Frusemide

Dosage Forms Available

• Furosemide is available as tablets, oral solution, and injectable solution for administration.

• The tablets and oral solution are taken orally, while the injectable solution is administered intravenously or intramuscularly.

Age and Dose Restrictions

• Furosemide is primarily meant for adult use.

• However, it can also be used in children under close medical supervision.

Contraindications

• Furosemide is contraindicated in patients with hypersensitivity to Furosemide or any of its components.

• It is also contraindicated in patients who have anuria, a condition where the kidneys do not produce urine.

• Additionally, it should not be used in patients with hepatic coma or precoma.

Other Medications to Avoid

• Furosemide may interact with nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen and naproxen), aminoglycoside antibiotics (such as gentamicin and tobramycin), lithium, and cardiac glycosides (like digoxin and digitoxin).

Overdose and Missed Dose

• An overdose of Furosemide may cause severe dehydration, electrolyte imbalances and a sudden drop in blood pressure. Immediate medical attention is needed if these symptoms occur.

• In case of a missed dose, take it as soon as possible. However, if it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve after discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• For dizziness or lightheadedness, stand up slowly to help your body adjust.

• If you experience increased urination frequency, try taking your dose in the morning to avoid disrupting your sleep.

• Stay well hydrated to prevent dehydration.

• Regularly check your electrolyte levels to ensure they stay within normal ranges.

Use in Driving and Operating Machinery

• Furosemide may cause dizziness or drowsiness which can affect the ability to drive or operate heavy machinery. It is advised to avoid these activities if you experience such symptoms.

Use in Pregnancy and Lactation

• Furosemide should only be used during pregnancy or while breastfeeding if the potential benefits outweigh the risks. It is recommended to consult your doctor before using this medicine during these times.

Caution in Other Conditions

• Patients with severe kidney or liver impairment should exercise caution when using Furosemide as it may exacerbate their conditions.

• Caution should also be taken for patients with a known history of allergies to sulfonamide medications, as Furosemide is a sulfa drug.

Special Dietary and Lifestyle Recommendations

• Maintain a balanced diet rich in potassium, such as bananas, oranges, and leafy greens, to prevent electrolyte imbalances due to increased urination.

• Stay well hydrated, especially during hot weather or during exercise, as Furosemide can cause you to sweat more.

• Limit your alcohol intake as it can increase the risk of side effects from Furosemide.