Indications of "Furosemide" to relieve oedema in heart failure
The diuretic effect of "Furosemide" is associated with the inhibition of reverse absorption of sodium and chlorine ions. The inhibition of the reverse intake of potassium is much slower.
The drug is effective in terms of acidification and alkalizing the urine, does not reduce glomerular filtration, so it is often prescribed for renal failure.
Any diuretic drug must appoint a physician, qualified. Before the appointment of "Furosemide" or "Indapamide", a thorough medical examination.
To remove a heart swelling with the help of "Furosemide" is rational when there is stagnation in the big and small circle of blood circulation. Also, the drug is prescribed for cirrhosis of the liver with symptoms of portal hypertension, edema of brain, lungs, in cases of poisoning by barbiturates, severe form of hypertension in treatment, hypertensive crises, with late toxemia of pregnancy.
To relieve swelling with the help of "Furosemide" the doctor to tailor the dosing regimen for each patient. The maximum daily dose is 80-160 mg, divided doses. If you reduce the swelling, the drug is used 2-3 times per week with equal time intervals.
The rationality of taking "Indapamide" instead of "Furosemide"
When the puffiness with the help of "Furosemide" may experience numerous side effects – from dizziness to depression. Currently, for long-term use is increasingly prescribed "Indapamide" - saluretikami with moderate diuretic activity.
In the treatment of any diuretics carry out monitoring monitoring of laboratory indicators in blood plasma levels of sodium, potassium, calcium, electrolytes.
"Indapamide" in therapeutic doses has almost no effect on carbohydrate and lipid metabolism. Can be used in complex or monotherapy of edema associated with heart failure.
The optimal daily dose of "Indapamide" is 2.5 mg in single dose, max 10 mg in two doses in the morning. Indications – hypertension, edema due to heart failure.
The main contraindications "Indapamide" are an acute violation of brain blood circulation, severe functional abnormalities of the kidney, hypersensitivity to the active substance. The drug is also not recommended in severe forms of diabetes and gout.
Advice 2 : How to take Furosemide: cautions
"Furosemide" is prescribed for high blood pressure, congestive heart failure, renal failure, pulmonary edema. The drug belongs to the group of diuretics (diuretics).
How to apply "Furosemide"
"Furosemide" should be taken only as directed by your doctor. The drug is administered orally, intramuscularly, intravenously. The dosage is determined individually. "Furosemide pills drink in the morning on an empty stomach. The initial dose for adults is 20-40 mg, if necessary it can be increased 20-40 mg every 6-8 hours. Increased quantity divided into 2-3 doses.
Initial single dose for children is 1-2 mg per 1 kg of body weight, maximum of 6 mg per 1 kg of body weight. Intramuscularly or intravenously the drug is administered once in an amount of 20-40 mg. If necessary, the dose may be increased every 2 h for 20 mg. For children, the initial daily quantity for parenteral use is 1 mg per 1 kg of body weight.
"Furosemide" cannot be used in conjunction with analogs of this drug. The drug is contraindicated in prekomatoznyh States, hepatic coma, severe electrolyte balance, a severe deficiency of kidney and liver, gout, hypotension, myocardial infarction, systemic lupus erythematosus, mechanical obstruction of the urinary tract. It is not recommended to use "Furosemide" in the periods of pregnancy and lactation.
Precautions during treatment "Furosemide"
If prescribed a course of treatment necessary monitoring of blood pressure, electrolyte levels (especially potassium), creatinine, uric acid, urea nitrogen. Periodically to determine the activity of liver enzymes, levels of magnesium and calcium, the content of glucose in blood and urine (diabetes). When deterioration after administration of Furosemide" we need to inform the attending physician.
The drug may have the following side effects: headache, dizziness, loss of appetite, upset stomach, constipation, allergic reactions (swelling, dizziness, itching, hives). "Furosemide can cause an excessive loss of water and minerals (including potassium), muscle weakness, leg numbness, hearing loss, ringing in the ears, drowsiness, dizziness, thirst, dry mouth, vomiting, nausea, increased heartbeat, decrease in urine, abdominal pain, nausea, vomiting.
The risk of side effects increases in the elderly. If the patient suffers diabetes, Furosemide may affect blood sugar levels. If after taking the drug appeared symptoms such as thirst, increase blood pressure, you may need to make adjustments to the scheme of treatment of diabetes or diet. During treatment with Furosemide it is not recommended to be in the sun, you should limit the consumption of alcoholic beverages. The drug is used with caution when performing activities that require attention (driving a car or operating machinery).