Furosemide Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Warnings:

Furosemide is a very potent medication. Using too much of this drug can lead to serious water and salt/mineral loss. It is important that you are closely monitored by your doctor while taking this medication. Tell your doctor right away if you become very thirsty or confused, or develop muscle cramps/weakness. See also Side Effects section.

Warnings:

Furosemide is a very potent medication. Using too much of this drug can lead to serious water and salt/mineral loss. It is important that you are closely monitored by your doctor while taking this medication. Tell your doctor right away if you become very thirsty or confused, or develop muscle cramps/weakness. See also Side Effects section.

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Uses

Furosemide is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen.This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.Furosemide is a “water pill” (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt.

How to use furosemide oral

Read the Patient Information Leaflet if available from your pharmacist before you start taking furosemide and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, with or without food, usually once or twice daily. It is best to avoid taking this medication within 4 hours of your bedtime to prevent having to get up to urinate.

Dosage is based on your medical condition, age, and response to treatment. For children, the dose is also based on weight. Older adults usually start with a lower dose to decrease the risk of side effects. Do not increase your dose or take it more often than directed.

Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) of the day as directed. Keep taking this medication even if you feel well. Most people with high blood pressure do not feel sick.

Sucralfate, cholestyramine, and colestipol can decrease the absorption of furosemide. If you are taking any of these drugs, separate the timing of each dose from furosemide by at least 2 hours.

Tell your doctor if your condition does not improve or if it worsens (for example, your blood pressure readings remain high or increase).

Side Effects

Dizziness, lightheadedness, headache, or blurred vision may occur as your body adjusts to the medication. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.

Remember that this medication has been prescribed because your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

This medication may cause dehydration and electrolyte imbalance. Tell your doctor right away if you have any of these unlikely but serious side effects: muscle cramps, weakness, unusual tiredness, confusion, severe dizziness, fainting, drowsiness, unusual dry mouth/thirst, nausea, vomiting, fast/irregular heartbeat.

Tell your doctor right away if you have any serious side effects, including: signs of kidney problems (such as change in the amount of urine), numbness/tingling/pain/redness/swelling of the arms/legs, hearing changes (such as ringing in the ears, temporary or permanent decreased hearing/deafness), stomach/abdominal pain, yellowing eyes/skin.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US – Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking furosemide, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney problems, liver problems, inability to make urine, gout, lupus.

If you have diabetes, furosemide may make it harder to control your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor.

Furosemide may reduce the potassium level in your blood. Your doctor may instruct you to add potassium-rich foods to your diet (such as bananas, orange juice) or prescribe potassium supplements to prevent potassium loss. Ask your doctor for more details.

This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors. Tell your doctor right away if you get sunburned or have skin blisters/redness.

This drug may make you dizzy or blur your vision. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Severe sweating, diarrhea, or vomiting can increase the risk of dehydration. Report prolonged diarrhea or vomiting to your doctor. Follow your doctor’s instructions about the amount of fluids you can drink.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Babies born early (premature infants) and children may be more sensitive to certain effects of this drug, such as kidney stones.

Older adults may be more sensitive to the effects of this drug, especially dizziness and water/mineral loss.

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.

This drug passes into breast milk and may affect milk production. Consult your doctor before breast-feeding.

Interactions

See also the How to Use section.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.

Some products that may interact with this drug include: desmopressin, ethacrynic acid, lithium.

Some products have ingredients that could raise your blood pressure or worsen your swelling. Tell your pharmacist what products you are using, and ask how to use them safely (especially cough-and-cold products, diet aids, or NSAIDs such as ibuprofen/naproxen).

This medication may interfere with certain lab tests (such as thyroid hormone levels), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.

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Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: fainting, severe weakness, a severe decrease in the amount of urine.

Do not share this medication with others.

Lifestyle changes that may help this medication work better include exercising, stopping smoking, reducing stress, and changing your diet. Consult your doctor for more details.

Lab and/or medical tests (such as kidney function, blood mineral levels such as potassium) should be done while you are taking this medication. Keep all medical and lab appointments. Consult your doctor for more details.

Check your blood pressure regularly while taking this medication. Learn how to monitor your own blood pressure at home, and share the results with your doctor.

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Images

furosemide 40 mg tablet

Color: whiteShape: roundImprint: EP 117 40

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 40 mg tablet

Color: whiteShape: roundImprint: 3170 and logo

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 40 mg tablet

Color: whiteShape: roundImprint: RE 23

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 20 mg tablet

Color: whiteShape: roundImprint: RE 22

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 20 mg tablet

Color: whiteShape: roundImprint: EP 116

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 20 mg tablet

Color: whiteShape: ovalImprint: 3169 logo

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 20 mg tablet

Color: whiteShape: roundImprint: M2

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 80 mg tablet

Color: whiteShape: roundImprint: 3171 and Logo

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 20 mg tablet

Color: whiteShape: roundImprint: 54 840

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 80 mg tablet

Color: whiteShape: roundImprint: RE 24

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 80 mg tablet

Color: whiteShape: roundImprint: EP 118 80

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 40 mg tablet

Color: whiteShape: roundImprint: MYLAN 216 40

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 40 mg tablet

Color: whiteShape: roundImprint: 54 583

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 80 mg tablet

Color: whiteShape: roundImprint: 54 533

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 80 mg tablet

Color: whiteShape: roundImprint: MYLAN 232 80

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 40 mg tablet

Color: whiteShape: roundImprint: GG 201

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

furosemide 80 mg tablet

Color: whiteShape: roundImprint: GG 80

This medicine is a white, round, scored, tablet imprinted with “EP 117” and “40”.

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Drug Survey

Are you currently using furosemide oral?

This survey is being conducted by the WebMD marketing sciences department.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

Side effects, dosage, uses, and more

1. Furosemide oral tablet is available as both a generic and a brand-name drug. Brand name: Lasix.
2. Furosemide also comes in an oral solution that you take by mouth and an injectable solution that is given by a healthcare professional.
3. It is used to treat high blood pressure in adults. It’s also used to treat edema in adults and some children, which is swelling caused by fluid buildup in your body.

FDA warning: Dehydration risk

• This drug has a boxed warning. This is the most serious warning from the Food and Drug Administration (FDA). A boxed warning alerts doctors and patients to drug effects that may be dangerous.
• Furosemide is a strong diuretic (water pill) that helps your body get rid of excess water. It does this by increasing the amount of urine your body makes. If you take too much of this drug, it can lead to very low amounts of water and electrolytes in your body. This can cause dehydration. Your doctor will monitor your fluid levels and may change your dosage based on those levels.

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• Low blood pressure warning: This drug can cause low blood pressure. Symptoms include feeling dizzy and faint after standing up. If this occurs, move slowly when changing positions after sitting or lying down. If this problem continues, call your doctor.
• Low potassium levels warning: This drug can cause low potassium levels. (Potassium is a mineral that helps your nerves, muscles, and organs work normally.) Symptoms include tiredness, muscle weakness, and nausea or vomiting. Call your doctor if you have these symptoms.
• Low thyroid levels warning: High doses (over 80 mg) of furosemide can cause low levels of thyroid hormones. If you’re taking high doses of this drug and have symptoms of thyroid problems, call your doctor. These symptoms can include:
  • tiredness
  • weakness
  • weight gain
  • dry hair and skin
  • increased feelings of being cold

Furosemide oral tablet is a prescription drug that’s available as the brand-name drug Lasix. It’s also available as a generic drug. Generic drugs usually cost less. In some cases, they may not be available in every strength or form as the brand-name version.

Why it’s used

Furosemide is used to treat hypertension (high blood pressure). It is also used to treat edema. This is swelling due to fluid buildup in the body. Edema can be caused by other medical conditions such as heart failure, cirrhosis of the liver, or kidney disease.

Furosemide may be used as part of combination therapy to treat high blood pressure. This means you may need to take it with other medications.

How it works

Furosemide belongs to a class of drugs called diuretics. A class of drugs is a group of medications that work in a similar way. These drugs are often used to treat similar conditions.

Furosemide works by helping your body get rid of excess salt and water. It does this by increasing the amount of urine your body makes. This helps lower your blood pressure as well as reduce swelling.

Furosemide oral tablets may cause certain side effects.

More common side effects

The more common side effects that can occur with furosemide include:

• nausea or vomiting
• diarrhea
• constipation
• stomach cramping
• feeling like you or the room is spinning (vertigo)
• dizziness
• headache
• blurred vision
• itching or rash
• increased urination

If these effects are mild, they may go away within a few days or a couple of weeks. If they’re more severe or don’t go away, talk with your doctor or pharmacist.

Serious side effects

Call your doctor right away if you have serious side effects. Call 911 if your symptoms feel life threatening or if you think you’re having a medical emergency. Serious side effects and their symptoms can include the following:

• Excessive loss of water and electrolytes. Symptoms can include:
  • dry mouth
  • feeling of thirst
  • weakness
  • drowsiness
  • restlessness
  • muscle pains or cramps
  • urinating less
  • fast or abnormal heartbeat
  • severe nausea or vomiting
• Low levels of thyroid hormones. Symptoms can include:
  • tiredness
  • weakness
  • weight gain
  • dry hair and skin
  • increased feelings of being cold
• Pancreatitis (inflammation of the pancreas). Symptoms can include:
  • pain when you eat or drink
  • severe nausea or vomiting
  • fever
• Liver damage. Symptoms can include:
  • yellowing of your skin
  • yellowing of the whites of your eyes
• Hearing loss or ringing in your ears (can be temporary or permanent)
• Blistering or peeling skin
• Orthostatic hypotension (low blood pressure that happens when you stand up)
• Allergic reaction

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. This information is not a substitute for medical advice. Always discuss possible side effects with a healthcare professional who knows your medical history.

Furosemide oral tablet can interact with other medications, vitamins, or herbs you may be taking. An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.

To help avoid interactions, your doctor should manage all of your medications carefully. Be sure to tell your doctor about all medications, vitamins, or herbs you’re taking. To find out how this drug might interact with something else you’re taking, talk with your doctor or pharmacist.

Examples of drugs that can cause interactions with furosemide are listed below.

Antibiotics

Antibiotics can increase your risk of hearing damage or loss when taken with furosemide. These drugs include:

• amikacin
• gentamicin
• neomycin
• paromomycin
• tobramycin

Antiseizure drug

Taking this drug with furosemide can decrease the effects of furosemide:

• phenytoin

Cancer drug

Taking this cancer drug with furosemide can increase your risk of kidney problems and hearing damage or loss:

• cisplatin

Taking this cancer drug with furosemide can decrease the effects of furosemide. Also, furosemide may increase the amount of this drug in your body, which can increase side effects:

• methotrexate

Immunosuppressant

Taking this drug with furosemide can increase your risk of gouty arthritis:

• cyclosporine

Mood stabilizers (lithium)

Taking lithium with furosemide can increase the levels of lithium in your body. This raises your risk of side effects from lithium.

Muscle relaxers

Taking certain muscle relaxers with furosemide can increase the effects of these drugs. This raises your risk of side effects. These drugs include:

• succinylcholine

Other blood pressure drugs

Taking furosemide with other blood pressure drugs can cause your blood pressure to drop to a dangerously low level. These drugs include:

• benazepril
• captopril
• enalapril
• fosinopril
• lisinopril
• moexipril
• perindopril
• quinapril
• ramipril
• trandolapril

Pain and inflammation drugs (NSAIDs)

Taking NSAIDs (nonsteroidal anti-inflammatory drugs) with furosemide can increase the levels of these drugs in your body. This raises your risk of dangerous side effects. NSAIDs include:

• aspirin
• diflunisal
• indomethacin
• magnesium salicylate
• salsalate

Thyroid drugs

Taking high doses of furosemide with levothyroxine can make levothyroxine less effective. This means it won’t work as well to treat your thyroid condition.

Ulcer drugs

Taking sucralfate with furosemide can make furosemide less effective. This means it won’t work as well to control your symptoms.

Don’t take sucralfate within 2 hours of taking furosemide.

Water pills (diuretics)

Taking other diuretics with furosemide can increase your risk of hearing damage or loss. These drugs include:

• ethacrynic acid

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs interact differently in each person, we cannot guarantee that this information includes all possible interactions. This information is not a substitute for medical advice. Always speak with your healthcare professional about possible interactions with all prescription drugs, vitamins, herbs and supplements, and over-the-counter drugs that you are taking.

Furosemide oral tablet comes with several warnings.

Allergy warning

If you have an allergy to sulfonamides (sulfa drugs), you may also be allergic to furosemide. Taking this drug can cause a severe allergic reaction, causing symptoms such as:

• trouble breathing or swallowing
• swelling of your throat or tongue
• hives

If you have these symptoms, call 911 or go to the nearest emergency room right away.

Don’t take this drug again if you have ever had an allergic reaction to it or sulfonamides before. Taking it a second time after any allergic reaction to it could be fatal (cause death).

Alcohol interaction

Having drinks that contain alcohol while taking furosemide can make the drug’s side effects worse. For instance, it can worsen a sudden drop in blood pressure when you stand up after sitting or lying down. It can also make you feel dizzier or more lightheaded.

Warnings for people with certain health conditions

For people living with kidney problems: Furosemide is removed from your body by your kidneys. If you have kidney problems, more of the drug may stay in your body longer. This could lead to dangerous side effects, including very low blood pressure. Your doctor may start you on a lower dose of this drug. Your doctor may also monitor how well your kidneys are working to make sure furosemide is safe for you to take.

For people living with liver problems: If you have liver problems such as cirrhosis or ascites, it’s best to receive furosemide in the hospital. Furosemide can cause very low electrolyte levels, which can cause serious liver damage and loss of brain function. (Electrolytes are minerals that help control the fluid balance in your body and help with other important functions.) Your doctor will monitor you closely.

For people living with diabetes: Furosemide can make it harder to control your blood sugar (glucose) levels. Before taking this drug, be sure your doctor knows you have diabetes.

For people living with bladder disorders: If you have severe problems with emptying your bladder completely, furosemide can make your condition worse. Before taking this drug, be sure your doctor knows you have a bladder disorder.

For people living with thyroid problems: High doses (over 80 mg) of furosemide can cause low levels of thyroid hormones. Be sure to tell your doctor about your thyroid problems before you start taking furosemide.

Warnings for other groups

For pregnant people: Talk with your doctor if you’re pregnant or planning to become pregnant. Research in animals has shown adverse effects on the fetus when the mother takes the drug. There haven’t been enough studies done on humans to be certain how the drug might affect the fetus. This drug should only be used if the potential benefit justifies the potential risk to the fetus.

For people who are nursing: Furosemide may pass into breast milk and can cause serious side effects in a child who is breastfed. It may also cause your body to produce less milk. Tell your doctor if you are nursing. You will need to decide either to stop nursing or stop taking this drug.

For children: In premature infants and children younger than 4 years of age, furosemide may cause kidney problems. It can lead to kidney stones and calcium deposits in the kidneys. If furosemide is given to premature infants during the first few weeks of life, it may increase the risk of problems with the lungs and heart.

This dosage information is for furosemide oral tablet. All possible dosages and drug forms may not be included here. Your dose, drug form, and how often you take the drug will depend on:

• your age
• the condition being treated
• how severe your condition is
• other medical conditions you have
• how you react to the first dose

Forms and strengths

Generic: furosemide

• Form: Oral tablet
• Strengths: 20 mg, 40 mg, and 80 mg

• Form: Oral solution
• Strengths: 10 mg per 1 mL, 40 mg per 5 mL

Brand: Lasix

• Form: Oral tablet
• Strengths: 20 mg, 40 mg, and 80 mg

Dosage for hypertension (high blood pressure)

Adult dosage (ages 18–64 years)

• The usual starting dose is 80 mg per day, taken as 40 mg twice each day.
• Your doctor may change your dose or add other blood pressure medications. This depends on how your body responds to the drug.

Child dosage (ages 0–17 years)

This drug has not been studied in children for treating high blood pressure.

Senior dosage (ages 65 years and older)

The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.

Special considerations

Furosemide is removed from your body by your kidneys. If you have kidney problems, more of the drug may stay in your body longer. This can cause dangerous side effects. Your doctor may start you on a lower dose and monitor how well your kidneys are working to make sure this drug is safe for you.

Dosage for edema

Adult dosage (ages 18–64 years)

• The usual starting dose is 20–80 mg, taken once per day. Your doctor may change your dose depending on how your body responds to the drug.
• Once your doctor determines your long-term (maintenance) dose, you may take it once or twice per day.

Child dosage (ages 0–17 years)

• The usual dose is 2 mg per kg of body weight taken once per day.
• It is not recommended to use doses greater than 6 mg per kg of body weight.
• Your doctor may change your child’s dosage depending on how your child’s body responds to the drug.

Senior dosage (ages 65 years and older)

The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This increases your risk of side effects. Your doctor may start you on a lowered dose or a different medication schedule. This can help keep levels of this drug from building up too much in your body.

Special considerations

Furosemide is removed from your body by your kidneys. If you have kidney problems, more of the drug may stay in your body longer. This can cause dangerous side effects. Your doctor may start you on a lower dose and monitor how well your kidneys are working to make sure this drug is safe for you.

Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.

Furosemide oral tablet is used for short-term or long-term treatment. It comes with serious risks if you don’t take it as prescribed.

If you stop taking the drug suddenly or don’t take it at all: If you are treating high blood pressure, your blood pressure may rise. This raises your risk of serious problems such as stroke or heart attack.

If you are treating edema, your swelling could get worse. This increases your risk of serious problems such as pain, infections, leg ulcers (long lasting sores), and blood clots.

If you miss doses or don’t take the drug on schedule: Your medication may not work as well or may stop working completely. For this drug to work well, a certain amount needs to be in your body at all times.

If you take too much: You could have dangerous levels of the drug in your body. Symptoms of an overdose of this drug can include:

• extreme tiredness
• dizziness
• thirst
• low blood pressure

If you think you’ve taken too much of this drug, call your doctor or local poison control center. If your symptoms are severe, call 911 or go to the nearest emergency room right away.

What to do if you miss a dose: Take your dose as soon as you remember. But if you remember just a few hours before your next scheduled dose, take only one dose. Never try to catch up by taking two doses at once. This could result in dangerous side effects.

How to tell if the drug is working: If you’re treating high blood pressure, your blood pressure should be lowered. But you will likely not feel any different. Your doctor will monitor your blood pressure. You can also check it at home using a home blood pressure monitor. If you’re treating edema, your swelling should go down.

Keep these considerations in mind if your doctor prescribes furosemide oral tablet for you.

General

• Furosemide causes you to urinate more, so you should avoid taking it at bedtime.
• You can cut or crush the furosemide tablet.

Storage

• Keep furosemide at room temperature of 59°F (15°C) to 86°F (30°C).
• Keep this drug away from light.
• Don’t store this medication in moist or damp areas, such as bathrooms.

Refills

A prescription for this medication is refillable. You should not need a new prescription for this medication to be refilled. Your doctor will write the number of refills authorized on your prescription.

Travel

When traveling with your medication:

• Always carry your medication with you or in your carry-on bag.
• Don’t worry about airport X-ray machines. They can’t hurt your medication.
• You may need to show airport staff the pharmacy label for your medication. Always carry the original prescription-labeled box with you.
• Don’t put this medication in your car’s glove compartment or leave it in the car. Be sure to avoid doing this when the weather is very hot or very cold.

Self-management

If you’re treating high blood pressure, your doctor may suggest that you monitor your blood pressure. You can do this using a home blood pressure monitor. Your doctor can tell you where to buy this device and how to use it.

Clinical monitoring

Your doctor will monitor the following:

• Blood pressure: Your doctor will check your blood pressure to make sure this drug is keeping your blood pressure under control.
• Electrolyte levels: This drug can cause changes in your electrolyte levels. This includes potassium levels. Your doctor will check your levels to make sure your electrolytes are in a healthy range. (Electrolytes are minerals that manage the fluid levels and other functions in your body.)
• Kidneys: This drug can make kidney problems worse, or even cause new ones. If this drug causes problems for your kidneys, your doctor may need to reduce your dose, or you may need to stop using it.
• Liver: This drug can increase the level of liver enzymes in your body. A raised enzyme level can mean you have liver damage. Your doctor may monitor your enzyme level.
• Thyroid levels: This drug can cause low thyroid hormone levels. Your doctor may do blood tests to monitor your thyroid levels.

Your diet

Furosemide can cause low blood pressure. A low-salt diet puts you at even higher risk of low blood pressure. If you are on a low-salt diet, talk with your doctor about whether this drug is right for you.

Your doctor may suggest that you eat foods high in potassium. These include bananas, dark leafy greens, and avocados.

Sun sensitivity

Your skin may be more sensitive to sunlight while taking furosemide.

• Avoid staying outside directly under the sun for long periods of time.
• Wear protective clothing that covers most areas of your body.
• Use protective sunscreen products.

Hidden costs

You may need to buy a home blood pressure monitor to check your blood pressure at home. Your doctor can tell you more.

There are other drugs available to treat your condition. Some may be better suited for you than others. Talk with your doctor about other drug options that may work for you.

Disclaimer: Medical News Today has made every effort to make certain that all information is factually correct, comprehensive, and up to date. However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or another healthcare professional before taking any medication. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.

Furosemide Mylan – instructions for use, dosage, composition, analogs, side effects 006

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Page reviewed by pharmacist Milityan Inessa Mesropovna Last update 2022-04-07

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Name of the medicinal product

The information provided in section Name of the medicinal product Furosemide Mylan is based on data from another medicine with exactly the same composition as the medicine Furosemide Mylan . Be
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Furosemide Mylan

Composition of

The information provided in section Composition of Furosemide Mylan is based on data from another medicine with exactly the same composition as the medicine Furosemide Mylan . Be
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Furosemid

Therapeutic indications

The information provided in section Therapeutic indications Furosemide Mylan is based on data from another medicine with exactly the same composition as the medicine Furosemide Mylan 900 60 . Be
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Edema.

Route of administration and doses

The information provided in section Route of administration and doses of Furosemide Mylan is based on data from another medicine with exactly the same composition as the medicine Furosemide Mylan . Be
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Injection solution; Dragee; Solution for intravenous and intramuscular injection; Substance; Substance powder

Tablet; Solution for injection / infusion

Tablets

The dosing regimen is set individually, depending on the indications, the clinical situation, the age of the patient. During treatment, the dosage regimen is adjusted depending on the magnitude of the diuretic response and the dynamics of the patient’s condition.

Inside. In the morning, before meals. Adults at the initial dose – 20-40 mg (1/2-1 tab.). With insufficient exposure, the dose is gradually increased to 80-160 mg per day in 2-3 doses at intervals of 6 hours. After reducing edema, the drug is prescribed in smaller doses with an interval of 1-2 days. In arterial hypertension – 20–40 mg, in the absence of a sufficient decrease in blood pressure, other antihypertensive drugs should be added to the treatment. When adding furosemide to already prescribed antihypertensive drugs, their dose should be reduced by 2 times. Children initial single dose – 1-2 mg / kg, maximum – 6 mg / kg.

The dosing regimen is set individually, depending on the indications, the clinical situation, the age of the patient. During treatment, the dosage regimen is adjusted depending on the magnitude of the diuretic response and the dynamics of the patient’s condition.

Inside. In the morning, before meals. Adults at the initial dose – 20-40 mg (1/2-1 tab.). With insufficient exposure, the dose is gradually increased to 80-160 mg per day in 2-3 doses at intervals of 6 hours. After reducing edema, the drug is prescribed in smaller doses with an interval of 1-2 days. In arterial hypertension – 20–40 mg, in the absence of a sufficient decrease in blood pressure, other antihypertensive drugs should be added to the treatment. When adding Furosemide Mylan to already prescribed antihypertensive drugs, their dose should be reduced by 2 times. Children initial single dose – 1-2 mg / kg, maximum – 6 mg / kg.

Inside, on an empty stomach, without chewing and drinking plenty of liquid.

The daily dose and regimen of the drug is set individually, depending on the therapeutic response, while determining the minimum effective dose.

The drug can be taken every day or every other day.

Adults: The initial single dose is 40 mg. Additional dosage adjustments may be required until a maintenance dose is reached. In mild cases, a dose of 40 mg every other day may be sufficient. In cases of resistant edema, the usual dose is 80 mg/day or more, once or twice a day, or as needed. In severe edematous conditions, a gradual increase in dose up to 600 mg / day is possible. The maximum daily dose for adults is 1500 mg.

Edema syndrome in CHF: initial dose — 40–80 mg/day. The required dose is selected depending on the diuretic response.

Edema syndrome in CRF: The recommended starting dose is 40–80 mg/day. Patients with chronic renal failure require careful dose selection, by gradually increasing it so that fluid loss occurs gradually (at the beginning of treatment, fluid loss of up to approximately 2 kg / day is possible). In patients on hemodialysis, the usual maintenance dose is 250–1500 mg/day.

Edema in nephrotic syndrome: starting dose 40-80 mg/day. The required dose is selected depending on the diuretic response.

Edema syndrome in liver disease: starting dose 40-80 mg/day. Furosemide Mylan is indicated in addition to treatment with aldosterone antagonists in case of insufficient effectiveness. To prevent the development of complications, such as impaired orthostatic regulation of blood circulation or impaired electrolyte status or acid-base balance, careful dose selection is required so that fluid loss occurs gradually (fluid loss of up to approximately 0.5 kg / day is possible at the beginning of treatment).

Hypertension: Furosemide Mylan may be used alone or in combination with other antihypertensive agents. The usual maintenance dose is 40 mg/day. When adding furosemide to already prescribed drugs, their dose should be reduced by 2 times. In case of arterial hypertension in combination with chronic renal failure, higher doses of the drug may be required

Special groups of patients

Children. The recommended single dose in children is determined at the rate of 2 mg / kg / day, with a possible increase in dose up to 40 mg / day.

Elderly patients. In elderly patients, furosemide is excreted more slowly, therefore, if necessary, dose adjustment is possible to achieve a therapeutic effect.

Contraindications

The information provided in section Contraindications Furosemide Mylan is based on data of another medicine with exactly the same composition as the medicine Furosemide Mylan . Be
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Severe renal or hepatic insufficiency, hyperkalemia.

Side effects

The information provided in section Side effects of Furosemide Mylan is based on data from another medicine with exactly the same composition as medicine Furosemide Mylan . Be
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Dry mouth, nausea, diarrhea, headache, fatigue, skin rash.

Pharmacokinetics

Provided in section Pharmacokinetics of Furosemide Mylan The information is based on data from another medicine with exactly the same composition as Furosemide Mylan . Be
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Oral bioavailability is 64%. C _max increases with increasing dose, but the time to reach the maximum does not depend on the dose and varies widely depending on the patient’s condition. T _1/2 – about 2 hours. In plasma, 91-99% binds to protein, 2.4-4.1% is in a free state. It is biotransformed mainly into glucuronide. It is excreted in the urine (after intravenous administration more than when taken orally).

Pharmacological group

The information provided in section Pharmacological group Furosemide Mylan is based on data from another medicine with exactly the same composition as the drug Furosemide Mylan . Be
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• Diuretic [Diuretics]

Interactions

The information provided in section Interactions Furosemide Mylan is based on data from another medicine with exactly the same composition as the medicine Furosemide Mylan .