"Furosemide" is a diuretic and is prescribed as a diuretic and decongestant.
The drug is in the form of tablets for oral administration. Capsules are packaged in contour cells of fifty pieces.
The drug contains one active trace element - furosemide (forty milligrams), as well as a number of additional substances. Is it possible to drink “Furosemide” for everyone or is strict adherence to the doctor’s recommendations necessary, you will learn from this article.
Indications
The tablets are intended for oral use. As a rule, a medication is prescribed in the following situations:
- Swelling.
- Renal failure.
- Neuropathic syndrome (neuropsychiatric disorder characterized by instability of autonomic functions).
- Liver disease.
- Arterial hypertension (persistent increase in blood pressure).
- Severe pregnancy toxicosis, which appears in the second or third trimester of gestation and is accompanied by edema, proteinuria, hypertension, impaired functioning of the nervous system and other organs.
- Severe late gestosis (pose a great danger to both the woman and the fetus, since they are characterized by a severe course).
What contraindications does the drug have?
The drug has a huge list of prohibitions on use, so before therapy, you must always consult a medical specialist and carefully study the instructions for use. The drug is not recommended for use in the presence of the following conditions:
- Anuria (a condition in which urine does not enter the bladder).
- Oliguria (a decrease in the amount of urine released compared to the norm).
- Glomerulonephritis (a kidney disease characterized by glomerulitis).
- Hyperuricemia (a disease in which the concentration of uric acid in the blood is greater than the limit values).
- Aortic stenosis (narrowing of the aortic opening in the valve area, which makes it difficult for blood to escape from the left ventricle).
- Hypertrophic cardiomyopathy (a genetic disease that affects the connective tissue of the right ventricle).
- Pregnancy.
- Lactation (the process of formation, accumulation and periodic elimination of milk).
The drug has a huge number of side effects, so in order not to harm your health when taking other pills, you need to find out from the doctor what to drink with Furosemide so as not to harm the body?
Relative prohibitions on medication are:
- Low blood pressure.
- Acute heart attack (ischemia of the heart, which occurs with the development of necrosis of the myocardial site).
- Cardiogenic shock (left ventricular failure, which is characterized by an instant decrease in myocardial contractility).
- Diabetes mellitus (endocrine diseases that are associated with impaired glucose uptake and develop as a result of absolute or relative).
- Diarrhea (a pathology in which a person has rapid watery bowel movements).
- Pancreatitis (a group of diseases and syndromes in which inflammation of the pancreas is observed).
- Hydronephrosis (persistent progressive disease of the renal pelvis and calyx due to improper outflow of urine into the drainage, which remains in the lumen of the urinary system, leading to the gradual degeneration of the renal parenchyma).
How to drink "Furosemide"?
The tablets are taken orally, swallowed and washed down with water. The dosage of the drug is determined by the attending doctor purely individually, depending on the weight, severity of edema, the presence of existing diseases.
People suffering from chronic renal failure require an individual and careful selection of the dosage of the drug. Treatment is carried out under the supervision of a doctor in a special dosage.
Furosemide tablets how much can I drink? The drug is prescribed in a minimum concentration starting from twenty milligrams per day for an adult patient. With a mild pharmacological effect, the dosage of the drug is increased gradually, the maximum daily content of the active substance for an adult is one and a half grams.
When prescribing Furosemide, an adult adult dosage varies from twenty to eighty milligrams per day, which can be gradually increased to six hundred milligrams per day.
Children's dosage of the drug is calculated based on the weight of the patient. It is one to two milligrams per kilogram of body weight, but should not be more than six milligrams per kilogram. How many days to drink Furosemide? The drug can be taken for a maximum of two days. Since the medicine produces a strong diuretic effect, magnesium, calcium and potassium are also excreted from the body along with the liquid.
Can I use the medicine during pregnancy?
In the first three months, Furosemide tablets are not recommended for pregnant women, since at this stage the internal organs of the fetus are formed, and the effect of drugs on the mother's body is undesirable.
In subsequent trimesters, the drug can be used by patients only in situations where there are serious problems. The doctor carefully assesses the likely risks to the fetus with the ratio of benefits to the mother. The medicine easily passes through the placental barrier, but in the course of the clinical trials it was not revealed any effect of Furosemide on the child.
The drug is excreted in milk and can penetrate the baby's body. If treatment with Furosemide is necessary for a nursing mother, lactation must be stopped so as not to harm the baby.
Side effects
If the dosage and the rules for using the drug are violated in patients, the appearance of side effects on Furosemide is likely:
- A sharp decrease in blood pressure.
- Collapse.
- Arrhythmia (a pathological condition leading to a violation of the frequency, rhythm and sequence of excitation and contraction of the heart).
- Oppression of consciousness.
- Apathy (a symptom that manifests itself in indifference, in a detached attitude to what is happening around, in the absence of a desire for any activity).
- Drowsiness.
- Noise and ringing in the ears.
- Anorexia (a condition based on a mental disorder, which manifests itself as a huge desire for weight loss, fear of obesity).
- Pain in the stomach.
What other negative effects can provoke Furosemide?
- Reactive pancreatitis.
- Oliguria (a decrease in the amount of urine released compared to the norm).
- Hematuria (a medical term for the presence of blood in the urine in excess of the values that make up the physiological norm).
- Impotence (erection dysfunction, in which the volume of the penis of a man).
- Erythema (severe redness of the skin caused by the expansion of capillaries).
- Vasculitis (a group of diseases based on immunopathological vascular inflammation).
- Quincke's edema (a reaction to the effects of various biological and chemical factors, often of an allergic nature).
- Nettle rash (a skin disease, mainly dermatitis of an allergic etiology, which is characterized by a sharp appearance of blisters).
- Dermatitis.
- Anaphylaxis.
- Lyell's Syndrome.
- Decrease in the number of leukocytes per unit volume of blood.
- Decreased platelet count below standard.
- Hypovolemia.
What to drink with Furosemide so as not to provoke a side effect? With the drug, you can take Asparkam.
Interaction with other medicines
When prescribing "Furosemide" with "Phenobarbital", a decrease in the therapeutic effect of a diuretic can be observed, therefore it is important to pay attention to this and, if necessary, adjust the dosage of the drug.
Under the action of this drug, the content of cephalosporins in the blood increases, subsequently, the risk of side effects from an antibacterial agent increases. What to drink with Furosemide, and what to refrain from if you need to take several drugs at the same time?
When combining the drug with aminoglycosides, the process of their elimination from the body decreases, and this leads to an increase in the toxicity and nephrotoxicity of drugs of this group.
With the joint use of Furosemide with glucocorticosteroids, the likelihood of developing hypokalemia increases, which can provoke the appearance of adverse reactions and complications from the cardiovascular system.
With the combination of Furosemide with Carbamazepine, the risk of hyponatremia increases.
The drug considered in the article reduces the pharmacological effect of hypoglycemic drugs, which is important to consider and adjust for people with diabetes, the dose of insulin and hypoglycemic drugs.
While taking antihypertensive drugs with Furosemide tablets, caution must be exercised, since such a pharmacological interaction can cause a sharp decrease in blood pressure, as well as the development of collapse and acute heart failure.
When using the drug together with angiotensin-converting enzyme inhibitors, the likelihood of acute renal failure increases. If the patient used inhibitors, then Furosemide can be taken no earlier than three days after the drug is discontinued.
When taking the drug in combination with radiopaque microelements in people, the likelihood of kidney disease is sharply increased.
Features
Before starting therapy, it is important to make sure that the patient has no blockage of the ureters with stones. With anuria or oliguria of unknown origin, the drug is forbidden to use orally. What can I drink with Furosemide in such cases?
For preventive purposes, to prevent hypokalemia during drug therapy, people need to use medications containing potassium and potassium-sparing diuretics.
The composition of "Furosemide" includes lactose monohydrate, which must be taken into account when prescribing a medication to patients with congenital intolerance to this substance.
Is it possible to drive a car while using the drug?
During the use of tablets, it is necessary to refrain from driving vehicles and operating machinery that requires attention. This is due to possible dizziness and a sharp decrease in blood pressure in a person after taking the medicine. How often can I drink "Furosemide" according to the instructions?
Between taking medication, you need to take a break with a time interval of six hours. If necessary, therapy "Furosemide" can be combined in antihypertensive drugs.
Analogues of "Furosemide"
The substitute drug "Furosemide" are considered tablets "Lasix". When replacing the medication recommended by the doctor with its analogue, it is important to consult a medical specialist.
Storage conditions
The drug is dispensed from pharmacy points strictly according to the doctor’s prescription. Keep "Furosemide" should be in a place protected from children, at a temperature of no more than plus twenty-five degrees. The shelf life of the drug is forty-eight months. The cost varies from 15 to 25 rubles.