Torsemide is used alone or in combination with other medications to treat high blood pressure. Torsemide is used to treat edema (fluid retention; excess fluid held in body tissues) caused by various medical problems, including heart, kidney, or liver disease. Torsemide is in a class of medications called diuretics (‘water pills’). It works by causing the kidneys to get rid of unneeded water and salt from the body into the urine.
High blood pressure is a common condition, and when not treated it can cause damage to the brain, heart, blood vessels, kidneys, and other parts of the body. Damage to these organs may cause heart disease, a heart attack, heart failure, stroke, kidney failure, loss of vision, and other problems. In addition to taking medication, making lifestyle changes will also help to control your blood pressure. These changes include eating a diet that is low in fat and salt, maintaining a healthy weight, exercising at least 30 minutes most days, not smoking, and using alcohol in moderation.
Side Effects Of Torsemide
Tell your doctor if any of these symptoms are severe or do not go away:
- frequent urination
- hearing loss
- ringing in ears
- sore throat
- upset stomach
Some side effects can be serious. If you have any of these symptoms, call your doctor immediately or get emergency medical treatment:
- dry mouth; thirst; nausea; vomiting; weakness, tiredness; drowsiness; restlessness; confusion; muscle weakness, pain, or cramps; fast heartbeat and other signs of dehydration and electrolyte imbalance
- rapid, excessive weight loss
- vomiting blood
- chest pain
- difficulty breathing or swallowing
- blisters or peeling skin
- ongoing pain that begins in the stomach area, but may spread to the back
Warnings & Precautions
Before taking torsemide:
- tell your doctor and pharmacist if you are allergic to torsemide, sulfonamide medications, any other medications, or any of the ingredients in torsemide tablets. Ask your pharmacist or check the patient information for a list of the ingredients.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: aminoglycoside antibiotics such as amikacin, gentamicin (Garamycin), or tobramycin (Bethkis, Tobi), aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin, others) and naproxen (Aleve, Naprosyn, others); corticosteroids such as betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, others), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol, Meprolone, others), prednisolone (Prelone, others), prednisone (Rayos), and triamcinolone (Aristocort, Azmacort); corticotropin (ACTH, H.P., Acthar Gel); digoxin (Lanoxin), ethacrynic acid (Edecrin), indomethacin (Indocin), lithium (Lithobid), medications for high blood pressure or pain, and probenecid (Probalan, Probenemid). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- if you are taking cholestyramine (Questran), take it 4 hours before or 1 hour after toresemide.
- tell your doctor if you have or have ever had kidney disease. Your doctor may tell you not to take toresemide.
- tell your doctor if you have or have ever had diabetes, gout, heart, or liver disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. Do not breastfeed while taking this medicine. If you become pregnant while taking torsemide, call your doctor.
- you should know that torsemide may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. This is more common when you first start taking torsemide. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up. Alcohol can add to these side effects.
Dosage Of Torsemide
Torsemide comes as a tablet to take by mouth. It usually is taken once a day. To help you remember to take torsemide, take it around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take torsemide exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Torsemide controls high blood pressure and edema but does not cure these conditions. Continue to take torsemide even if you feel well. Do not stop taking torsemide without talking to your doctor.
Keep all appointments with your doctor and the laboratory. Your blood pressure should be checked regularly, and blood tests should be done occasionally.
Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking torsemide.
Do not let anyone else take your medicine. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
All information has been provided courtesy of MedLinePlus from the National Library of Medicine and from the FDA.