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Torasemide / Torsemide

Molecule Description

Torsemide is a ‘water pill,’ which means it reduces the excess amount of water in the body by way of frequent urination. It belongs to a class of medicines called Diuretic.

Uses of 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)

Contraindications of Torasemide / Torsemide

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

Side effects of Torasemide / Torsemide

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

Precautions and Warnings of Torasemide / Torsemide

Pregnancy

Q:
Can I take Torasemide / Torsemide during pregnancy?
A:
Please consult your doctor. Use with caution and only if your doctor feels there are no other alternatives.

Breast Feeding

Q:
Can I take Torasemide / Torsemide while breastfeeding?
A:
Consult your doctor before breastfeeding. No adequate data available to determine if the medicine is secreted in breast milk. It is safer to avoid, if possible.

Driving

Q:
Can I drive if I have consumed Torasemide / Torsemide?
A:
This medicine may make you dizzy. It is advisable not to drive.

Alcohol

Q:
Can I consume alcohol with Torasemide / Torsemide?
A:
Too much intake of alcohol while taking this medicine has to be avoided, as Torsemide and alcohol both can decrease blood pressure level.

Other General Warnings

Talk to your doctor if
  • Your medical history, especially of kidney problems, liver problems, ear problems (hearing), inability to make urine, gout
  • Regular monitoring of water, sodium, potassium and other electrolytes is necessary

Mode of Action of Torasemide / Torsemide

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 of Torasemide / Torsemide

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

Efficacy may be reduced when taken close to a meal.

Dietary Restrictions of Torasemide / Torsemide

Water intake is restricted as a part of the treatment of edema to achieve the overall effect.

Dosage of Torasemide / Torsemide

Overdose

Inform your doctor immediately in case of overdose. It may cause excess fluid loss leading to low blood pressure, dehydration, confusion, electrolyte imbalances. Inform your doctor immediately. Significant overdose may require hospitalization.
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Missed a Dose

If you have missed the dose, then take the missed dose as soon as you remember it. If it is almost time for next dose then skip the missed dose. Do not take a double dose and consult your doctor for further treatment.
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Content Details

WRITTEN BY
REVIEWED BY

Dr. Ritu Budania

MBBS, MD (Pharmacology)

Frequently Asked Questions (FAQs)

^

Q: What should I discuss with my healthcare provider before taking Torsemide?

A: You must discuss with your doctor all of your medical problems along with the list of medicines, if any.
Last Updated on: 24 Dec 2020 | 01:48 PM (IST)

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Disclaimer
The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts. Please click here for detailed T&C.
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