FUROSEMIDE TABLETS 40MG
Active substance: FUROSEMIDE
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Diuresal40mgTablets (furosemide) Readallofthisleafletcarefullybeforeyoustarttakingthismedicine. Keepthisleaflet.Youmayneedtoreaditagain. Ifyouhaveanyfurtherquestions,askyourdoctororpharmacist. Thismedicinehasbeenprescribedforyou.Donotpassitontoothers.Itmayharmthem, eveniftheirsymptomsarethesameasyours. Ifanyofthesideeffectsgetsserious,orifyounoticeanysideeffectsnotlistedinthisleaflet, pleasetellyourdoctororpharmacist. Inthisleaflet: 1. WhatDiuresalTabletsareandwhattheyareusedfor 2. BeforeyoutakeDiuresalTablets 3. HowtotakeDiuresalTablets 4. Possiblesideeffects 5. HowtostoreDiuresalTablets 6. Furtherinformation 1. WHATDIURESALTABLETSAREANDWHATTHEYAREUSEDFOR: DiuresalTabletsbelongstoagroupofmedicinescalleddiuretics(watertablets).Theyare usedtotreattheabnormallylowproductionofurinecausedbykidneydisorders. 2. BEFOREYOUTAKEDIURESALTABLETS DonottakeDiuresalTabletsifyou: Arehypersensitive(allergic)tofurosemide,othersulphonamiderelateddrugsorany oftheotheringredientsofDiuresalTablets(seesection6) Havelowbloodpressure Haveseverekidneyfailure Haveadisorderofbodychemicals(thismaymakeyoufeelweak,apatheticor musclespasms) Havelivercirrhosis(tiredness,weakness,waterretention,feelingorbeingsick,loss ofweightorappetite,yellowingskinoreyes,itch) Arenotproducinganyurine Haveporphyria(aninheritedconditioncausingskinblisters,abdominalpainand brainornervoussystemdisorders) Havedigitalispoisoning(feelingorbeingsick,highlevelsofpotassiumintheblood, slow,fastorirregularheartbeats). TakespecialcarewithDiuresalTablets ConsultyourdoctorbeforetakingDiuresalTabletsifyouhave: Lowbloodvolume(hypovolaemia) Lowbloodpressure(hypotension) Havediabetes.Ifyouaretakinginsulin,yourdoctormayneedtoadjustyourinsulin dosage
Havehadgout(severejointpain) HaveMetabolicacidosis(toomuchacidinthebody) HaveProstatetroubleordifficultypassingurine Arehypersensitivetosulphonamidetypedrugslikefurosemide(seesection4:Side Effects). Yourdoctormaymonitoryouandmaytakebloodfortestingwhileyouaretakingthis medicine. Takingothermedicines: Pleaseinformyourdoctororpharmacistifyouaretakingorhaverecentlytakenanyother medicines,eventhosenotprescribed. Inparticulartellyourdoctorifyouaretakinganyofthefollowing: Drugstolowerbloodpressure,suchasACEinhibitors,betablockerssuchassotalol, calciumchannelblockers,alphablockers Nonsteroidalantiinflammatorydrugs(NSAIDs)oraspirinforpain Digoxinforyourheart Alprostadilforimpotence Antidepressantse.g.tricyclics,MAOIsorreboxetine Antifungalssuchasamphotericin Musclerelaxantssuchasbaclofen,tizanidineorvercuronium Carbamazepinetocontrolepilepsy Corticosteroidsusedtotreatallergicreactions Laxativesusedoveralongperiodoftime Carenoxolonetotreatulcers Drugsforasthmasuchastheophylline MoxisylyteusedtotreatRaynaudsSyndrome OestrogensorprogesteronesforHormoneReplacementTherapy(HRT)and contraception Amphotericinforfungalinfections Antibioticsthataffectyourkidneysorears(e.g.cefaclor,colistin,gentamicin, vancomycin) Lithiumfordepressionormania Medicinetocontroldiabetessuchasinsulinorglucocorticoidtablets Terfendadineusedtotreatallergies Otherdiureticssuchasmetozolone. Pregnancyandbreastfeeding Askyourdoctororpharmacistforadviceifyouarepregnant,planningonbecoming pregnantorbreastfeedingbeforetakingthismedicine. Drivingandusingmachines DonotdriveoroperatemachineryifyoufeellessalertaftertakingDiuresalTablets. Importantinformationaboutsomeoftheingredients Thismedicinecontainslactose(atypeofsugar),ifyouhavebeentoldbyyourdoctorthat youhaveanintolerancetosomesugars,talktoyourdoctorbeforetakingthismedicine. 3. HOWTOTAKEDIURESALTABLETS
AlwaystakeDiuresalTabletsexactlyasyourdoctorhasinstructedyou.Youshouldcheck withyourdoctororpharmacistifyouareunsure. Theusualdose: Adults: Theinitialdoseis40mgaday,reducedto20mgdailyor40mgonalternatedays,depending onhowyourespond.Thismaybeincreasedto80mgdaily. Elderly: Furosemideisgenerallyclearedfromthebodymoreslowlyintheelderly.Ifyouareelderly yourdoctormaydecidetostartwithalowdoseandincreasethedosegraduallyaccordingly toyourresponse. Children: Theusualdoseis1to3mgperkgbodyweightdaily,uptoamaximumof40mgdaily.The doctorwilldecideonthedose. IfyoutakemoreDiuresalTabletsthanyoushould Thismedicineistobetakenatregularintervals,asdeterminedbythedoctor.Ifyoutake toomanytabletsbymistakecontactyournearesthospitalcasualtydepartmentortellyour doctorimmediately.Takeyourtabletpackwithyou. IfyoustoptakingDiuresalTablets KeeptakingDiuresalTabletsuntilyourdoctortellsyoutostop.DonotstoptakingDiuresal Tabletsjustbecauseyoufeelbetter. IfyouforgettotakeDiuresalTablets Ifyouhaveforgottentotakeadose,leaveoutthatdosecompletely.Takeyournextdoseat thenormaltime.Ifyouhavetroublerememberingtotakethetablets,tellyourdoctoror pharmacist. 4. POSSIBLESIDEEFFECTS Likeallmedicines,DiuresalTabletscancausesideeffects,althoughnoteveryonegetsthem. IfyouexperienceanyofthefollowingthenSTOPtakingthemedicineandcontactadoctor immediately Allergicreactionsmayoccurrarely,withsymptomssuchasrash,itching,swellingof theface,wheeziness,shortnessofbreath,tightnessinthechest,fever,lowblood pressureandfeelingdizzyparticularlywhenstandingup Changesinyourblood,yourdoctorwillperformregularbloodteststoensureno changeshaveoccurred.Thesymptomsofthesechangesincludeanaemia,leading totirednessandlethargy,unusualbleedingorbruising,bloodslowtoclot,ulcersin yourthroat,mouthoronyourskin. Tellyourdoctororpharmacistifyounoticeanyofthefollowingsideeffects: Alteredbalanceoffluidorchemicalsinthebody(e.g.sodium,potassium,chlorine andmagnesium)causingadrymouth,weakness,tirednessordrowsiness, restlessness,fits,musclepain,fatigueorcramps,lowbloodpressure,difficulty passingwater,fastheartbeatandfeelingandbeingsick
Blood:Furosemidecanoccasionallycausechangesinyourblood;yourdoctorwill performregularbloodteststoensurenochangeshaveoccurred.Thesymptomsof thesechangesincludeanaemia,leadingtotirednessandlethargy,unusualbleeding orbruising,bloodslowtoclot,ulcersinyourthroat,mouthoronyourskin Metabolismgoutcausingpain,changesinlevelsofbodychemicals(glucose,fats, calciumorurea) Heart:lowbloodpressure,inflammationofbloodvessels(vasculitis,whichmay causerash,feverandjointormusclepains) Stomachandintestines:stomachirritationorfeelingsick Pancreas:inflammationofthepancreas(pancreatitis)whichmaycausesevere painsinyourabdomenorback,nausea,vomitingandfever Urinaryandgenital:kidneystonesinprematurebabies Senses:hearingproblemsorringinginyourears(tinnitus) Other:generallyfeelingunwell,headache,musclecramps.
Ifanyoftheseeffectsbecomeworseorupsetting,goandseeyourdoctororpharmacistfor advice. 5. STORINGDIURESALTABLETS Checktheexpirydateprintedonthelabelorsideofthebox.Donotuseaftertheexpiry datestatedonthelabel. Donotstoreabove25C.Storeintheoriginalpackage. Incaseofanyvisiblesignsofdeterioration,youshoulddiscardthepackage. Medicinesshouldnotbedisposedofviawastewaterorhouseholdwaste.Askyour pharmacisthowtodisposeofmedicinesnolongerrequired.Thesemeasureshelptoprotect theenvironment. Keepoutofthereachandsightofchildren. 6. FURTHERINFORMATION WhatDiuresalTabletscontain: DiuresalTabletscontaintheactivesubstancefurosemide. TheotheringredientsinDiuresal40mgTabletsare:lactose,maizestarch,pregelatinised starch,talc,magnesiumstearate,microcrystallinecellulose. WhatDiuresalTabletslooklikeandcontentsofthepack: Diuresal40mgTabletsareplainononesideandhaveabreaklineontheotherside. TheDiuresal40mgTabletsareavailableinpacksof28or1000. Manufacturer EnnogenPharmaLimited UnitG4,RiversideIndustrialEstate, RiversideWay,Dartford,DA15BS,UK MarketingAuthorisationHolder EnnogenPharmaLimited
UnitG4,RiversideIndustrialEstate, RiversideWay,Dartford,DA15BS,UK ThisleafletwaslastamendedinMarch2013.
Havehadgout(severejointpain) HaveMetabolicacidosis(toomuchacidinthebody) HaveProstatetroubleordifficultypassingurine Arehypersensitivetosulphonamidetypedrugslikefurosemide(seesection4:Side Effects). Yourdoctormaymonitoryouandmaytakebloodfortestingwhileyouaretakingthis medicine. Takingothermedicines: Pleaseinformyourdoctororpharmacistifyouaretakingorhaverecentlytakenanyother medicines,eventhosenotprescribed. Inparticulartellyourdoctorifyouaretakinganyofthefollowing: Drugstolowerbloodpressure,suchasACEinhibitors,betablockerssuchassotalol, calciumchannelblockers,alphablockers Nonsteroidalantiinflammatorydrugs(NSAIDs)oraspirinforpain Digoxinforyourheart Alprostadilforimpotence Antidepressantse.g.tricyclics,MAOIsorreboxetine Antifungalssuchasamphotericin Musclerelaxantssuchasbaclofen,tizanidineorvercuronium Carbamazepinetocontrolepilepsy Corticosteroidsusedtotreatallergicreactions Laxativesusedoveralongperiodoftime Carenoxolonetotreatulcers Drugsforasthmasuchastheophylline MoxisylyteusedtotreatRaynaudsSyndrome OestrogensorprogesteronesforHormoneReplacementTherapy(HRT)and contraception Amphotericinforfungalinfections Antibioticsthataffectyourkidneysorears(e.g.cefaclor,colistin,gentamicin, vancomycin) Lithiumfordepressionormania Medicinetocontroldiabetessuchasinsulinorglucocorticoidtablets Terfendadineusedtotreatallergies Otherdiureticssuchasmetozolone. Pregnancyandbreastfeeding Askyourdoctororpharmacistforadviceifyouarepregnant,planningonbecoming pregnantorbreastfeedingbeforetakingthismedicine. Drivingandusingmachines DonotdriveoroperatemachineryifyoufeellessalertaftertakingDiuresalTablets. Importantinformationaboutsomeoftheingredients Thismedicinecontainslactose(atypeofsugar),ifyouhavebeentoldbyyourdoctorthat youhaveanintolerancetosomesugars,talktoyourdoctorbeforetakingthismedicine. 3. HOWTOTAKEDIURESALTABLETS
AlwaystakeDiuresalTabletsexactlyasyourdoctorhasinstructedyou.Youshouldcheck withyourdoctororpharmacistifyouareunsure. Theusualdose: Adults: Theinitialdoseis40mgaday,reducedto20mgdailyor40mgonalternatedays,depending onhowyourespond.Thismaybeincreasedto80mgdaily. Elderly: Furosemideisgenerallyclearedfromthebodymoreslowlyintheelderly.Ifyouareelderly yourdoctormaydecidetostartwithalowdoseandincreasethedosegraduallyaccordingly toyourresponse. Children: Theusualdoseis1to3mgperkgbodyweightdaily,uptoamaximumof40mgdaily.The doctorwilldecideonthedose. IfyoutakemoreDiuresalTabletsthanyoushould Thismedicineistobetakenatregularintervals,asdeterminedbythedoctor.Ifyoutake toomanytabletsbymistakecontactyournearesthospitalcasualtydepartmentortellyour doctorimmediately.Takeyourtabletpackwithyou. IfyoustoptakingDiuresalTablets KeeptakingDiuresalTabletsuntilyourdoctortellsyoutostop.DonotstoptakingDiuresal Tabletsjustbecauseyoufeelbetter. IfyouforgettotakeDiuresalTablets Ifyouhaveforgottentotakeadose,leaveoutthatdosecompletely.Takeyournextdoseat thenormaltime.Ifyouhavetroublerememberingtotakethetablets,tellyourdoctoror pharmacist. 4. POSSIBLESIDEEFFECTS Likeallmedicines,DiuresalTabletscancausesideeffects,althoughnoteveryonegetsthem. IfyouexperienceanyofthefollowingthenSTOPtakingthemedicineandcontactadoctor immediately Allergicreactionsmayoccurrarely,withsymptomssuchasrash,itching,swellingof theface,wheeziness,shortnessofbreath,tightnessinthechest,fever,lowblood pressureandfeelingdizzyparticularlywhenstandingup Changesinyourblood,yourdoctorwillperformregularbloodteststoensureno changeshaveoccurred.Thesymptomsofthesechangesincludeanaemia,leading totirednessandlethargy,unusualbleedingorbruising,bloodslowtoclot,ulcersin yourthroat,mouthoronyourskin. Tellyourdoctororpharmacistifyounoticeanyofthefollowingsideeffects: Alteredbalanceoffluidorchemicalsinthebody(e.g.sodium,potassium,chlorine andmagnesium)causingadrymouth,weakness,tirednessordrowsiness, restlessness,fits,musclepain,fatigueorcramps,lowbloodpressure,difficulty passingwater,fastheartbeatandfeelingandbeingsick
Blood:Furosemidecanoccasionallycausechangesinyourblood;yourdoctorwill performregularbloodteststoensurenochangeshaveoccurred.Thesymptomsof thesechangesincludeanaemia,leadingtotirednessandlethargy,unusualbleeding orbruising,bloodslowtoclot,ulcersinyourthroat,mouthoronyourskin Metabolismgoutcausingpain,changesinlevelsofbodychemicals(glucose,fats, calciumorurea) Heart:lowbloodpressure,inflammationofbloodvessels(vasculitis,whichmay causerash,feverandjointormusclepains) Stomachandintestines:stomachirritationorfeelingsick Pancreas:inflammationofthepancreas(pancreatitis)whichmaycausesevere painsinyourabdomenorback,nausea,vomitingandfever Urinaryandgenital:kidneystonesinprematurebabies Senses:hearingproblemsorringinginyourears(tinnitus) Other:generallyfeelingunwell,headache,musclecramps.
Ifanyoftheseeffectsbecomeworseorupsetting,goandseeyourdoctororpharmacistfor advice. 5. STORINGDIURESALTABLETS Checktheexpirydateprintedonthelabelorsideofthebox.Donotuseaftertheexpiry datestatedonthelabel. Donotstoreabove25C.Storeintheoriginalpackage. Incaseofanyvisiblesignsofdeterioration,youshoulddiscardthepackage. Medicinesshouldnotbedisposedofviawastewaterorhouseholdwaste.Askyour pharmacisthowtodisposeofmedicinesnolongerrequired.Thesemeasureshelptoprotect theenvironment. Keepoutofthereachandsightofchildren. 6. FURTHERINFORMATION WhatDiuresalTabletscontain: DiuresalTabletscontaintheactivesubstancefurosemide. TheotheringredientsinDiuresal40mgTabletsare:lactose,maizestarch,pregelatinised starch,talc,magnesiumstearate,microcrystallinecellulose. WhatDiuresalTabletslooklikeandcontentsofthepack: Diuresal40mgTabletsareplainononesideandhaveabreaklineontheotherside. TheDiuresal40mgTabletsareavailableinpacksof28or1000. Manufacturer EnnogenPharmaLimited UnitG4,RiversideIndustrialEstate, RiversideWay,Dartford,DA15BS,UK MarketingAuthorisationHolder EnnogenPharmaLimited
UnitG4,RiversideIndustrialEstate, RiversideWay,Dartford,DA15BS,UK ThisleafletwaslastamendedinMarch2013.
Source: Medicines and Healthcare Products Regulatory Agency
Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
