Drug NameTorsemide Drug UsesTorsemide is used for the treatment of 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.
It may also be used to treat certain conditions as determined by your doctor, which may not be listed in the professional package insert. How to useUse Torsemide as directed by your doctor.
- Take Torsemide by mouth with or without food.
- Torsemide may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm.
- If you also take cholestyramine, do not take it within 4 hours before or after taking Torsemide . Check with your doctor if you have questions.
- Avoid eating licorice or Korean ginseng while taking Torsemide.
Ask your health care provider any questions you may have about how to use Torsemide. Drug Class and MechanismTorsemide is a loop diuretic. It works by making the kidney eliminate larger amounts of electrolytes (especially sodium and potassium salts) and water than normal (diuretic effect). Missed DoseIf you miss a dose of Torsemide and are using it regularly, take 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 take 2 doses at once. Storage Store Torsemide between 68 and 77 degrees F (20 and 25 degrees C). Brief storage at temperatures between 59 and 86 degrees F (15 and 30 degrees C) is permitted. Store away from heat, moisture, and light. Do not store in the bathroom. Keep Torsemide out of the reach of children and away from pets. Possible Side EffectsCheck with your doctor if any of these most common side effects persist or become bothersome:
- constipation; dizziness or lightheadedness when sitting up or standing; excessive urination; headache; increased cough; nasal inflammation; nausea.
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); chest pain; diarrhea; dry mouth or unusual thirst; hearing loss or ringing in the ears; loss of appetite; muscle pain or cramps; rapid or irregular heartbeat; rectal bleeding; restlessness; unusual tiredness or weakness; vomiting.
More InformationIf you have any questions about Torsemide , please talk with your doctor, pharmacist, or other health care provider.
Torsemide 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/PrecautionsDo not use Torsemide if:
- you are allergic to any ingredient in Torsemide or to sulfonylureas (e.g., glyburide);
- you are unable to urinate.
Contact your doctor or health care provider right away if any of these apply to you.
Some medical conditions may interact with Torsemide . Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- 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
Some MEDICINES MAY INTERACT with Torsemide . Tell your health care provider if you are taking any other medicines, especially any of the following:
- 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 because they may decrease the effectiveness of Torsemide
- Chloral hydrate, digitalis (eg, digoxin), lithium, suramin because side effects may be increased by Torsemide
- Nondepolarizing muscle relaxants (eg, pancuronium) because its actions and side effects may be increased or decreased by Torsemide
What is torsemide?
Torsemide 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.
Torsemide 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).
Torsemide may also be used for purposes other than those listed in this medication guide.
What is the most important information I should know about torsemide?
Do not use this medication if you are allergic to torsemide or if you are unable to urinate
Before using this medication, tell your doctor if you have kidney disease or liver disease, 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. Do not miss any scheduled appointments.
Avoid becoming dehydrated. Follow your doctor's instructions about the type and amount of liquids you should drink while you are taking torsemide.
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 torsemide?
Do not use this medication if you are allergic to torsemide, or if you are unable to urinate.
Before using torsemide, tell your doctor if you have:
If you have any of these conditions, you may need a dose adjustment or special tests to safely take torsemide.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether torsemide passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
How should I take torsemide?
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.
To be sure this medication is not causing harmful effects, your blood will need to be tested on a regular basis. 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. Do not allow the tablets to freeze.
What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. 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, or confusion.
What should I avoid while taking torsemide?
Avoid becoming dehydrated. Follow your doctor's instructions about the type and amount of liquids you should drink while you are taking torsemide.
What are the possible side effects of torsemide
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 torsemide and call your doctor at once if you have a serious side effect such as:
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dry mouth, thirst, nausea, vomiting;
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feeling weak, drowsy, restless, or light-headed;
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fast or uneven heartbeat;
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muscle pain or weakness;
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coughing up blood;
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bloody or black, tarry stools; or
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hearing loss.
Less serious side effects may include:
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diarrhea or constipation;
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headache;
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dizziness; or
-
decreased sex drive, impotence, or difficulty having an orgasm.
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 torsemide?
Before taking this medication, tell your doctor if you are using any of the following drugs:
-
lithium (Lithobid, Eskalith);
-
digoxin (Lanoxin);
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steroids (prednisone and others);
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ethacrynic acid (Edecrin);
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cholestyramine (Prevalite, Questran);
-
probenecid (Benemid);
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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 (Indocin).
This list is not complete and there may be other drugs that can interact with torsemide. 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 torsemide.
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