Furosemide (Lasix) Uses, Furosemide, Aldactone and Torsemide


  1. How to take furosemide?
  2. Is it possible to drink furosemide every day?
  3. Is it possible to drink Furosemide at night?
  4. Is Furosemide and alcohol compatible?
  5. Why does not furosemide work?
  6. How to restore kidney function after treatment with furosemide?
  7. Torsemide or Furosemide: which is better?
  8. Furosemide or Aldactone: which is better?
  9. Furosemide at high blood pressure
  10. Furosemide in edema
  11. Furosemide for weight loss

How to take furosemide?

Take furosemide in the same regimen as your doctor prescribed. He should choose the dosage and indicate how many times a day you need to take this medicine. As a rule, with edema caused by various causes, the diuretic should be drunk 1 or 2 times a day.

For daily treatment of hypertension, this drug is prescribed to take 2 times a day. Details on the use of furosemide for hypertension and edema are listed below. Many patients are interested in how many consecutive days you can take furosemide. This should be decided only by the attending physician.

Do not prescribe yourself and do not cancel on your own initiative diuretics. Many people, especially women, more or less often take furosemide from swelling, rather than try to eliminate their causes. You can easily find on the Russian-language sites frightening descriptions of serious side effects, which lead to self-medication diuretics from edema.

The official instructions for use do not indicate whether furosemide should be taken before or after a meal. An English-language article claims that eating furosemide after eating significantly lowers its effectiveness. As a rule, doctors prescribe to take this medicine on an empty stomach, at least 20-30 minutes before a meal. Perhaps your doctor for some reason will appoint Furosemide after eating. In that case, follow his instructions.

Frequent questions and answers to them

The following are answers to questions that often arise in patients about the use of a diuretic drug furosemide.

Is it possible to drink furosemide every day?

Furosemide is taken every day by the prescription of a doctor by people who have complicated cirrhosis with ascites - the accumulation of fluid in the abdominal cavity. Previously, this medication for daily administration was prescribed to patients with heart failure and hypertension.

Now a new drug Torsemide displaces furosemide in the treatment of heart failure.

Why torsemide is better - detailed below. If you take furosemide every day from heart failure - discuss with your doctor whether it should be replaced with torsemide.

With hypertension, furosemide is better not to be taken daily, like any other loop diuretics. These medicines cause too many side effects. Use tablets on pressure, which act more gently. Consult a doctor to choose a drug regimen that will take hypertension under control, without worsening your state of health and the results of the tests. Some people occasionally drink furosemide when they have a hypertensive crisis. It is better instead to get the right treatment for hypertension, so that there will not be pressure jumps at all. Do not take furosemide daily to lose weight or eliminate swelling! This can cause monstrous side effects. They are vividly described by many sites and forums.

Is it possible to drink Furosemide at night?

As a rule, doctors prescribe to drink furosemide in the morning or at lunch, and not at night, so that the patient does not have to get up too often at night. Perhaps for some reason the doctor will tell you to take furosemide for the night. In that case, follow his instructions. Many people arbitrarily tried to drink this diuretic medicine at night, so as not to have swelling and look good the next morning. Russian-language sites and forums abound with terrible descriptions of the side effects to which this self-treatment leads. The authors of numerous frightening stories about the side effects of furosemide do not exaggerate.

Is Furosemide and alcohol compatible?

Alcohol increases the frequency and severity of the side effects of furosemide. If you use a diuretic at the same time and alcohol, then blood pressure may drop too. Symptoms of this: headache, dizziness, fainting, palpitations. Furosemide often causes orthostatic hypotension - dizziness with a sharp rise from sitting and lying down.

Alcohol can enhance this side effect. Alcohol dehydrates the body and displays useful minerals, like diuretics. Furosemide should be taken only in case of serious illnesses, in which drinking alcohol is completely prohibited. Even a small dose of alcohol will be harmful to you. For mild diseases that allow moderate consumption of alcohol, try to replace the loop diuretic with a more sparing drug or generally do without taking medications.

How do I take Furosemide and Asparkam together?

Take furosemide and asparkam together only as directed by your doctor, regularly taking blood tests for potassium. Furosemide deprives the body of valuable electrolyte - potassium. Tablets Asparkam and Panangin make up potassium reserves. Discuss with your doctor whether you need to take furosemide and Asparkam at the same time. On your own initiative, do not do this. Asparkam have contraindications. Study them before using this remedy. Take both drugs in dosages, which the doctor will indicate, and as many times a day as he prescribes.

Why does not furosemide work? The patient does not decrease swelling

Furosemide is only a temporary solution to the problem of edema. He does not influence their cause, and sometimes even aggravates it. If it is not possible to eliminate the cause, then in time even strong diuretics cease to function. Perhaps the kidneys of the patient came to such a bad state that the body stopped reacting to the diuretic medicine. In such situations, one can not arbitrarily increase the dose of furosemide or change it to another diuretic. Ask your doctor what to do.

How to restore kidney function after treatment with furosemide?

To find out how furosemide affected the kidneys, ask what is the glomerular filtration rate (creatinine clearance), and then give the blood test for creatinine. Learn and follow the rules for preparing this analysis to get the exact result. Creatinine clearance is the main indicator by which you can judge whether the kidneys work well in humans. It is rare that unauthorized intake of one or more tablets of furosemide irreversibly damage the kidneys. Most likely, your health and kidney work will return to normal soon after stopping the diuretic drug.

If you have experienced unpleasant side effects, this will serve as a lesson: you can not take strong drugs on your own initiative. Unfortunately, for people who develop kidney failure, there is no simple solution to this problem. Furosemide damages the kidneys. But if the swelling is so severe that it is impossible to tolerate, then you have to use this remedy, despite the side effects. Follow the doctor's instructions on diet and taking medications to delay the moment when the kidneys completely refuse. No effective national treatment of renal failure does not exist.

Torsemide or Furosemide: which is better?

Torsemide is better than furosemide, suitable for the treatment of heart failure. Both of these drugs are loop diuretics. Torsemide was invented 20 years later than furosemide, in 1988. In the Russian-speaking countries, the first preparation of torsemide was registered in 2006.

Furosemide and Torsemide: Comparison

  Furosemide Torsemide
Deterioration of absorption when taken with food Yes No
Excretion from the body 50/50 kidney and liver 80% - liver, 20% - kidneys
Potassium deficiency in the body in patients Often Rarely

Torsemide acts more smoothly and longly than furosemide, and is considered a safer medicine. Possible side effect of loop diuretics is a decrease in the level of potassium in the blood in patients. Torsemide causes it less often. Sometimes torsemide is prescribed to patients in the late stages of renal failure, when furosemide can no longer be taken.

After the adopted dose of furosemide is finished, excretion of salt in the urine can be significantly reduced due to the "rebound effect". Torsemide does not have this problem.

If you are taking furosemide from swelling with heart failure, discuss with your doctor whether it should not be replaced with Torsemide. Authors of articles in medical journals state that in patients with hypertension torasemide does not affect the parameters of sugar and uric acid in the blood, in contrast to furosemide. Do not trust this information too much. People who have high blood pressure, it is better to take safer drugs daily than loop diuretic drugs - furosemide and torsemide.

Probably, to treat fluid accumulation in the abdominal cavity (ascites) caused by cirrhosis of the liver, torsemide is no worse than furosemide. See, for example, the article "Torsemide versus furosemide in cirrhosis: a long-term, double-blind, randomized clinical study" by Fiaccadori F., Pedretti G., Pasetti G. et al in The Clinical Investigator 1993. Nevertheless, till now at heavy diseases of a liver furosemide appoint or nominate many times more often, than torsemide. Usually, with liver cirrhosis, patients take both a loop diuretic and Aldactone (Spironolactone) at the same time.

Furosemide or Aldactone: which is better?

Can I take it together? Many patients are wondering which drug is better: Furosemide or Aldactone (Spironolactone)? You can not put it that way, because it's completely different drugs. They are appointed for different purposes. Therefore, it can not be said that furosemide is better than Aldactone (Spironolactone), or vice versa. Sometimes patients have to take both of these drugs at the same time.

Furosemide is a powerful diuretic medicine that relates to loop diuretics. It stimulates the excretion of liquid and salt from the body. The effect of it is fast and strong, albeit not prolonged. While the kidneys of the patient can still react to diuretics, this medication well helps with edema.

Aldactone (Spironolactone) has a weak diuretic effect. But it improves the results of treatment with furosemide and reduces the risk of a side effect - potassium deficiency in the body. The drug Torsemide and its analogues displaced furosemide in the treatment of heart failure.

Because torsemide acts better and causes fewer side effects. However, furosemide remains a popular cure for ascites (fluid accumulation in the abdominal cavity) caused by cirrhosis of the liver. In severe liver diseases, patients are often prescribed furosemide and Aldactone (Spironolactone) together. Usually start with a dosage of 100 mg of Aldactone (Spironolactone) and 40 mg of furosemide per day. If this dosage does not help enough, it is increased 3-5 days later. At the same time, the ratio of drugs Aldactone (Spironolactone) and Furosemide 100: 40 is maintained to maintain the optimal level of potassium in the blood.

Furosemide at high blood pressure

Patients should avoid the use of furosemide at elevated blood pressure, except in the most severe cases. This medicine causes serious side effects if taken daily for the treatment of hypertension. It removes potassium and magnesium from the body, which negatively affects the health of patients. Furosemide also accelerates the development of diabetes and gout.

If a patient with hypertension already suffers from diabetes or gout, taking a potent diuretic will worsen his condition. Furosemide with elevated pressure for daily administration is prescribed to severe patients who are no longer helped by thiazide and thiazide-like diuretics - Lozol (Indapamide) and their analogues.

With hypertensive crises, this medicine can be taken occasionally, but only by the doctor's prescription. Study the article "Hypertensive crisis: emergency care." Furosemide and other diuretics are not the best choice when you need to quickly stop the hypertensive crisis. Use less harmful drugs for this. Ask your doctor what tablets you should take every day. Probably, the doctor will prescribe combined medicines containing diuretics, but not powerful loop diuretics.

Furosemide in edema

Furosemide helps with swelling, because it stimulates the kidneys to remove salt and liquid from the body. Unfortunately, this medicine does not eliminate the cause of edema, and sometimes even aggravates them. As a rule, edema is caused by heart failure, kidney or liver disease, and problems with the vessels in the legs. It is necessary to take measures to eliminate the cause of edema, and not just to muffle their symptoms with furosemide.

By arbitrarily taking diuretics from swelling, you can bring on trouble. Furosemide is a potent medicine that causes serious side effects. There is a possibility that it will irreversibly damage the kidneys.

If you regularly have swelling, then do not ignore them, but quickly consult a doctor. Take a medical examination to determine the cause. The diseases listed above can be treated well in the early stages. Strong diuretic drugs are prescribed as symptomatic treatment in severe cases, when time is missed and it is no longer possible to influence the underlying disease. Furosemide from edema sometimes helps even patients who are already useless to take thiazide diuretics - Lozol (Indapamide) and its analogs.

Furosemide for weight loss

Taking furosemide for weight loss is a bad idea. You will be able to lose not more than 2-3 kg, and at the same time will cause significant harm to your health. Furosemide reduces the amount of water in the body, but does not contribute to fat burning. Overweight is not an indication for the use of this drug. No doctor or dietitian in his right mind will approve the use of potent diuretics for weight loss. Because side effects happen often and are severe. Weight loss with furosemide is due to the fact that this medicine quickly causes dehydration.

Deficiency of water in the body leads to diseases of the joints and internal organs. They develop with time. Also dehydration worsens the appearance of the skin in women, and it becomes apparent immediately. In addition to water, furosemide removes from the body valuable minerals - potassium and magnesium. Deficiency of electrolytes worsen your well-being and attractiveness. Do not use strong diuretic drugs for weight loss. Note the Metformin (Siofor). This is a very safe drug that helps reduce body fat.

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