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Furosemide. Lasix.
Furosemide is a potent diuretic with many side effects. It is used for treatment of fluid retention in the body and high blood pressure. If you are over 60 years of age, you should apply furosemide only if there is a delay fluid in the body, and only in case, if you have reduced kidney function and you have to apply a more lenient drug, such as hydrochlorothiazide and its use does not give results. People over the age of 60 years with normal renal function is not recommended to take furosemide, with rare exceptions.
WHO does not recommend the use of furosemide for reduction of high blood pressure in elderly patients since there are a number of messages about the existence of a relationship between the use of furosemide and the risk of stroke. Elderly patients are at greater risk of trombooborazovaniya, shock, dizziness, decreased reason, insomnia, and fainting as a result of taking furosemide.
If you have hypertension, the best way to get rid of requirements in the reception of the drugs are measures such as a change of diet, weight loss, regular exercise, and reduce consumption of salt and alcohol. The slight increase in pressure can be controlled with proper nutrition and exercise. If these measures do not lead to sufficient decrease of pressure and you need medication, you need to select hydrochlorothiazide, a diuretic drug, and start with a small dose of 12.5 mg a day. The advantages of this product is also the fact that it is cheaper than all the other antihypertensive medications. There is convincing evidence that thiazide diuretics, such as hydrochlorothiazide, significantly reduce the rate of leaching of minerals from the bone as the men's and the women, because they reduce the amount of calcium, displayed with urine. A growing number of researchers are inclined to consider, that these drugs reduce the risk of fractures.
If this product does not lower your pressure to the required level, your doctor may prescribe one of the beta-blockers, such as propranolol, rather than transferring You to the potent diuretic, such as furosemide.
What antihypertensive drugs You would not accept, as soon as your pressure is normalised, and will remain so for a year or more, it's worth a try gently lower the dosage and pay attention to non-medicated methods of treatment, in accordance with the recommendations of The Medical Letter.
In an editorial in the British Medical Journal says: "the Treatment of hypertension is the prerogative of preventive medicine, and as in the case of any other preventive strategy, dynamics of treatment should be regularly monitored by the physician. Many problems are avoided, if not to start drug therapy of hypertension to a thorough examination of the patient. Patients should no longer say that the treatment of hypertension should continue throughout the life of the possibility of reduction of a dose or the complete abolition of antihypertensive medications should say from the very beginning ".
Should not take this medicine if you have observed or witnessed sensitivity to sulfanilamidam.
Inform your physician if you have or have been observed: allergies to medicines, diabetes, a recent heart attack, gout, diseases of kidneys, liver and pancreas, hearing loss, lupus erythematosus, limiting consumption of sugar and salt.
Tell your doctor about any medicines You are taking, including aspirin, herbs, vitamins and other medicines.
Talk to your doctor and make sure that you take adequate amounts of fluid. Since furosemide is a very powerful diuretic, there is a risk of dehydration.
Whenever possible, try to not stay in the sun. If you develop a rash, hives or any other skin reaction, should call a doctor. Intake of this medication may increase your sensitivity to the sun.
Reception furosemide causes the washing of the body potassium is very important for ensuring normal vital activity.
This drug may cause dizziness with the rise from a sitting or lying position. When lifting from the bed should first overhangs the feet and stay in this position for several minutes, and then gently lift. Uphill from the chair should be to get up slowly and for a time to stand next to his chair, until You are sure you have not dizzy.
Furosemide may cause hearing loss, usually temporary, but in some cases irreversible. The risk of hearing loss increases, if you simultaneously take amphotericin b or the antibiotic aminoglyukozidov.
If you're having surgery, including dental treatment, inform the doctor that you are taking this medication.
Do not take any other drugs not previously consulted your doctor, especially non-prescription anorectics drugs (drugs that reduce appetite), as well as drugs used in the treatment of asthma, colds, cough, hay fever, sinusitis.
This drug may impair the ability of Your body to adapt to higher temperatures, thereby increasing the risk of heat stroke. If You live separately, ask anyone from friends to visit you several times a day. Symptoms of heat stroke include dizziness, weakness, and a slightly higher temperature. If you experience any of these symptoms, you should call the doctor.
You should drink plenty of fluids (water, fruit and vegetable juices), than usually - even if you don't want to drink - except for the case when the doctor advises not to do it. You should not drink alcoholic beverages.
Take it with food or milk to prevent stomach irritation. You can and crush the tablet and mix them with a meal or a drink.
If you are taking furosemide more than once in a day, try to take the last dose to 18 hours. Then you don't have to get up at night to go to the toilet.
If You missed the reception of the drug, it should be taken as soon as possible, however if soon we should take the next dose, skip the reception. Don't take double doses.
Do not allow to freeze the product.
You should not store the drug in the bathroom. Do not expose it to high temperatures, moisture or direct sunlight.
Captopril, cephalexin, activated charcoal, chlorpropamide., Holestiramin, cisplatin, digoxin, lithium salts, propranol, theophylline cause "clinically vysokoznachitelnye" or "clinically significant" cooperation in the joint use with this product. Some other drugs, especially those related to the same group, as listed below, in conjunction with the preparation may cause serious side effects. With the increase in the number of new drugs that are recommended for sale increases and the risk of adverse interactions with a joint application, which is often associated with old drugs. Be vigilant. Be sure to tell your doctor about all the medications You are taking, and pay special attention doctor if You are taking any of the drugs that interact with the product.
Immediately call a doctor if you experience: dry mouth, intense thirst, violations of heart rhythm, the sudden change of mood, cramps or muscle pain, severe stomach pain accompanied by nausea or vomiting, unusual tiredness or weakness, weak pulse, xanthopsia (yellow of the veil before the eyes), cough or hoarseness, fever or chills, pain in the joints, lower back or side, painful or difficult urination, small red spots on the skin, noise in the ears or hearing loss, rash or urticaria, unusual bleeding or bruising, yellowing of the eyes or skin.
Call a doctor if you constantly, during quite a long period of time, You are: dizziness, weakness, diarrhea, loss of appetite, discomfort in the stomach, headache, blurred vision, "the veil before the eyes", premature ejaculation or erectile dysfunction.
Ask your doctor which of the following surveys you should be periodically held during the reception of this preparation: measurement of blood pressure, the clinical analysis of blood tests to determine the level of sodium, potassium, chloride ion, calcium, sugar and uric acid, liver function test, functional tests of the kidneys, hearing tests, weighing.
During pregnancy, the drug should be used only in case of extreme necessity. Before taking this drug must inform their physician if You are pregnant or if you suspect that You are pregnant.
Encyclopedia of Drug safety is compiled on the basis of a translation of the book of Sidney M. Wolf "Worst pills Best pills", as well as data from other sources.
Drug safety it is not a rejection of the use of drugs, and competent application of necessary medicines at the right time.
This information is given to the patient with the doctor was easier to cope with the disease without negative consequences.
Everything about health and medicine can be potentially dangerous, even basic food.
