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FUROSEMIDE TABLETS 20MG

Active substance(s): FUROSEMIDE

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Artwork No.

190917/6

Colours Used

Customer

Ennogen

Black

Description

Diuresal 40mg Leaflet

Keyline

Market

UK

Language

English

Size

160 x 500 mm

Min. Font Size

9 pt

Page No.

1 of 2

Version No.

4

Date

01-03-18

Software

Coreldraw 12

Packaging Development

Quality Assurance (QA)

Quality Control (QC)

Production

Medicines used as injections before x-ray
!
Rare: may affect up to 1 in 1,000
examinations (radiocontrast agent)
people
!
Abnormal blood count (white blood
Carbenoxolone - used to treat ulceration and
!
cell deficiency) accompanied by an
inflammation.
PACKAGE LEAFLET: INFORMATION FOR THE USER
increased susceptibility to infection
!
Increase in certain substances
Diuresal Tablets with alcohol
(eosinophilic cells) in the blood
Avoid alcohol when taking Diuresal Tablets as it
!
A crawling sensation on the skin,
may lead to excessive lowering of blood pressure.
itching or tingling without any reason
[Furosemide]
!
A life-threatening form of
Pregnancy and breast-feeding:
unconsciousness
Pregnancy
!
Acute kidney failure
Read all of this leaflet carefully before you start
Are already on medicines like NSAIDs (used
!
!
Hearing disorders and ringing in the ears.
If you are pregnant or breast-feeding, think you
taking this medicine because it contains
for inflammation and pain) or ACE inhibitors
These disorders are usually temporary in
may be pregnant or are planning to have a baby,
important information for you.
nature
(medicines used to lower blood pressure)
ask your doctor or pharmacist for advice before
!
Keep this leaflet. You may need to read it
!
Inflammation of a blood vessel
Are an elderly patient with dementia and are
!
taking this medicine. Furosemide passes through
!
Shock (severe drop in blood pressure, extreme
again.
also taking risperidone
the placenta and hence should not be given during
paleness, restlessness, weak fast pulse,
!
If you have further questions, ask your doctor
Laboratory monitoring: it is recommended to
!
pregnancy unless your doctor feels it is extremely
clammy skin, impaired consciousness) as a
or pharmacist or nurse.
undergo regular monitoring of blood levels for
necessary. If it is given in cases of swelling or
result of a sudden severe dilation of the blood
!
This medicine has been prescribed for you
sodium, potassium, kidney function tests (blood
water retention, the growth of the baby must be
vessels due to allergy to certain substances
only. Do not pass it on to others. It may harm
urea nitrogen and creatinine levels), glucose,
regularly monitored.
!
Fever
them, even if their signs of illness are the same
magnesium, calcium, chloride, bicarbonate and
!
Muscle aches
as yours.
uric acid.
!
Inability to control urination
Breast-feeding
!
If you get any side effects, talk to your doctor,
!
Increased urine production may occur or
!
Regular monitoring is required to check for
Furosemide passes into the milk and may inhibit
pharmacist or nurse. This includes any possible
worsen if you have a urinary tract infection
occurrence of blood dyscrasias (abnormal or
secretion of milk. Hence it should be avoided in
!
If you have a bladder disorder, enlarged
side effects not listed in this leaflet. See section
imbalance in blood components), liver damage
breast-feeding women.
prostate or narrowing of the ureters, urine
4.
or any symptom that may occur particularly to
production can stop suddenly
you.
Driving and using machines:
!
Minor mental disturbances.
What is in this leaflet:
Do not drive or operate machinery if you feel less
1. What Diuresal Tablets are and what they are
Your doctor may monitor you and may take
alert, dizzy or have blurred vision after taking
Very rare: may affect up to 1 in 10,000 people
used for
blood for testing while you are taking this
Diuresal Tablets.
!
Anaemia (a condition characterised by
2. What you need to know before you take
medicine.
shortage of red blood cells)
Diuresal Tablets
!
Very severe blood abnormality (white blood cell
Diuresal Tablets contain lactose
3. How to take Diuresal Tablets
Other medicines and Diuresal Tablets
deficiency) accompanied by a sudden high
If you have been told by your doctor that you have
4. Possible side effects
fever, severe throat pain and ulcers in the
Tell your doctor or pharmacist if you are taking,
an intolerance to some sugars, contact your doctor
5. How to store Diuresal Tablets
mouth.
have recently taken or might take any other
before taking this medicine.
6. Contents of the pack and other information
medicines.
Not known: frequency cannot be estimated
Do not take this medicine and tell your doctor, if
3. HOW TO TAKE DIURESAL TABLETS
from the available data
1. WHAT DIURESAL TABLETS ARE AND
you are taking:
!
Certain liver function disorders or increase in
WHAT THEY ARE USED FOR
Medicines which change the amount of
!
Always take this medicine exactly as your doctor or
certain liver enzymes
potassium in your blood. These include
pharmacist has told you. Check with your doctor or
!
Furosemide can cause an excessive depletion
Diuresal Tablets are one of a group of medicines
potassium supplements such as potassium
pharmacist if you are not sure.
of bodily fluids (e.g. passing urine more often
called diuretics (water tablets). Diuresal Tablets
chloride or certain water tablets (diuretics) such
than normal) and minerals (sodium, potassium,
contain furosemide.
as triamterene or potassium-sparing diuretics
magnesium, calcium). Symptoms that can
The recommended dose:
Your doctor has prescribed Diuresal Tablets to treat
such as amiloride or spironolactone.
occur are thirst, headache, confusion, muscle
a condition called oedema where there is too much
cramps, increased irritability of the muscles,
Adults:
water in your body. This could be due to problems
muscular weakness, heart rhythm disturbances
A large number of drugs can interact with
The usual starting dose is 40mg in the morning;
and gastrointestinal problems such as
with your heart, kidneys, liver, blood vessels or
furosemide which can significantly alter their
then 20mg a day or 40mg on alternate days. Up to
sensation of unease and discomfort in the
high blood pressure. Furosemide helps your
effects. These drugs include:
80mg may be given.
stomach with an urge to vomit, or diarrhoea
kidneys to get rid of extra water that is not needed
Medicines such as ramipril, enalapril,
!
!
Metabolic acidosis characterized by chest pain,
in your body.
perindopril (called 'ACE inhibitors') or losartan,
Elderly:
irregular heart beat, headache, feeling sick,
candesartan, irbesartan (called 'angiotensin II
The dose may be reduced in this age group.
vomiting, abdominal pain, altered appetite and
2. WHAT YOU NEED TO KNOW BEFORE YOU
receptor antagonists') or any renin inhibitors
weight gain, muscle weakness, bone pain and
TAKE DIURESAL TABLETS
such as aliskiren. Your doctor may need to
joint pain
Use in children
!
If you have a shortage of sodium (sodium
change the dose of your tablets or ask you to
1mg to 3mg/kg daily up to a maximum total dose of
Do not take Diuresal Tablets if you:
deficiency):
stop taking them
40mg/day. A more suitable dosage form e.g. oral
 cramp in the calf muscles
!
Are allergic to furosemide or any of the other
Medicines such as tricyclic antidepressants,
!
solution, may be appropriate.
 loss of appetite
ingredients of this medicine (listed in section 6).
hypnotics and anxiolytics (e.g. barbiturates and
 listlessness
Signs of an allergic reaction include: a rash,
reboxetine)
If you take more Diuresal Tablets than you
 feeling of weakness
swallowing or breathing problems, swelling of
Medicines for high blood pressure or heart
!
should
 dizziness
the lips, face, throat or tongue
problems (uneven heart beat) such as calcium
This medicine is to be taken at regular intervals, as
 drowsiness
!
Are allergic to amiloride, sulfonamides or
channel blockers, beta blockers, clonidine,
 confusion
determined by the doctor. If you take too many
sulphonamide derivatives, such as sulfadiazine
moxonidine, sodium nitroprusside, amiodarone,
!
If you have a shortage of potassium (potassium
tablets by mistake contact your nearest hospital
or cotrimoxazole
deficiency):
disopyramide, flecainide, minoxidil, lidocaine,
casualty department or tell your doctor
!
Have a low blood volume or are dehydrated
 muscular weakness and inability to contract
prazosin, diazoxide, methyldopa, sotalol,
immediately. Take your tablet pack with you.
one or more muscles (paralysis)
(with or without accompanying low blood
tocainide and mexiletine
 increased excretion of urine
pressure)
Digoxin used to treat heart failure. Your doctor
!
Taking too many Diuresal Tablets may make you
 heart problems
!
Have too little potassium or sodium in your
may need to change the dose of your medicine
feel confused, unable to focus, show a lack of
!
In the case of severe potassium deficiency:
blood (shown in blood test)
Thymoxamine or Hydralazine used to lower
!
emotion or interest in anything. You may also have
 interference with the function of the
!
Have severe liver problems (cirrhosis)
blood pressure
dizziness, lightheadedness, fainting (due to low
intestine or confusion, which can result in
!
Have already taken furosemide in the past to
Metolazone - medicine used to pass more urine
!
coma
blood pressure), uneven heartbeat, muscle
treat failure to pass urine or kidney failure or if
Nitrates - used to lower blood pressure
!
!
If you have a shortage of magnesium and
weakness or cramps and blood clots (signs include
you have kidney failure that is due to medicines
calcium (magnesium and calcium deficiency):
Lithium - used for mental illness
!
pain and swelling at the part of body that is
or chemicals that are prone to cause kidney or

increased irritability of the muscles
Sucralfate - this drug may decrease the
!
affected). You may also have problems with your

heart rhythm disturbance
liver damage or if you have kidney failure due
absorption of furosemide
kidneys or blood.
!
During treatment with furosemide, the blood
to underlying liver disorders
NSAIDs - drugs used to treat pain and
!
levels of some fats (cholesterol and
!
Are not passing any water (urine) or have been
inflammation (e.g. Indomethacin, Ketorolac)
If you forget to take Diuresal Tablets
triglyceride) may rise, but usually return to
told by a doctor that you have kidney failure. In
Salicylates (e.g. aspirin)
!
If you have forgotten to take a dose, leave out that
normal within 6 months
some types of kidney failure, it is still okay to
Antibiotics such as trimethoprim and
!
dose completely. Take your next dose at the
!
In the elderly, this can lead to a low blood
have this medicine. Your doctor will be able to
cephalosporins
volume, fluid depletion and thickening of the
normal time. Do not take a double dose to make up
decide
Antibiotics belonging to class of
!
blood. This can cause clots to form in the blood
for a forgotten dose. If you have trouble
!
Have an illness called 'Addison's Disease'. This
!
Dizziness, fainting and loss of consciousness
aminoglycosides, polymixins or vancomycin; as
remembering to take you tablets, tell your doctor or
can make you feel tired and weak or if you are
(caused by symptomatic hypotension).
there may be a risk of ear or kidney damage
pharmacist.
taking digoxin, used to treat heart problems
Medicines used to treat depression (e.g. TCA
!
!
Have digitalis poisoning (feeling or being sick,
Additional side effects in children
or MAOIs)
If you stop taking Diuresal Tablets
!
Increased risk or persistence of patent ductus
high levels of potassium in the blood, slow, fast
Medicines used to treat epilepsy (e.g.
!
Keep taking Diuresal Tablets until your doctor tells
arteriosus in premature infants
or irregular heart beats)
Carbamazepine, Phenytoin)
you to stop. Do not stop taking Diuresal Tablets
!
Kidney stones in premature babies.
!
Take potassium supplements or potassium
Anti-histamines (medicines used to treat
!
just because you feel better.
sparing diuretics for high blood pressure (e.g.
allergies)
Reporting of side effects
amiloride or spironolactone)
Anti-fungals (risk of potassium loss or renal
!
If you have any further questions on the use of this
If you get any side effects, talk to your doctor,
!
Have a disease called porphyria characterised
damage indicated with furosemide)
medicine, ask your doctor or pharmacist.
pharmacist or nurse. This includes any possible
by abdominal pain, vomiting or muscle
Chloral hydrate or Triclorfos (drugs used to
!
side effects not listed in this leaflet. You can also
weakness
treat anxiety)
4. POSSIBLE SIDE EFFECTS
report side effects directly via the Yellow Card
!
Are breast-feeding
Drugs used to treat Attention Deficit
!
Scheme at: www.mhra.gov.uk/yellowcard or search
!
Are planning to undergo a procedure that
Hyperactivity Disorder (ADHD) like
for MHRA Yellow Card in the Google Play or Apple
Like all medicines, this medicine can cause side
includes the use of radiocontrast (as taking
App Store. By reporting side effects you can help
amphetamines
effects, although not everybody gets them.
furosemide with this may increase the risk for
provide more information on the safety of this
Steroids (used to treat inflammation) and any
!
medicine.
kidney damage).
Corticosteroids
If you have any of the following side effects
Liquorice; increased risk of loss of potassium
!
while taking your medicine tell your doctor
5. HOW TO STORE DIURESAL TABLETS
Warnings and precautions:
with furosemide
immediately or go to hospital straight away:
Talk to your doctor, pharmacist or nurse before
Cisplatin - used to treat cancers (increased risk
!
Allergic reactions such as itching, skin rash with
!
Keep this medicine out of the sight and reach of
taking Diuresal Tablets if you:
of kidney damage with furosemide)
severe itching and nettle rash, fever, allergic to
children.
Are an elderly patient
!
Methotrexate - increase chance of furosemide
!
light, severe allergic reaction with (high) fever,
!
Are on other medicines which can cause a drop
toxicity
red patches on the skin, joint pain and/or
Do not use this medicine after the expiry date
in blood pressure
Levodopa - used to treat Parkinson's disease
!
inflammation of the eyes, "acute generalised
which is stated on the label or carton. The expiry
!
Have other medical conditions that are risks for
(increased risk of lowering of blood pressure
exanthematous pustulosis (AGEP)" (acute
date refers to the last day of that month.
a drop in blood pressure
with furosemide)
febrile drug eruption) characterised by severe
Do not store above 25°C. Store in the original
!
Have low blood pressure or feel dizzy when
Medicines that modify immune system - (e.g.
!
acute (allergic) reaction accompanied by fever
package.
you stand up
Aldesleukin, tacrolimus or ciclosprorin)
and blisters on the skin/peeling skin and tiny
In case of any visible signs of deterioration, you
!
Feel dizzy or dehydrated. This can happen if
Medicines used as muscle relaxants like
!
spots from bleeding in the skin
should discard the package.
you have lost a lot of water through being sick,
baclofen, tizanidine or curare like drugs
Sudden inflammation of the pancreas
!
Do not throw away any medicines via wastewater
having diarrhoea or passing water very often. It
Birth control Pills or oestrogen containing drugs
!
or household waste. Ask your pharmacist how to
accompanied by severe pain in the upper
can also happen if you are having trouble
may block the effect of furosemide if taken
throw away medicines you no longer use. These
abdomen, shifting towards the back
drinking or eating
measures will help protect the environment.
concurrently
Any unexplained bruising or bleeding, fever,
!
!
Have low blood levels of essential minerals like
Progesterone containing drugs (drosperidone)
!
sore throat, mouth ulcers. This could be a sign
sodium or potassium or you have acid base
6. CONTENTS OF THE PACK AND OTHER
may lead to increased blood potassium levels if
of low blood counts, agranulocytosis
imbalance in the body identified by blood tests
INFORMATION
taken with furosemide
Signs of kidney inflammation e.g. pain in sides,
!
!
Are taking digoxin, used to treat heart problems
Medicines such as alprostadil, used to treat
!
blood in urine.
!
Are taking any other water tablets
What Diuresal Tablets contain:
erectile dysfunction (impotency)
!
Are going to have a glucose test
Diuresal Tablets contain 40mg of the active
Theophylline used for wheezing or difficulty in
!
Tell your doctor or pharmacist if you notice any
substance furosemide.
!
Are going to give this to a baby that was born
breathing
of the following side effects:
too early
Probenecid used for treatment of gout
!
Uncommon: may affect up to 1 in 100 people
The other ingredients are: lactose (see section 2),
!
Have difficulty in passing water, for example
Medicines used as general anaesthetics
!
Blurred vision
!
maize starch, magnesium stearate, pregelatinised
because of an enlarged prostate gland (males
Laxatives - drugs used to relieve constipation
!
Lowering of blood pressure, resulting in
!
starch, talc, microcrystalline cellulose.
only)
Aminoglutethimide used to treat breast cancer
!
impaired concentration and reactions,
!
Have diabetes
Medicines for diabetes. These may not work as
!
lightheadedness
What Diuresal Tablets look like and contents of
!
Have gout (characterised by painful joints due
well when you are taking Diuresal Tablets
A feeling of pressure in the head, headache,
!
the pack
to elevated uric acid levels)
Medicines used for mental problems called
!
dizziness, drowsiness, a feeling of weakness,
Diuresal Tablets are plain on one side and have a
!
Have kidney or liver problems
'psychoses', such as risperidone, amisulpride,
visual disturbances, dry mouth and an inability
breakline on the other side.
!
Have adrenal disease
sertindole, pimozide, phenothiazines and
to stand upright, sensitivity to light
!
Have low blood protein levels as this may
chlorpromazine. Avoid using pimozide at the
(photosensitivity)
The tablets are available in packs of 28.
reduce the effect of the drug and increase the
same time as furosemide
Feeling of tiredness
!
risk of ear damage
Medicines for asthma when given in high doses
!
Dry mouth, thirst, disturbances of bowel like
!
Marketing Authorisation Holder and
!
Have raised levels of calcium in the blood;
such as salbutamol, terbutaline sulphate,
diarrhoea, constipation or vomiting
Manufacturer
careful monitoring of fluids and electrolyte
salmeterol, formoterol or bambuterol
Raised blood levels of creatinine and urea
!
Ennogen Pharma Limited,
levels are recommended
Other water tablets (diuretics) such as
!
Deafness (sometimes irreversible)
!
Unit G4, Riverside Industrial Estate,
!
Have a risk of fall in blood pressure; or in case
bendroflumethiazide. Your doctor may need to
Irregular heart rate.
!
Riverside Way, Dartford, DA1 5BS. UK.
of premature infants as they may be more
change the dose of your medicine
prone to development of kidney stones
This leaflet was last revised in March 2018

Diuresal 40mg Tablets

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