Torasemide

About Torasemide

This belongs to the group of medicines known as Loop diuretics.

Diuretics are often referred to as water tablets.

Torasemide is used to treat oedema (fluid retention), caused by heart failure. If the heart becomes less efficient at pumping blood around the body, fluid leaks out of the blood vessels causing swelling in the tissues of the lungs, feet or ankles. Torasemide prevents the build up of fluid by increasing the amount of urine produced by the kidneys.

Torasemide is also used to treat hypertension (high blood pressure).

Torasemide is available in tablet form.

It is also sometimes known as: Torem. You may notice the use of any of these names on the packaging of your medicine.

Before Taking Torasemide

Before taking Torasemide make sure your doctor or pharmacist knows:

• if you are pregnant, trying for a baby or breast-feeding
• if you suffer from any liver or kidney problems
• if you suffer from hypotension (low blood pressure), porphyria (blood disorder) or diabetes
• if you suffer from prostate problems or have problems urinating (passing water)
• if you suffer from hypokalaemia (low blood potassium)
• if you have ever had an allergic reaction to this or any other medicine
• if you are taking any other medicines, including those available to buy without a prescription, herbal and complementary medicines

How to Take Torasemide

• Always read the manufacturer's information leaflet, if possible, before beginning treatment.
• Take Torasemide exactly as directed by your doctor or pharmacist
• Torasemide will make you urinate (pass water) more often, so your doctor or pharmacist will usually advise you to take your dose in the morning so as not to disturb your sleep. If you take more than one dose per day, take the last dose before 6pm in the evening.
• If you miss a dose of Torasemide take it as soon as you remember. However, if it is after 6pm in the evening skip the missed dose and continue taking it at the usual times. Never take two doses at the same time.
• Torasemide is for you. Never give it to others, even if their condition appears to be the same as yours.
• Never take more than the prescribed dose. If you suspect that you or someone else has taken an overdose of Torasemide contact your doctor or go to the accident and emergency department of your local hospital at once. Always take the container with you, if possible, even if it is empty.

Getting the most from your treatment

• Before taking any 'over-the-counter' medicines, check with your pharmacist which medicines are safe for you to take alongside Torasemide.
• Keep your regular appointments with your doctor so that your progress can be monitored.
• Avoid excessive alcohol consumption. Too much alcohol can cause a big drop in blood pressure and may cause you to faint.
• Many patients with high blood pressure do not feel unwell, but left untreated it can harm the heart and arteries and damage blood vessels resulting in a heart attack stroke, heart failure or kidney failure.
• It is important to take Torasemide exactly as directed by your doctor, and not to stop taking it without speaking to your doctor first, even if you feel quite well.
• It is important to follow any dietary advice that you have been given by your doctor. If you are overweight, your doctor may want you to follow a weight reducing diet.
• Diuretics help you to lose water. On occasions you may lose too much and become dehydrated, leaving you feeling thirsty and your skin looking and feeling dry.
• Torasemide may cause a dry mouth. If you experience this try chewing sugar-free gum, sucking sugar-free sweets or pieces of ice. If a dry mouth becomes too troublesome, discuss the problem with your doctor or pharmacist.
• Torasemide may cause you to experience faintness or dizziness when getting up from a lying position. Getting up slowly should help. If this becomes too troublesome ask your doctor or pharmacist for advice.
• Before having any kind of surgery, including dental and emergency treatment, tell the surgeon, dentist or doctor that you are taking Torasemide.
• If you have diabetes Torasemide may affect your blood sugar levels. Test your urine or blood regularly and report any extreme changes to your doctor.
• Torasemide may cause your skin to become more sensitive to sunlight than it is usually. Avoid bright sunlight and sunbeds and use a sun cream higher than factor 15 until you know how your skin reacts.

Can Torasemide cause problems?

As well as their useful effects all medicines can cause unwanted side effects. Speak to your doctor or pharmacist if any of the following side effects continue or become troublesome.

Feeling sick, tummy upset, gout (painful or stiff joints), skin rashes, light-headedness, dry mouth or muscle cramps, confusion, drowsiness, loss of appetite, pins and needles or numbness in the arms or legs.

Torasemide can occasionally cause you to lose too much potassium or sodium from the body, which are essential for good health. Severe sickness and diarrhoea may increase your chances of potassium or sodium loss. If you experience this contact your doctor or pharmacist as soon as possible.

Signs of excessive potassium loss are dryness of the mouth, increased thirst, irregular heartbeat, mood changes, muscle cramps or pain, feeling or being sick, unusual tiredness or weakness, a weak pulse or loss of appetite.

Signs of excessive sodium loss are confusion, convulsions (fits), difficulty concentrating, irritability, muscle cramps and unusual tiredness or weakness.

If you experience any other worrying or troublesome symptoms, which you think may be due to this medicine, discuss them with your pharmacist.

How to store Torasemide

• Keep out of reach of children.
• Store in a cool, dry place, away from direct light and heat.
• Never keep out of date or unwanted medicines. Discard them safely out of the reach of children or take them to your local pharmacist who will dispose of unwanted medicines for you.

© EMIS and Cegedim Pharmacy Services Ltd 2005   Updated: 25/05/2005