be used with caution in patients with severe kidney disease. Dose adjustment may be needed.

Liver

CAUTION

Twindtor 40 Tablet should be used with caution in patients with severe liver disease. Dose adjustment may be needed.

Interaction with drugs

Taking Twindtor with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Severe

Lithium carbonate (Oral Route)

Watch out for symptoms such as impaired coordination, double vision, weakness, dizziness or confusion and consult your doctor if you experience them. Your doctor may monitor your Lithium carbonate and potassium levels frequently and adjust the dose of Lithium carbonate accordingly.

Severe

Tobramycin (Inhalation Route)

Do not consume Tobramycin with Torasemide. If concurrent use is essential, your doctor may monitor your kidney function closely.

Moderate

Amikacin (Injection Route)

If concurrent use is essential, your doctor may closely monitor your kidney's functioning and overall treatment.

Moderate

Chloroquine (Oral Route)

Your doctor may monitor your potassium levels closely.

Moderate

Dexamethasone (Oral Route)

If concurrent use is essential, your doctor may monitor your potassium levels along with your overall treatment and adjust the doses as per the observations.

Frequently asked questions

Does Twindtor 40 Tablet raise blood sugar?

Yes, Twindtor 40 Tablet may raise blood sugar levels, causing hyperglycemia. Hence, it is important to keep a track of your blood glucose levels during treatment with Twindtor 40 Tablet.

Does Twindtor 40 Tablet increase creatinine?

Yes, Twindtor 40 Tablet may cause a mild increase in creatinine values depending on the dose you are taking. These increased creatinine levels may increase slightly more when this medicine is used for a long time. However, with discontinuation of the treatment, these levels return to their base value.

Does Twindtor 40 Tablet cause loss of potassium?

Twindtor 40 Tablet may not cause direct potassium loss. But, in some cases, its use may cause excess loss of water, which may lead to dehydration. This, as a result, may cause loss of potassium, sodium, calcium, and magnesium.

My blood pressure is controlled now. Can I stop taking Twindtor 40 Tablet?

Do not stop taking Twindtor 40 Tablet without talking to your doctor. Stopping the medicine may not overshoot your blood pressure levels, but may make your condition as it was before treatment. Therefore, discuss this with your doctor, who will advise you to change the medicine or the dosage as per your requirement.

How should Twindtor 40 Tablet be taken?

Take Twindtor 40 Tablet exactly as advised by your doctor. Generally, it is recommended to take Twindtor 40 Tablet once daily, preferably at the same time each day. Twindtor 40 Tablet is known to cause excess urination, and hence it is advised to take it in the morning.

Is Twindtor 40 Tablet stronger than furosemide?

Both Twindtor 40 Tablet and furosemide are almost similar in terms of safety and effectiveness. The only difference is that Twindtor 40 Tablet has a longer duration of action in comparison to furosemide, but the effect of both starts within an hour of intake.

How long does it take for Twindtor 40 Tablet to show its effects?

Twindtor 40 Tablet starts acting within an hour of taking it orally, and its effect lasts for about 6-8 hours when given orally.

Fact Box

Chemical Class

Pyridinesulfonamides

Habit Forming

Therapeutic Class

CARDIAC

Action Class

Loop Diuretics

Related lab tests

Kidney Function Test

References

Opie LH, Victor RG, Kaplan NM. Diuretics. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. p. 98.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. p. 1384.
Torsemide [Prescribing Information]. Leganes Spain: Roche Farma S.A.; 2010. [Accessed 20 Mar. 2019] (online) Available from:
Drugs and Lactation Database (LactMed) [Internet]. Bethesda (MD): National Library of Medicine (US); 2006. Torsemide. [Updated 2020 Jan 20]. [Accessed 19 Feb. 2020] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:
CiplaMed: Torsemide [Prescribing Information]. [Accessed 07 Aug. 2023]. (online) Available from:
Torsemide [Summary of Product Characteristics]. Bangalore, India: Micro Labs Limited; 2023.

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Tata 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 everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. 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.

Marketer details

Name: Deleton Life Sciences Private Limited
Address: ,#325,9TH CROSS,29TH MAIN,SECTOR-1,HSR LAYOUT,BANGLORE-560102 INDIA 9535333007, 080-3586894

Vendor Details

Country of origin: India

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Twindtor 40 Tablet

Save more with additional offers

Save more with additional offers

General Information

Contains

Salt Synonyms

Marketer

Storage

Product introduction

Uses of Twindtor Tablet

Benefits of Twindtor Tablet

Side effects of Twindtor Tablet

How to use Twindtor Tablet

How Twindtor Tablet works

All substitutes for Twindtor 40 Tablet

DYtor 40 Tablet

Torget 40 Tablet

MelTOR 40 Tablet

Tide 40 Tablet

Torvigress 40 Tablet

Quick tips

Safety advice

Alcohol

Pregnancy

Breast feeding

Driving

Kidney

Liver

Interaction with drugs

Lithium carbonate (Oral Route)

Tobramycin (Inhalation Route)

Amikacin (Injection Route)

Chloroquine (Oral Route)

Dexamethasone (Oral Route)

Frequently asked questions

Does Twindtor 40 Tablet raise blood sugar?

Does Twindtor 40 Tablet increase creatinine?

Does Twindtor 40 Tablet cause loss of potassium?

My blood pressure is controlled now. Can I stop taking Twindtor 40 Tablet?

How should Twindtor 40 Tablet be taken?

Is Twindtor 40 Tablet stronger than furosemide?

How long does it take for Twindtor 40 Tablet to show its effects?

Fact Box

Chemical Class

Habit Forming

Therapeutic Class

Action Class

Related lab tests

Kidney Function Test

References

Want to know more

Have issue with the content

Disclaimer

Marketer details

Vendor Details

Lab tests offered by us

Related/Popular tests