Torseretic 10 mg 30 tablets

Available at Pharmaegy Pharmacy. Use as directed by your doctor.

Tradename: Torseretic Torseretic Compound: Each tablet contains: Torsemide 10 mg Auxiliary components: microcrystalline cellulose, lactose monohydrate, povidone, sodium carboxymethyl starch (sodium starch glycolate), magnesium stearate Properties: “Loop” diuretic. The main mechanism of action is due to the reversible binding of torasemide to the sodium / chloride / potassium transporter located in the apical membrane of the thick segment of the ascending loop of Henle, as a result of which the reabsorption of sodium ions is reduced or completely inhibited and the osmotic pressure of the intracellular fluid and water reabsorption are reduced. Torasemide, to a lesser extent than furosemide, causes hypokalemia, while it is more active and its effect is longer. The diuretic effect develops approximately within an hour after ingestion, reaching a maximum after 3-6 hours, and lasts from 8 to 10 hours. Reduces systolic and diastolic blood pressure in the supine and standing position. Indications: Edema syndrome of various origins, incl. in chronic heart failure, liver and kidney diseases. Arterial hypertension. Dosage and administration: The drug is taken orally 1 time per day after meals with a small amount of water. Edema syndrome of various origins, incl. in chronic heart failure, diseases of the liver, lungs and kidneys. The therapeutic dose is 5 mg 1 time per day. If necessary, the dose should be gradually increased to 20-40 mg 1 time per day. The maximum single dose is 40 mg, it is not recommended to exceed it (there is no experience of use). The drug is prescribed for a long period or until the disappearance of edema. Arterial hypertension The initial dose is 2.5 mg (1/2 tablet with a dosage of 5 mg) 1 time per day. If necessary, the dose can be increased to 5-10 mg 1 time per day. If a dose of 10 mg does not give the desired effect, an antihypertensive drug of another group should be added to the treatment regimen. Elderly patients do not require dose adjustment. Contraindications: Anuria; hepatic coma and precoma; refractory hypokalemia; refractory hyponatremia; dehydration; pronounced violations of the outflow of urine of any etiology (including unilateral lesions of the urinary tract); glycoside intoxication; acute glomerulonephritis; sinoatrial and AV block II and III degree; children and adolescents up to 18 years of age; pregnancy; hypersensitivity to torasemide; allergy to sulfonamides (sulfonamide antimicrobials or sulfonylureas). Precautionary measures: With long-term treatment with torasemide, regular monitoring of electrolyte balance (especially potassium levels), glucose, uric acid, creatinine, lipids and cellular blood components is recommended. In patients receiving high doses of torasemide, in order to avoid the development of hyponatremia and metabolic alkalosis, it is not advisable to limit the intake of table salt. The risk of hypokalemia is greatest in patients with cirrhosis of the liver, severe diuresis, with insufficient intake of electrolytes from food, as well as with simultaneous treatment with corticosteroids or ACTH. Side effects: From the side of metabolism: infrequently – hypercholesterolemia, hypertriglyceridemia, polydipsia. From the nervous system: often – dizziness, headache, drowsiness; infrequently – cramps of the muscles of the lower extremities; the frequency is unknown – confusion, fainting, paresthesia in the limbs. From the side of the cardiovascular system: infrequently – extrasystole, tachycardia, palpitations, redness of the face; the frequency is unknown – excessive arterial hypotension, deep vein thrombosis, thromboembolism, hypovolemia. From the respiratory system: infrequently – nosebleeds. From the digestive system: often – diarrhea; infrequently – abdominal pain, flatulence; frequency is unknown – nausea, vomiting, loss of appetite, pancreatitis, dyspepsia. From the side of the kidneys and urinary tract: often – an increase in the frequency of urination, polyuria, nocturia. Storage method: At a temperature not higher than 30 degrees. In a dry place. Package: The cardboard box contains 1 or 3 blisters of 10 tablets.