Common Dehydration, Decreased potassium level in blood, Decreased magnesium level in blood, Increased blood uric acid, Hearing loss.

Expert advice for Torsemi Tablet
Torsemi helps removes excess water from your body and lower blood pressure. Take it in the morning with breakfast to avoid getting up at night to urinate. May cause dizziness in the initial days of treatment. Monitor your blood pressure after starting Torsemi, and notify your doctor if it hasn't gone down. Notify your doctor if you experience dizziness, tiredness, or muscle weakness that doesn't go away. Take potassium supplements or potassium-rich diet (banana, spinach, coconut water etc) as Torsemi can decrease your potassium levels and lead to dehydration. Requires routine blood tests to monitor your kidney function.

Q. Can Torsemi cause gout?
Yes, Torsemi can cause gout. It increases the blood uric acid levels by increasing its absorption from the kidneys which can cause a gout attack. Inform your doctor if you have hyperuricemia or a history of gout before taking this medicine. Use of Torsemi is contraindicated in patients with gout.

Q. Does Torsemi raise your blood sugar levels?
Torsemi can increase your blood sugar levels. This can worsen your diabetes control and affect your blood and urine sugar tests. Inform your doctor if you are a diabetic before taking Torsemi.

Q. Can I use Torsemi with spironolactone?
Torsemi can be taken with spironolactone. When used together the diuretic effect gets added along with maintaining the blood potassium levels. Torsemi is a loop diuretic and causes loss of potassium from your body while Spironolactone is a potassium-sparing diuretic which prevents the loss of potassium.

Q. Does Torsemi cause diarrhea?
Diarrhea is a common side effect of Torsemi. Other commonly seen gastrointestinal side effects are the loss of appetite, upper abdominal pain, nausea, vomiting, and constipation.

Q. Can I take Torsemi with allopurinol?
Torsemi can be taken with allopurinol. Torsemi can increase uric acid levels and allopurinol lowers uric acid levels. So, allopurinol is given to decrease the hyperuricemic effects of Torsemi. However, allopurinol is not safe in patients with renal failure, so may need to be replaced with another similar medicine like febuxostat.

Q. Can I use Torsemi in sulfa allergy?
No, Torsemi should not be used if you have a history of sulfa allergy or to sulfonamide group of anti-diabetic drugs.

Q. Is Torsemi used for weight loss?
Torsemi can decrease weight by removing excessive water from your body. However, it is not used for weight loss in obese patients as it does not affect body fat.

Q. Does Torsemi cause electrolyte abnormalities?
Yes, Torsemi can cause electrolyte abnormalities as it works by removing water and salt from your body. It can decrease the blood potassium, sodium, chloride, magnesium, and calcium levels and increase blood sugar and uric acid levels. It is very important to get electrolytes and kidney function tests done on a regular basis while you are taking this medicine.

Q. Is Torsemi safe to use?
Torsemi is a safe drug if used in prescribed dose and for prescribed duration as advised by your doctor.

Q. Does Torsemi cause hair loss?
Torsemi is not known to cause hair loss. Consult your doctor if you have hair loss while you are taking Torsemi.

Q. Can Torsemi cause kidney failure?
No, Torsemi does not cause kidney failure, rather it is used to remove extra fluid from the body (edema) which is caused by conditions such as heart failure, liver disease, and kidney disease.

Q. Can I take Torsemi with prednisone?
Torsemi can be taken with prednisone. However, when used together, they can lower blood potassium levels (hypokalemia) which can be severe, causing muscle pains or cramps, loss of appetite, weakness, dizziness, or confusion. Inform your doctor if you have these symptoms. Take potassium supplements or foods rich in potassium like orange, lemon or other citrus fruit.

Q. Can I use Torsemi with metolazone?
Both Torsemi and metolazone are potassium-lowering diuretics. When given together, they can lower blood potassium level (hypokalemia) which can be severe, causing muscle pains or cramps, loss of appetite, weakness, dizziness, or confusion. Inform your doctor if you have these symptoms. Take potassium supplements or foods rich in potassium like orange, lemon or other citrus fruit.

Q. Does Torsemi have any serious side effects?
Serious side effects reported with the use of Torsemi are atrial fibrillation, ventricular tachycardia, chest pain, diarrhea, digitalis intoxication, gastrointestinal hemorrhage, hyperglycemia, hyperuricemia, hypokalemia, hypotension, hypovolemia, shunt thrombosis, rash, rectal bleeding, and syncope.

Q. Is Torsemi useful in the treatment of heart failure?
Yes, Torsemi is useful in the treatment of heart failure. It works by removing excess water and salt from your body and decreases the workload on the heart and as well decreases the lung congestion. This helps in improving the function of the heart in these patients.

Q. Can Torsemi lower potassium levels?
Torsemi can cause dehydration and lower the levels of electrolytes like potassium in your body. You can take potassium supplements or diet rich in potassium (banana, spinach, coconut water etc.) while you are taking this medicine after consulting with your doctor.