Furosemide 40mg Stella medicine for acute pulmonary edema, heart, liver, kidney (5 blisters x 10 tablets)

Dosage form Box of 5 blisters x 10 tablets
Specifications Furosemid

Ingredient

Composition information	Content
Furosemid	40mg

Uses

indications

Furosemide Stella 40 drug indicated treatment in the following cases:

acute pulmonary edema; Flemes due to heart, liver, kidney and other edema. The drug acts in the branches of the Henle straps, so it is classified as diuretics.

The main mechanism of action of Furosemid is to inhibit the Na+, K+, 2CI- transportation system in the thick section of the branch on the Henle straps, increasing the excretion of these electrolytes accompanied by increased water export exercises. There is also an increase in the elimination of Ca2+ and Mg2+. The diuretic effect of the drug is strong, thus leading to hypotension, but often weak. In patients with pulmonary edema, Furosemid causes increased venous volume, thus reducing the money burden for left ventricle before seeing the diuretic effect.

Dynamic pharmacokinetics

Furosemid absorb good through oral, diuretic effects appear quickly after ½ hours, reach maximum concentration after 1-2 hours and maintain the effect from 4 - 6 hours. Anti -hypertension effect is longer. For people with severe edema, the bioavailability of the drug is reduced, possibly due to the direct effect of reducing the absorption of the digestive tract. Furosemid's absorption can be extended and can be reduced by food. One third of the absorption drug is eliminated through the kidneys, the rest is eliminated through the urine, mainly in the form of non -metabolic, completely eliminated drugs for 24 hours.

Furosemid passes through the placenta and into breast milk.

Before taking Furosemide 40mg Stella medicine for acute pulmonary edema, heart, liver, kidney (5 blisters x 10 tablets)

How to use

Furosemide Stella 40 medicine for oral use.

Dosage

suitable:

Oral dose started usually used is 40mg/day. Adjust the dose if necessary depending on the response.

Mild case can be used 20mg/day or 40mg daily.

Some cases may increase the dose to 80mg or more, divided into 1 or 2 times a day.

Severe cases, the dose may be increased to 600mg/day. For children with oral doses are 1 - 3mg/kg/day, up to 40mg/day.

Hypertension:

Furosemid is not the main drug to treat hypertension and can be coordinated with other anti -hypertension drugs to treat hypertension in people with kidney damage.

Oral dose is 40 - 80mg/day, solitary use or in combination with other lower blood pressure drugs.

Hypercalcemia:

dose of 120mg/day orally or divided into 2 or 3 small doses.

Elderly: may be more sensitive to the effect of the drug than the doses used in adults.

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.What to do when overdose?

Symptoms

Water and electrolyte imbalance include: headache, muscle weakness, cramps, thirst, hypotension, anorexia, fast pulse.

Treatment

Compensate for the amount of water and electrolytes lost.

In an emergency, call the 115 emergency center immediately or go to the nearest local health station.

What to do when you forget 1 dose? However, if the time to relax with the next dose is too short, skip the dose and continue the calendar of the drug. Do not use double dose to compensate for missed dose.

Side Effects

Unwanted effects mainly occur during high doses (accounting for 95% of harmful reactions). The most common is the electrolyte imbalance (5% of patients have been treated), which occurs mainly in patients who reduce liver function and with patients with renal impairment when treating high doses. Some cases of light sensitivity have also been reported.

Common, ADR> 1/100

Circulation: Reducing blood volume in the case of high doses, hypotension.

Metabolism: hypotension, sodium hypoglycemia, Magnesi hype, blood calcium, hyperemia, alkaline contamination due to hypoglycemia.

Uncommon, 1/1000

Gastrointestinal: Nausea, vomiting, digestive disorders.

Rare, ADR

Blood: leukopenia, thrombocytopenia, loss of granulocytes.

Skin: skin, vasculitis, paresthesia.

Metabolism: increased blood glucose, urinary glucose.

ears: tinnitus, recovery hearing (at high doses).

Instructions on how to handle ADR

When experiencing side effects of the drug, it is necessary to stop using and notify the doctor or go to the nearest medical facility for timely treatment.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

contraindicated

Furosemide Stella 40mg drug contraindicated in the following cases:

Hypersensitivity to Furosemid and with sulfonamid derivatives, such as sulfamid to treat diabetes.

Be cautious when using

Caution for patients with prostate hypertrophy or urination because it can promote urinary retention.

The ability to drive and operate machinery

Recommended patients cautious when driving, operating machinery because the drug can cause lower blood pressure, headache.

Use drugs for women during pregnancy and lactation

Pregnancy

Thiazid, thiazid diuretics and diuretics straps evenly through the fetus fence in the fetus and causes water and electrolytes for the fetus.

With thiazid and many cases of platelet reduction in infants have been informed. This risk also appears after the use of diuretics such as Furosemid and Bumetamid. Therefore, in the last 3 months of pregnancy, the drug is only used when there is no alternative medicine, and only at the lowest doses in a short time.

Breastfeeding period

using Furosemid during breastfeeding is at risk of inhibiting lactation. This case should stop breastfeeding.

Drug interaction

Modable interaction may occur when using Furosemid in combination with the following drugs:

cephalothin, cephaloridin: Increased kidney toxicity.

Lithi salt: Increased blood lithium concentration, can be toxic. Should avoid using if you cannot monitor the blood lithium tight.

aminoglycozide: Increasing toxicity for ears and kidneys. Should avoid use at the same time.

cardiacid: increases toxicity due to hypoglycemia. Need to monitor blood potassium and electrocardiograms.

Steroid anti -inflammatory drugs: reduce diuretic effects.

corticosteroid: Increasing k+.

Medications for diabetes treatment: The risk of hyperlem of blood glucose. Need to monitor and adjust the dose.

Non -reducing muscle relaxants: Increasing muscle relaxation effect.

Anticoagulants: Increasing anticoagulant effects.

cisplatin: Increased hearing toxicity. Should avoid use at the same time.

Hemotrogate medications: Increases the effect of lowering blood pressure. If coordinated, the dose should be adjusted. Especially when combined with Angiotensin transfer enzyme inhibitors, blood pressure may be severe.

Storage

Store at a temperature not exceeding 30 ° C in the original packaging, avoid moisture and avoid light.

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