Generic Name: bumetanide (bue-MET-a-nide)
Brand Name: Bumex
This is a powerful fluid-reducing medicine. Using too much of bumetanide can lead to serious water and mineral loss. Therefore, it is important that you be monitored by your doctor. Tell your doctor right away if you become very thirsty, have dry mouth, become confused, or develop muscle cramps/weakness.
Bumetanide is used for:
Treating swelling caused by excess body water associated with heart failure or kidney or liver disease. It may also be used for other conditions as determined by your doctor.
Bumetanide is a loop diuretic. It works by forcing the kidney to eliminate sodium, potassium, and water.
Do NOT use bumetanide if:
- you are allergic to any ingredient in bumetanide
- you have no urine formation
- you have kidney disease and a significant decrease in urine formation to less than 16 oz/day (500 mL/day)
- you have severe depletion of blood electrolytes (minerals in the blood [eg, sodium, calcium, potassium, chlorine, magnesium, bicarbonate])
- you have brain and nervous system problems caused by severe liver disease
Contact your doctor or health care provider right away if any of these apply to you.
Before using bumetanide:
Tell your health care provider if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you have excess fluid in or around your abdomen, hearing problems, high blood levels of nitrogen, diabetes, liver or kidney problems, low urine output, or high levels of uric acid
- if you are dehydrated or have had a heart attack
- if you have had a severe allergic reaction to sulfamethoxazole (a sulfa antibiotic) or any other sulfonamide medicine (eg, acetazolamide, celecoxib, hydrochlorothiazide, glyburide, probenecid, sulfamethoxazole, valdecoxib, zonisamide)
- if you have a skin rash or have ever developed a severe skin rash from taking another medicine
Some MEDICINES MAY INTERACT with bumetanide. Tell your health care provider if you are taking any of the following medicines.
- Aminoglycosides (eg, gentamicin) because the risk of hearing loss may be increased
- Ibuprofen or indomethacin because they may decrease bumetanide's effectiveness
- Chloral hydrate, digitalis glycosides, or lithium because their actions and the risk of their side effects may be increased by bumetanide
This may not be a complete list of all interactions that may occur. Ask your health care provider if bumetanide may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use bumetanide:
Use bumetanide as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Bumetanide is usually given as an injection at your doctor's office, hospital, or clinic. If you will be using bumetanide at home, a health care provider will teach you how to use it. Be sure you understand how to use bumetanide. Follow the procedures you are taught when you use a dose. Contact your health care provider if you have any questions.
- Bumetanide may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm.
- If your doctor directs you to switch to medicine that is taken by mouth, be sure you understand how to take it.
- Keep this product, as well as syringes and needles, out of the reach of children and pets. Do not reuse needles, syringes, or other materials. Ask your health care provider how to dispose of these materials after use. Follow all local rules for disposal.
- If you miss a dose of bumetanide, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.
Ask your health care provider any questions you may have about how to use bumetanide.
Important safety information:
- Bumetanide may cause drowsiness, dizziness, or lightheadedness. These effects may be worse if you take it with alcohol or certain medicines. Use bumetanide with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Bumetanide may cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or lie down at the first sign of any of these effects.
- Bumetanide may cause you to become sunburned more easily. Avoid the sun, sunlamps, or tanning booths until you know how you react to bumetanide. Use a sunscreen or wear protective clothing if you must be outside for more than a short time.
- Your doctor may have also prescribed a potassium supplement for you. If so, follow the dosing carefully. Do not start taking additional potassium on your own or change your diet to include more potassium without first checking with your doctor.
- Diabetes patients - Bumetanide may affect your blood sugar. Check blood sugar levels closely. Ask your doctor before you change the dose of your diabetes medicine.
- Lab tests, including kidney function, serum urea nitrogen (BUN), and electrolyte levels, may be performed while you use bumetanide. These tests may be used to monitor your condition or check for side effects. Be sure to keep all doctor and lab appointments.
- Use bumetanide with caution in the ELDERLY; they may be more sensitive to its effects, especially low blood pressure.
- Bumetanide should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using bumetanide while you are pregnant. It is not known if bumetanide is found in breast milk. Do not breast-feed while taking bumetanide.
Possible side effects of bumetanide:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Dizziness or lightheadedness when sitting up or standing; drowsiness; headache; low blood pressure.
Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); confusion; diarrhea; extreme thirst or dry mouth; loss of appetite; muscle cramps; nausea; pain, redness, or swelling at injection site; rapid or irregular heartbeat; red, blistered, swollen, or peeling skin; ringing in the ears or hearing loss; stomach cramps; weakness; vomiting.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include dizziness; dry mouth; excessive urination followed by a decrease in amount of urine; muscle cramps; weak or irregular heartbeat; weakness.Proper storage of bumetanide:
Store bumetanide at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep bumetanide, as well as needles and syringes, out of the reach of children and away from pets.
- If you have any questions about bumetanide, please talk with your doctor, pharmacist, or other health care provider.
- Bumetanide is to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take bumetanide or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about bumetanide. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to bumetanide. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using bumetanide.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.