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Furosemide
Furosemide
Furosemide treats fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome.
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Drug Name

Furosemide


Drug Uses

Furosemide treats fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome. This medication is also used to treat high blood pressure (hypertension).


How to use

Use Furosemide as directed by your doctor.

  • Furosemide may be taken with or without food.
  • Use Furosemide exactly as directed on the package, unless instructed differently by your doctor. If you are taking Furosemide without a prescription, follow any warnings and precautions on the label.
Ask your health care provider any questions you may have about how to use Furosemide.


Drug Class and Mechanism

Furosemide is a loop diuretic (water pill) that prevents your body from absorbing too much salt, allowing the salt to instead be passed in your urine.


Missed Dose

If you miss a dose of Furosemide, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.


Storage

Store Furosemide at room temperature between 68 and 77 degrees F (20 and 25 degrees C) in a tightly closed container. Brief periods at temperatures of 59 to 86 degrees F (15 to 30 degrees C) are permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Furosemide out of the reach of children and away from pets.


Possible Side Effects

Check with your doctor if any of these most common side effects persist or become bothersome:

  • abnormal skin sensations; bladder spasm; blurred vision; constipation; cramping; dizziness; dizziness when rising from a seated or lying position; feeling of whirling motion; fever; headache; lightheadedness; mouth and stomach irritation; muscle spasm; nausea; redness; restlessness; ringing in the ears; seeing a yellow color; sensitivity to sunlight; vein inflammation.
Seek medical attention right away if any of these severe side effects occur:

  • Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); confusion; diarrhea; drowsiness; dry mouth; excessive urination; hearing loss; loss of appetite; muscle pain/cramps/weakness; rapid or irregular heartbeat; restlessness; sudden joint pain; unusual bleeding or bruising; unusual thirst; unusual tiredness or weakness; vomiting; yellowing of the skin or eyes.



More Information

Furosemide is to be used only by the patient for whom it is prescribed. Do not share it with other people.
If your symptoms do not improve or if they become worse, check with your doctor.


Warnings/Precautions

Do not use Furosemide if:

  • you are allergic to any ingredient in Furosemide;
  • you are unable to urinate.
Contact your doctor or health care provider right away if any of these apply to you.

Important :
  • Furosemide may cause dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Furosemide with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Furosemide may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
  • Diabetes patients - Furosemide may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
  • Blood pressure should be monitored when taking Furosemide.
  • Your doctor may also prescribe a potassium supplement while you use Furosemide. Check with your doctor before you use a salt substitute or other product that also has potassium in it.
  • Furosemide may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to Furosemide . Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
  • Lab tests, including complete blood cell counts, may be performed while you use Furosemide . These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
  • Caution is advised when using Furosemide in children; they may be more sensitive to its effects.
  • Pregnancy and breast-feeding: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Furosemide while you are pregnant. Furosemide is found in breast milk. If you are or will be breast-feeding while you use Furosemide, check with your doctor. Discuss any possible risks to your baby.


What is furosemide?

Furosemide is a loop diuretic (water pill) that prevents your body from absorbing too much salt, allowing the salt to instead be passed in your urine.

Furosemide treats fluid retention (edema) in people with congestive heart failure, liver disease, or a kidney disorder such as nephrotic syndrome. This medication is also used to treat high blood pressure (hypertension).

Furosemide may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about furosemide?

Do not use this medication if you are unable to urinate.

Before using this medication, tell your doctor if you have kidney disease, liver disease, gout, lupus, diabetes, or an allergy to sulfa drugs.

To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled appointments.

Furosemide will make you urinate more often and you may get dehydrated easily. Follow your doctor's instructions about using potassium supplements or getting enough salt and potassium in your diet.

Avoid becoming dehydrated. Follow your doctor's instructions about the type and amount of liquids you should drink while you are taking furosemide.

If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.

What should I discuss with my healthcare provider before taking furosemide?

Do not use this medication if you are unable to urinate.

Before using furosemide, tell your doctor if you have:

  • kidney disease;
  • liver disease;
  • gout;

  • lupus;

  • diabetes; or

  • an allergy to sulfa drugs.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take furosemide.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Furosemide can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take furosemide?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Furosemide will make you urinate more often and you may get dehydrated easily. Follow your doctor's instructions about using potassium supplements or getting enough salt and potassium in your diet.

To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. Your kidney or liver function may also need to be tested. Do not miss any scheduled appointments.

If you are being treated for high blood pressure, keep using this medication even if you feel fine. High blood pressure often has no symptoms.

Store this medication at room temperature away from heat, light, and moisture.

What happens if I miss a dose?

Furosemide is sometimes used only once, so you may not be on a dosing schedule. If you are using the medication regularly, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and wait until your next regularly scheduled dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include ringing in your ears, loss of appetite, weakness, dizziness, confusion, feeling light-headed, or fainting.

What should I avoid while taking furosemide?

Avoid becoming dehydrated. Follow your doctor's instructions about the type and amount of liquids you should drink while you are taking furosemide.

Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Furosemide can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.

What are the possible side effects of furosemide

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using furosemide and call your doctor at once if you have any of these serious side effects:
  • dry mouth, thirst, nausea, vomiting;

  • feeling weak, drowsy, restless, or light-headed;

  • fast or uneven heartbeat;

  • muscle pain or weakness;

  • urinating less than usual or not at all;

  • easy bruising or bleeding, unusual weakness;

  • a red, blistering, peeling skin rash;

  • hearing loss; or

  • nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Less serious side effects may include:

  • diarrhea, constipation, or stomach pain;

  • headache;

  • numbness, burning, pain, or tingly feeling;

  • dizziness; or

  • blurred vision.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect furosemide?

If you take sucralfate (Carafate), take it at least 2 hours before or after you take furosemide.

Before taking this medication, tell your doctor if you are using any of the following drugs:

  • lithium;

  • digoxin (Lanoxin);

  • steroids (prednisone and others);

  • ethacrynic acid (Edecrin);

  • diet pills or cold medicine;

  • other blood pressure medications;

  • amikacin (Amikin), gentamicin (Garamycin), netilmicin (Netromycin), streptomycin, tobramycin (Nebcin, Tobi);

  • salicylates such as aspirin, Disalcid, Doan's Pills, Dolobid, Salflex, Tricosal, and others; or

  • indomethacin.

This list is not complete and there may be other drugs that can interact with furosemide. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Where can I get more information?

  • Your pharmacist can provide more information about furosemide.
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