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Tomide 2.5mg (Tablet)

Manufactured by: Acme Laboratories Ltd.

Torasemide Similar medicine

Tomide is indicated for

  • Oedema
  • Hypertension
  • Chronic heart failure

Precautions and warnings

There is a risk of developing high uric acid levels, gout, and diabetes. Before starting treatment, make sure to correct any problems with electrolytes or urination. Regularly check the levels of electrolytes, blood sugar, uric acid, creatinine, and fats in the blood. This medication may affect your ability to drive or use machines safely.

Side-effects

  • Electrolyte disturbances e.g. hypokalaemia
  • dehydration
  • dry mouth
  • headache
  • dizziness
  • hypotension
  • weakness
  • drowsiness
  • confusional states
  • loss of appetite
  • cramps
  • increased serum uric acid
  • glucose
  • lipids
  • urea
  • creatinine
  • increase in LFT
  • metabolic alkalosis
  • tinnitus
  • hearing loss.

Drug Interactions

There is a higher risk of severe low potassium (hypokalaemia) when this medicine is taken with amphotericin B, corticosteroids, carbenoxolone, or other drugs that lower potassium. Lithium levels may become toxic when used together. Medicines that harm the kidneys or ears, like aminoglycosides, can increase the risk of kidney or ear damage. High doses of salicylates can raise the chance of salicylate poisoning. The risk of digoxin toxicity also goes up. NSAIDs can make this medicine less effective as a diuretic. The combination with blood pressure medications may cause a greater drop in blood pressure.

Contraindications

Allergic reaction to sulfonylureas, severe kidney failure with no urine output, liver coma or near coma, low blood pressure, and irregular heartbeats. Should not be used during pregnancy or breastfeeding.

Mode of actions

Torasemide is a type of water pill (diuretic) that works in the thick ascending part of the loop of Henle in the kidney. It blocks a system called the Na+/K+/2Cl--carrier, which normally helps move sodium, potassium, and chloride across kidney cells.

Dosage & Administration

Adult: PO HTN 2.5-5 mg once daily. Max: 5 mg/day. Oedema 5 mg once daily, up to 20 mg once daily if needed. Max: 40 mg/day.

Oedema in patients w/ hepatic cirrhosis Initial: 5-10 mg once daily, w/ an aldosterone antagonist or a K-sparing diuretic, titrate upwards till desired diuretic response. Max: 40 mg/day.

IV Oedema 10-20 mg/day. Max: 200 mg/day.

Pregnancy & Lactation

Although animal reproduction studies have shown an adverse effect even sometimes unable to demonstrate the risk on the fetus and there are no adequate and well-controlled studies in pregnant women, but during pregnancy, this medicine can be used just when definitely required.

Discuss with your doctors and tell them feedback about this medicine.

There is no specific information about whether this medicine is passed on to the baby through breast milk. Discuss with your doctor before breastfeeding.

Pack Size & Price

30's pack Price : ৳60

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There are few similar medicines of Tomide are manufactured by other companies using the same ingredients. Although, it would be good if you are able to use the same medicine, which has been prescribed by your Doctor. Due to availability in the local market, you can try others. Please make sure and contact your Doctor first about alternatives.