Torsemide (Systemic)
Brand Names : Demadex
Before Using This MedicineIn deciding to use a medicine,
the risks of taking the medicine must be weighed against the good it will
do. This is a decision you and your doctor will make. For torsemide, the following
should be considered:
Allergies - Tell your doctor if you have ever had any unusual or
allergic reaction to bumetanide, ethacrynic acid, furosemide, sulfonamides
(sulfa drugs), or thiazide diuretics (water pills). Also, tell your health
care professional if you are allergic to any other substances, such as foods,
preservatives, or dyes.
Pregnancy - Studies have not been done in pregnant women. In
general, diuretics are not useful for normal swelling of feet and hands that
occurs during pregnancy. Diuretics should not be taken during pregnancy unless
recommended by your doctor.
Breast-feeding - It is not known whether torsemide passes into breast
milk. Although most medicines pass into breast milk in small amounts, many
of them may be used safely while breast-feeding. Mothers who are taking this
medicine and who wish to breast-feed should discuss this with their doctor.
Children - Studies on this medicine have been done only in adult
patients, and there is no specific information comparing use of torsemide
in children with use in other age groups.
Older adults - Many medicines have not been studied specifically
in older people. Therefore, it may not be known whether they work exactly
the same way they do in younger adults. Although there is no specific information
comparing use of torsemide in the elderly with use in other age groups, this
medicine is not expected to cause different side effects or problems in older
people than it does in younger adults.
Other medicines - Although certain medicines should not be used
together at all, in other cases two different medicines may be used together
even if an interaction might occur. In these cases, your doctor may want to
change the dose, or other precautions may be necessary. When you are taking
torsemide, it is especially important that your health care professional know
if you are taking any of the following:
-
Acetazolamide (e.g., Diamox) or
-
Alcohol or
-
Amphotericin B by injection (e.g., Fungizone) or
-
Azlocillin (e.g., Azlin) or
-
Capreomycin (e.g., Capastat) or
-
Carbenicillin by injection (e.g., Geopen) or
-
Corticosteroids (cortisone-like medicine) or
-
Corticotropin (ACTH) or
-
Dichlorphenamide (e.g., Daranide) or
-
Diuretics (water pills) or
-
Insulin or
-
Laxatives (with overdose or chronic misuse) or
-
Methazolamide (e.g., Neptazane) or
-
Mezlocillin (e.g., Mezlin) or
-
Piperacillin (e.g., Pipracil) or
-
Salicylates or
-
Sodium bicarbonate (e.g., baking soda) or
-
Ticarcillin (e.g., Ticar) or
-
Ticarcillin and clavulanate (e.g., Timentin) or
-
Vitamin B 12
(e.g., AlphaRedisol, Rubramin-PC)
(when used in megaloblastic anemia) or
-
Vitamin D - Use of these medicines with torsemide may increase
the chance of potassium loss
-
Aldesleukin (e.g., Proleukin) or
-
Anti-infectives by mouth or by injection (medicine for infection)
or
-
Carmustine (e.g., BiCNU) or
-
Cisplatin (e.g., Platinol) or
-
Combination pain medicine containing acetaminophen and aspirin (e.g.,
Excedrin) or other salicylates (with large amounts taken regularly) or
-
Cyclosporine (e.g., Sandimmune) or
-
Deferoxamine (e.g., Desferal) (with long-term use) or
-
Gold salts (medicine for arthritis) or
-
Inflammation or pain medicine, except narcotics, or
-
Methotrexate (e.g., Mexate) or
-
Penicillamine (e.g., Cuprimine) or
-
Pentamidine (e.g., Pentam 300) or
-
Plicamycin (e.g., Mithracin) or
-
Streptozocin (e.g., Zanosar) or
-
Tiopronin (e.g., Thiola) - Use of these medicines with torsemide
may increase the chance of kidney damage
-
Anticoagulants (blood thinners) - Torsemide may decrease the
effects of these medicines
-
Lithium (e.g., Lithane) - Use of lithium with torsemide may increase
the chance of kidney damage; also, the chance of side effects of lithium may
be increased
Other medical problems - The presence of other medical
problems may affect the use of torsemide. Make sure you tell your doctor if
you have any other medical problems, especially:
-
Diabetes mellitus (sugar diabetes) - Torsemide may increase the
amount of sugar in the blood
-
Gout or
-
Hearing problems - Torsemide may make these conditions worse
-
Heart attack (recent) - Use of torsemide after a recent heart
attack may make this condition worse
-
Kidney disease (severe) or
-
Liver disease - Higher blood levels of torsemide may occur, which
may increase the chance of side effects
|