Spironolactone + Torsemide, a combination of diuretics, is prescribed for the treatment of salt-retention induced edema and hypertension.
Spironolactone:
The drug is a potassium-sparing diuretic with direct antagonist activity against aldosterone (competitive antagonism) in the distal tubules of nephron. Spironolactone is a synthetic 17-lactone steroidal formulation that increases secretion of water and sodium without interfering with potassium metabolism.
Torsemide:
Torsemide reduces edema and fluid retention by increasing the urinary output. These effects can reduce the risk of MI, stroke and renal disorders.
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Some of the commonly reported adverse events of Spironolactone + Torsemide are electrolyte imbalance with hypokalemia, dry mouth, metabolic alkalosis, hyperuricemia, abdominal cramps, anorexia, tinnitus and hearing loss.
Spironolactone + Torsemide are contraindicated in patients with hypotension, cardiac arrhythmias, renal failure with oliguria or anuria, hepatic coma and/or pre-coma states. Spironolactone + Torsemide should not be prescribed to individuals with an allergy to diuretics.
Caution should be exercised before prescribing Spironolactone + Torsemide to patients with hyperuricemia, electrolyte imbalance and diabetes mellitus.
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The dosage and duration of Spironolactone + Torsemide therapy should be as prescribed by a physician.
Spironolactone + Torsemide can be taken before or after food intake
USFDA Pregnancy category of Spironolactone + Torsemide is unknown. Avoid taking Spironolactone + Torsemide, if you are in gestation.
Nursing mothers should consult a physician before taking Spironolactone + Torsemide
Spironolactone + Torsemide is contraindicated in children
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