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Cipla Ltd

Dytor 20mg Tablet 15'S

Hypertension
Revised GST MRP ₹202.81 6.25% OFF 6.25% OFF (Inclusive of all taxes)
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    Introduction About DYTOR 20MG TABLET

    DYTOR 20MG TABLET is indicated for the management of oedema associated with congestive heart failure, renal or hepatic disease and essential hypertension. It contains Torsemide which belongs to the group of medicines called Diuretics.

    Prior to the management, your doctor may want you to take several blood tests to understand your existing condition. It is not recommended for use if you have anuria (failure of kidney to produce urine), hepatic coma (loss of brain function due to liver damage). Before taking DYTOR 20MG TABLET, inform your doctor if you have any liver, kidney, or heart failure. Avoid consumption of alcohol while taking this medicine. Safety and effectiveness of DYTOR 20MG TABLET in pregnant or breastfeeding women has not been established yet, therefore consult your doctor before taking it.

    It is not recommended for use in children and adolescents below 18 years of age. It should be used with caution in elderly patients above 65 years of age. The most common side effects of taking DYTOR 20MG TABLET are muscle cramps, loss of appetite, stomach pain, nausea, vomiting, diarrhea, constipation.

    Uses Of DYTOR 20MG TABLET

    It is used to manage:

    How DYTOR 20MG TABLET Works

    DYTOR 20MG TABLET inhibits reabsorption of sodium and chloride in kidney by increasing urinary excretion of sodium, chloride, and water.  Thus, removing excessive fluid from the body.

    How to use DYTOR 20MG TABLET

    • Take DYTOR 20MG TABLET as advised by your physician.
    • Swallow the medicine with a glass of water.
    • Do not crush or chew the medicine.
    • Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
    • Do not stop taking DYTOR 20MG TABLET unless your doctor advises you to stop.

    Side Effects Of DYTOR 20MG TABLET

    Like all medicines, DYTOR 20MG TABLET may cause side effects in few individuals, although not everybody gets them

    Common Side Effects of DYTOR 20MG TABLET:

    • Muscle cramps
    • Excessive alkaline in the body
    • Headache, Dizziness
    • Tiredness, weakness
    • Disturbances in the amount of body water and minerals
    • Increased blood concentrations of uric acid, sugar and fats
    • Reduced potassium and sodium levels in blood
    • Reduced blood volume
    • Loss of appetite
    • Stomach pain
    • Nausea, vomiting
    • Diarrhea
    • Constipation
    • Increase of certain liver enzyme levels (gamma-GT)
    • Creeping sensation or tingling in arms and legs

    Stop taking DYTOR 20MG TABLET and contact your doctor immediately if you experience any of the following side effects:

    • Tinnitus (ringing in ears), hearing loss
    • Electrolyte and volume depletion (headache, dizziness, low blood pressure, weakness, drowsiness, confusion, loss of appetite, cramps)
    • Low blood pressure
    • Worsening of kidney function

    Warning & Precautions

    Pregnancy

    Consult your doctor

    Safety and effectiveness of DYTOR 20MG TABLET in pregnant women or women planning to get pregnant has not been established yet. Hence it should be used during pregnancy only if clearly needed.

    Breastfeeding

    Consult your doctor

    Safety and effectiveness of DYTOR 20MG TABLET in breastfeeding women has not been established yet as it is not known if the medicine is excreted in the breastmilk. Hence it should be used with caution when administered to a nursing woman.

    Driving and Using Machines

    Use with Caution

    Do not drive or operate any machines if you feel dizzy after taking DYTOR 20MG TABLET.

    Alcohol

    Consult your doctor

    Avoid consumption of alcohol while taking DYTOR 20MG TABLET because it might make you feel dizzy or drowsy.

    Kidney

    Consult your doctor

    DYTOR 20MG TABLET is not recommended for use in anuric patients (kidneys fail to produce urine). DYTOR 20MG TABLET should be taken with caution in patients with kidney failure, and severe urinary flow disorders. The dose will be adjusted by your doctor.

    Liver

    Consult your doctor

    DYTOR 20MG TABLET is not recommended for patients with hepatic coma or pre-coma. DYTOR 20MG TABLET should be taken with caution in patients with liver diseases like cirrhosis and ascites.

    Allergy

    Contraindicated

    Do not take DYTOR 20MG TABLET if you are allergic to Torsemide or to any of the other ingredients of this medicine.

    Heart Disease

    Use with Caution

    DYTOR 20MG TABLET should be used with caution in patients with heart failure.

    Use In Pediatrics

    Contraindicated

    DYTOR 20MG TABLET is not recommended for use in children as safety data has not been established yet.

    Use In Geriatrics

    Consult your doctor

    There is no information on dosage adjustments in elderly patients. Consult your doctor before taking DYTOR 20MG TABLET.

    Others

    DYTOR 20MG TABLET is not recommended if you have:

    • Low volume of blood (hypovolaemia)
    • Low blood pressure (hypotension)

    Interactions

    A. Drug-Drug interactions:

    Before taking DYTOR 20MG TABLET, inform your doctor if you are taking any of the following medicine:

    • Medicines used to manage heart conditions like increased blood pressure and heart insufficiency (Ex. captopril, enalapril, digoxin, digitoxin, methyldigoxin)
    • Probenecid (used to manage gout)
    • Medicines used to manage high blood sugar (Ex. chlorpropamide, glibenclamide, glipizide, tolbutamide)
    • Medicines used to relieve pain, stiffness, and inflammation (Ex. aspirin, ibuprofen, indomethacin, celecoxin)
    • Medicines used to manage chronic inflammatory bowel diseases (Ex. sulfasalazine, mesalazine, olsalazine)
    • Medicines used to manage infections (Ex. cefixime, cefuroxime, cefaclor, cefalexin, cefadroxil, cefpodoxime, kanamycin, neomycin, gentamycin, amikacin, tobramycin, rifampin)
    • Lithium (used to manage mood disorders)
    • Medicines used during cancer chemotherapy (Ex. amifostine, cisplatin)
    • Theophylline (used to manage asthma)
    • Medicines used to relax muscles (Ex. atracurium, doxacurium)
    • Medicines used to manage constipation (Ex. methylcellulose, psyllium)
    • Cholestyramine (used to manage high amount of cholesterol)
    • Medicines used to manage inflammation and certain skin conditions (Ex. hydrocortisone, prednisone, dexamethasone)
    • Medicines used to manage low blood pressure (Ex. adrenaline, noradrenaline)
    • Medicines which help you to excrete excess body fluid (Ex. spironolactone, furosemide)

    Overdosage:

    If you or anyone else accidentally took too much of DYTOR 20MG TABLET, contact your doctor immediately. Symptoms of DYTOR 20MG TABLET overdose include excessive urine, sleepiness, confusion, weakness, dizziness, low blood pressure, circulatory collapse or upset stomach.

    Synopsis

    Drug :   Torsemide
    Pharmacological Category :   Pyridine-sulfonylurea diuretics
    Therapeutic Indication :   Manages oedema associated with congestive heart failure, renal or hepatic disease and essential hypertension
    Dosage Forms :   Tablet, Injection

    More Information

    To know more about this medicine:

    FAQs About DYTOR 20MG TABLET

    Q: What is DYTOR 20MG TABLET used for?

    A: DYTOR 20MG TABLET contains torsemide, a type of medication known as a loop diuretic (water pill). It is primarily used to manage edema (fluid retention) caused by conditions such as heart failure, kidney disease, and liver cirrhosis. It helps reduce excess fluid in the body by increasing the amount of urine produced. This medicine is also used to manage hypertension (high blood pressure), often in combination with other antihypertensive drugs.

    Q: How does DYTOR 20MG TABLET work?

    A: DYTOR 20MG TABLET works by blocking the reabsorption of salt and water in the kidneys. This leads to increased urine output, which helps remove excess fluid from the body. By reducing fluid buildup, it can help reduce swelling (edema) and lower high blood pressure, improving heart and kidney function.

    Q: How should I take DYTOR 20MG TABLET?

    A: Take DYTOR 20MG TABLET exactly as prescribed by your doctor. It is usually taken once a day, either with or without food. Swallow the tablet whole with a glass of water. Do not chew, crush, or break it. Try to take it at the same time each day to help you remember. If you are unsure about the dosage, consult your doctor or pharmacist.

    Q: What should I do if I miss a dose of DYTOR 20MG TABLET?

    A: If you miss a dose of DYTOR 20MG TABLET, take it as soon as you remember. However, if it is close to your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take two doses at once to make up for a missed dose. If you miss multiple doses, contact your doctor for guidance.

    Q: What are the common side effects of DYTOR 20MG TABLET?

    A: Some common side effects of DYTOR 20MG TABLET include Dehydration (feeling thirsty, dry mouth, or dizziness), Low blood pressure (hypotension), Electrolyte imbalances, such as low potassium or sodium levels, which may lead to symptoms like muscle cramps or weakness, Increased urination, Headache or dizziness, Nausea or vomiting. If any of these side effects become severe or persistent, contact your doctor immediately.

    Q: Can I take DYTOR 20MG TABLET with other medications?

    A: DYTOR 20MG TABLET may interact with other medications, including Other diuretics (water pills), increasing the risk of dehydration or electrolyte imbalances, Antihypertensive drugs, which may lower blood pressure too much, Lithium (used to treat bipolar disorder), as it may increase lithium levels in the blood and Certain antibiotics (e.g., aminoglycosides), as they may increase the risk of kidney damage when used with diuretics. Always inform your doctor or pharmacist about all the medications you are taking, including prescription, over-the-counter drugs, and supplements.

    Q: Are there any precautions I should take while using DYTOR 20MG TABLET?

    A: Before using DYTOR 20MG TABLET, inform your doctor if you have any Kidney problems or liver disease, Heart disease, especially if you have a history of heart failure, Electrolyte imbalances (such as low potassium or sodium), Gout or a history of high uric acid levels, Diabetes, as diuretics can affect blood sugar levels or if you are Pregnancy or breastfeeding, as this medication may not be suitable. Your doctor may monitor your blood pressure, kidney function, and electrolytes regularly while you are on this medication.

    Q: Can DYTOR 20MG TABLET be used in pregnancy?

    A: DYTOR 20MG TABLET is generally not recommended during pregnancy unless absolutely necessary. It should only be used if the potential benefits outweigh the risks, and it should be prescribed by a doctor. If you are pregnant, planning to become pregnant, or breastfeeding, inform your doctor before taking this medication.

    Q: Can I drink alcohol while taking DYTOR 20MG TABLET?

    A: It is advisable to limit alcohol consumption while taking DYTOR 20MG TABLET. Alcohol can increase the risk of low blood pressure (hypotension) and dehydration, which may exacerbate the side effects of diuretics. If you choose to drink, do so in moderation and consult your doctor to ensure it is safe for you.

    Q: What if I forget to take a dose of DYTOR 20MG TABLET?

    A: If you forget to take a dose of DYTOR 20MG TABLET, take it as soon as you remember. However, omit the missed dose if it is almost time for the next dose. Do not take the medicine twice to make up for a forgotten dose.

    Q: Can I stop taking DYTOR 20MG TABLET?

    A: Do not stop taking DYTOR 20MG TABLET without consulting your doctor as it can seriously harm you and reduce the therapy effect. If you have any more doubts regarding the use of DYTOR 20MG TABLET, ask your doctor.

    References

    1. Barbara G. Wells, Joseph T. DiPiro, Terry L. Shwinghammer, Cecily V. DiPiro. Hypertension. Pharmacotherapy Handbook. Ninth edition. Page-87.

    2. Tejaswi Kanderi; Pradeep Vaitla. Torsemide. National library of Medicine. National center for Biotechnology information. StatPearls Publishing. [Revised on July 2021] [Accessed on 4th June 2024] click here

    3. H A Friedel, M. M Buckley. Torasemide. A review of its pharmacological properties and therapeutic potential. National library of Medicine. National center for Biotechnology information. Pubmed.gov. 1991[Accessed on 4th June 2024] click here

    4. Cipla House. Dytor tablet (Torsemide). [Revised in January 2021] [Accessed on 4th June 2024] click here

    5. M/s Swiss Garnier Genexiaa Sciences Pvt. Ltd. Torsemide. [Revised in April 2021] [Accessed on 4th June 2024] click here

    6. Torsemide. [Revised in June 2017] [Accessed on 4th June 2024] click here

    Author Details

    Written By Srilekha. R - B.Pharm
    Reviewed For Accuracy By Dr. Venkatesh Poludasu - MBBS
    Last updated on 28 Nov 2024 | 04:02 PM(IST)
    Lab updated