Torasemide / Torsemide

• In reducing the edema associated with congestive heart failure (decreased pumping efficiency of the heart), kidney and liver diseases
• In kidney and liver disease
• Hypertension (elevated blood pressure)
• This medicine can lessen symptoms such as shortness of breath and swelling in your arms, legs, feet (edema) and abdomen (ascites)

When should one not use Torasemide / Torsemide

• Intolerance to Torsemide or any other ingredients of the tablet
• Allergy/ allergic reactions to Sulphonylurea derived medicines (used to treat Type 2 diabetes)
• Patients unable to produce urine (anuria), usually due to severe kidney or liver disease

Common side effects of this drug are:

• Excessive urination
• Headache
• Dizziness
• Altered electrolyte levels in the blood
• Chest pain
• Diarrhea
• Running nose (rhinitis)
• ECG abnormalities
• Muscle pain (myalgia) & joint pains (arthralgia)
• Nausea or vomiting
• Indigestion (dyspepsia)
• Skin rash
• Increased cough
• Sore throat
• Sleeplessness

How Does It Work?

• Torsemide is called a high-ceiling loop diuretic which means it is more efficient than other medicines in the class and causes more water to be excreted through the kidney (urine)
• Torsemide does this by acting on a structure called ‘loop of Henle’ of the kidney and preventing water reabsorption back into the body

Interactions with other medicines

• Aminoglycoside antibiotics (Gentamicin, Amikacin, Tobramycin, Streptomycin, Neomycin, etc.)
• Anticoagulants (blood-thinning medicines e.g. Warfarin)
• Cisplatin (used to treat cancer)
• Digitalis (used to treat irregular heartbeats)
• Pain killers
• Clofibrate (used to lower cholesterol)
• Other Diuretics (e.g. Metolazone)
• Muscle relaxants (Succinylcholine, Tubocurarine)
• Propanolol (used to treat heart disorders)
• Hydantoins (used to treat seizures, e.g. Phenytoin)

Interactions with food items

Overdose

Missed a Dose