Product Details
TORSEMIDE 20 MG + SPIRONOLACTONE 50 MG
Introduction : Spironolactone 50mg tablet is a potassium-sparing diuretic (water pill). It prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. This medicine is also used to treat or prevent hypokalemia (low potassium levels in the blood).
Torsemide 20mg tablet is used to help treat fluid retention (edema) and swelling that is caused by congestive heart failure, liver disease, kidney disease. It belongs to the group of medicines called loop diuretics (water pills). This medicine works by acting on the kidneys to increase the flow of urine.
Indication : The combination of Torsemide 20mg and Spironolactone 50mg tablet is often prescribed to manage edema associated with conditions such as congestive heart failure, liver cirrhosis, and kidney disease.
Torsemide 20mg and Spironolactone 50mg tablet may also be used to treat hypertension in individuals who are not adequately controlled on other antihypertensive medications.
Administration : Dosage: The dosage of Torsemide 10 mg + Spironolactone 50 mg may vary depending on the individuals medical condition and response to treatment. It is typically taken orally once daily, with or without food.
Monitoring: Regular monitoring of blood pressure, electrolyte levels (especially potassium), and kidney function is essential while taking this combination medication.
Storage : Store Torsemide & Spironolactone tablets at room temperature, away from moisture, heat, and direct sunlight.
Keep the tablets in their original packaging and out of reach of children.
Mechanism of Action : Diuretics lower blood pressure initially by reducing plasma and extracellular fluid volume; cardiac output also decreases. Eventually, cardiac output returns to normal with an accompanying decrease in peripheral resistance.
"Spironolactone is a renal competitive aldosterone antagonist. It inhibits the effect of aldosterone by competing for the aldosterone-dependent sodium-potassium exchange site in the distal tubule cells. This increases the secretion of water and sodium, while decreasing the excretion of potassium
"
Therapeutic : Diuretics
Side Effects : Common side effects of Torsemide and Spironolactone may include dizziness, headache, electrolyte imbalances (such as hypokalemia or hyperkalemia), and gastrointestinal symptoms (such as nausea, vomiting, or diarrhea).
Contraindications : "Evidence has demonstrated fetal abnormalities or risks when used during pregnancy
Evidence and/or expert consensus has demonstrated harmful infant effects when used during breastfeeding."
Safety Advice / Warnings : "Side effects may include excessive urination
Patient should report symptoms of ototoxicity (loss of hearing)
Warn patient to avoid use of nonprescription NSAID products without first discussing it with their healthcare provider"
Spironolactone may worsen kidney function in patients with low to no salt in their body or in those who take other blood pressure medicines
This medicine may also cause electrolyte imbalances (including low sodium, magnesium, and calcium in the blood, hypochloremic alkalosis) and an increase in your uric acid and blood sugar levels.
References : Aranda P & Novales E: Diuretics and the treatment of systemic hypertension.. Am J Cardiol 1990; 65:72H-76H.
Product Information: DEMADEX(R) oral tablets, torsemide oral tablets. Meda Pharmaceuticals Inc (per FDA), Somerset, NJ, 2017.
Product Information: Aldactone(R) oral tablets, spironolactone oral tablets. G.D. Searle (per FDA), New York, NY, 2014.