(tore' se mide)
Before taking torsemide,
- tell your doctor and pharmacist if you are allergic to torsemide, sulfonamide medications, any other medications, or any of the ingredients in torsemide tablets. Ask your pharmacist or check the patient information for a list of the ingredients.
- tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: aminoglycoside antibiotics such as amikacin, gentamicin (Garamycin), or tobramycin (Bethkis, Tobi), aspirin and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin, others) and naproxen (Aleve, Naprosyn, others); corticosteroids such as betamethasone (Celestone), budesonide (Entocort), cortisone (Cortone), dexamethasone (Decadron, Dexpak, Dexasone, others), fludrocortisone (Floriner), hydrocortisone (Cortef, Hydrocortone), methylprednisolone (Medrol, Meprolone, others), prednisolone (Prelone, others), prednisone (Rayos), and triamcinolone (Aristocort, Azmacort); corticotropin (ACTH, H.P., Acthar Gel); digoxin (Lanoxin), ethacrynic acid (Edecrin), indomethacin (Indocin), lithium (Lithobid), medications for high blood pressure or pain, and probenecid (Probalan, Probenemid). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
- if you are taking cholestyramine (Questran), take it 4 hours before or 1 hour after toresemide.
- tell your doctor if you have or have ever had kidney disease. Your doctor may tell you not to take toresemide.
- tell your doctor if you have or have ever had diabetes, gout, heart, or liver disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. Do not breastfeed while taking this medicine. If you become pregnant while taking torsemide, call your doctor.
- you should know that torsemide may cause dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. This is more common when you first start taking torsemide. To avoid this problem, get out of bed slowly, resting your feet on the floor for a few minutes before standing up. Alcohol can add to these side effects.
- frequent urination
- hearing loss
- ringing in ears
- sore throat
- upset stomach
- dry mouth; thirst; nausea; vomiting; weakness, tiredness; drowsiness; restlessness; confusion; muscle weakness, pain, or cramps; fast heartbeat and other signs of dehydration and electrolyte imbalance
- rapid, excessive weight loss
- vomiting blood
- chest pain
- difficulty breathing or swallowing
- blisters or peeling skin
- ongoing pain that begins in the stomach area, but may spread to the back