Fruselac Tablet

• If you are allergic to furosemide, spironolactone or any other ingredients of Fruselac tablet.
• If you are allergic to sulphonamides like sulfadiazine or co-trimoxazole.
• If you have problems associated with the liver or kidney.
• If you have hepatic coma (brain damage due to disturbed liver functions).
• If you are dehydrated or have been told that you have a low blood volume.
• If you are unable to pass urine.
• If you have increased or decreased potassium or sodium level in your blood.
• If you have Addison's disease.
• If you are pregnant or breastfeeding.

• Headache
• Dizziness
• Stomach pain
• Nausea
• Vomiting
• Weakness
• Dehydration
• Muscle cramps

Other General Warnings

• You have liver or kidney, prostate problems or have difficulty in passing urine.
• You have low blood pressure, diabetes, gout or decreased blood sodium levels.
• You have high potassium levels or are on potassium supplements as it can lead to increased potassium levels in the blood and thus should be used with caution.
• You have a condition called lupus (systemic lupus erythematosus).
• You are an elderly patient, have dementia (impairment of memory, communication and thinking) and are on risperidone or are on other medicines that can cause a drop in blood pressure.
• Your doctor may advise frequent tests during the medication to monitor levels of electrolytes (sodium, potassium, creatinine and glucose) in the blood. You should inform the doctor or laboratory person that you are using Fruselac tablet.
• You are taking other water pills.
• You are above 65 years of age.
• Fruselac may produce vocal changes, so treatment consideration is taken into account for those who are associated with acting, singing and the teaching field.
• Fruselac tablet should not be used in children below 18 years of age.

• Store Fruselac tablets below 25°C in a clean and dry place, protected from direct sunlight, moisture and heat.
• Keep it away from children and pets.
• Discard unused medicine properly. Do not flush it in the toilet or throw it into the drain.

• Fruselac Tablet pairs a fast, powerful fluid-removing diuretic with one that protects your potassium.
• Take it in the morning with food; evening doses will keep you awake passing urine.
• The furosemide acts within an hour, but the spironolactone takes days to weeks to reach full effect.
• Weigh yourself every morning after passing urine and report a change of two kilograms or more over two to three days.
• Never use low-sodium salt substitutes; they are potassium-based and can be dangerous with this medicine.
• Attend every blood test for potassium, sodium and kidney function.
• Report muscle cramps, weakness, numbness, an irregular heartbeat or confusion promptly.
• Report any ringing in the ears or muffled hearing.
• Stand up slowly, especially in the first weeks and in hot weather.
• Men should report breast swelling or tenderness; women should report menstrual changes.
• Avoid ibuprofen and similar painkillers unless your doctor approves them.
• Reduce salt, limit alcohol and follow any fluid restriction you have been given.

Overdose

Missed a Dose

• Furosemide is a diuretic that helps in removing extra water and electrolytes from the body. So, the overloading on the heart and liver decreases. It also removes potassium from the body.
• Spironolactone also being a diuretic, removes water but conserves potassium in the body. So, the effect on the potassium level gets balanced. By decreasing load on the heart, this medicine helps in treating conditions like oedema associated with resistant hypertension, heart, liver or adrenal gland problems.

Interactions with other medicines

• Some medicines can affect the way the Fruselac tablet works or the Fruselac tablet itself can reduce the effectiveness of other medicines taken at the same time.
• Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interaction.
• Especially if you are taking medicines to treat high blood pressure, heart failure, high/abnormal cholesterol levels, blood thinners, anti-infectives, anti-diabetics, anti-asthmatics, pain killers, immunomodulatory medicines or medicines for brain-related disorders.

Interactions with food items

• Take Fruselac Tablet with food in the morning. Food reduces stomach upset and improves absorption of the spironolactone component, and morning dosing avoids being woken repeatedly at night.
• Do not use low-sodium salt substitutes, which are potassium-based. Because one component retains potassium, these can push your level dangerously high.
• Reduce ordinary salt as well, since sodium works directly against the diuretic and worsens fluid retention. Limit pickles, papads, packaged snacks, processed meats and restaurant food.
• Do not take potassium supplements unless prescribed. Your doctor will advise individually on potassium-rich foods such as coconut water, bananas, oranges and tomatoes, since the right advice depends on your blood results.
• Follow any daily fluid limit your doctor has set, and weigh yourself each morning after passing urine to catch fluid changes early.
• Avoid liquorice, which disturbs body salts and works against the potassium-sparing component, and avoid alcohol, which dehydrates and adds to dizziness.