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Torsemide (By mouth)

Torsemide (TORE-se-mide)

Treats fluid retention (edema) caused by heart failure, kidney disease, or liver disease. Also treats high blood pressure. This medicine is a diuretic (water pill).

Brand Name(s):

Demadex

There may be other brand names for this medicine.

When This Medicine Should Not Be Used:

This medicine is not right for everyone. Do not use it if you had an allergic reaction to torsemide or povidone.

How to Use This Medicine:

Tablet

  • Take your medicine as directed. Your dose may need to be changed several times to find what works best for you.
  • Carefully follow your doctor's instructions about any special diet. You may need to eat foods that are high in potassium (such as oranges or bananas) to prevent potassium loss while you are using this medicine.
  • Missed food: Take a dose as soon as you remember. If it is almost time for your next dose, wait until then and take a regular dose. Do not take extra medicine to make up for a missed dose.
  • Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light.

Drugs and Foods to Avoid:

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

  • Some medicines can affect how torsemide works. Tell your doctor if you are using any of the following:
    • Amiodarone, cisplatin, digoxin, ethacrynic acid, fluconazole, lithium, miconazole, oxandrolone, phenytoin, probenecid, rifampin, or warfarin
    • Aminoglycoside antibiotic (including amikacin, gentamicin, streptomycin)
    • Blood pressure medicine
    • NSAID pain or arthritis medicine (including aspirin, celecoxib, diclofenac, ibuprofen, indomethacin, naproxen)
    .
  • If you are taking cholestyramine, take it at least 1 hour after or 4 to 6 hours before taking torsemide.

Warnings While Using This Medicine:

  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, dehydration, diabetes, gout, heart disease, hearing problems, or had an allergic reaction to any sulfa drugs. Tell your doctor if you are on a low-salt diet.
  • This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you. Sit or lie down if you feel dizzy. Stand up carefully.
  • Make sure any doctor or dentist who treats you knows that you are using this medicine.
  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.

Possible Side Effects While Using This Medicine:

Call your doctor right away if you notice any of these side effects:

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Blistering, peeling, red skin rash
  • Chest pain, fast or uneven heartbeat
  • Dry mouth, increased thirst, muscle cramps, problems urinating, nausea, or vomiting
  • Increase in how much or how often you urinate
  • Lightheadedness, dizziness, fainting
  • Hearing loss, or ringing in your ears

If you notice other side effects that you think are caused by this medicine, tell your doctor

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088


Last Updated: 10/4/2017
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