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TOR contains Torsemide which belongs to the group of medicines called Diuretics. It is indicated for the treatment of oedema associated with congestive heart failure, renal or hepatic disease and essential hypertension.
Oedema is a build-up of fluid in the body which causes the affected tissue to become swollen. The swelling can occur in one particular part of the body or may be more general, depending on the cause.
Prior to the treatment, your doctor may want you to take several blood tests to understand your existing condition.
TOR 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 TOR, inform your doctor if you have any liver, kidney, or heart failure. Avoid consumption of alcohol while taking this medicine.
Safety and effectiveness of TOR 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. TOR should be used with caution in elderly patients above 65 years of age.
The most common side effects of taking TOR are muscle cramps, loss of appetite, stomach pain, nausea, vomiting, diarrhea, constipation. Consult your doctor if any of the side effects worsen.
It is used to treat:
TOR inhibits reabsorption of sodium and chloride in kidney by increasing urinary excretion of sodium, chloride, and water. Thus, removing excessive fluid from the body.
Take TOR 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 TOR unless your doctor advises you to stop.
Stop taking TOR and contact your doctor immediately if you experience any of the following side effects:
Nausea or Vomiting:
Take TOR with, or just after meals. Stick to simple meals. Avoid eating oily or spicy foods. Inform your doctor if symptoms do not improve. Get adequate rest. Drink lots of fluids, especially water.
Avoid bright lights, take rest and drink enough water. Inform your doctor if symptoms do not improve. Apply pain relieving balm if needed.
Lie down until dizziness is gone, then get up slowly. Move slowly and carefully, do not hurry. Get adequate rest. Drink plenty of water and other fluids. Avoid coffee, cigarettes, alcohol, and drugs. Inform your doctor if symptoms do not improve.
Eat plenty of fiber rich foods such as fresh fruits, vegetables, and cereals and drink plenty of water. Exercise more regularly. Inform your doctor if symptoms do not improve.
Drink lots of fluids, such as water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor. Inform your doctor if symptoms do not improve.
Try to rest and relax. Eat and drink slowly or try to have smaller meals more frequently. Keep a heat pad on your stomach. If the symptom does not improve, contact your doctor.
Loss of appetite:
Eat when you are hungry. Eat smaller meals more often than usual. Snack only when you're hungry. Eat a nutritious snack which is rich in calories and protein, such as dried fruit and nuts. Inform your doctor if symptoms do not improve.
Safety and effectiveness of TOR 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. Consult your doctor before taking it.
Safety and effectiveness of TOR 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. Consult your doctor before taking TOR.
Do not drive or operate any machines if you feel dizzy after taking TOR.
Avoid consumption of alcohol while taking TOR because it might make you feel dizzy or drowsy.
TOR is not recommended for use in anuric patients (kidneys fail to produce urine). TOR should be taken with caution in patients with kidney failure, and severe urinary flow disorders. The dose will be adjusted by your doctor. Consult your doctor before taking TOR.
TOR is not recommended for patients with hepatic coma or pre-coma. TOR should be taken with caution in patients with liver diseases like cirrhosis and ascites. Consult your doctor before taking TOR.
Do not take TOR if you are allergic to Torsemide or to any of the other ingredients of this medicine.
TOR should be used with caution in patients with heart failure. Consult your doctor before taking it.
TOR is not recommended if you have:
Use in pediatrics:
TOR is not recommended for use in children as safety data has not been established yet. Consult your doctor before taking it.
Use in geriatrics:
There is no information on dosage adjustments in elderly patients. Consult your doctor before taking TOR.
A. Drug-Drug interactions:
Before taking TOR, inform your doctor if you are taking any of the following medicine:
If you or anyone else accidentally took too much of TOR, contact your doctor immediately. Symptoms of TOR overdose include excessive urine, sleepiness, confusion, weakness, dizziness, low blood pressure, circulatory collapse or upset stomach.
|Pharmacological Category||:||Pyridine-sulfonylurea diuretics|
|Therapeutic Indication||:||Treats oedema associated with congestive heart failure, renal or hepatic disease and essential hypertension|
|Dosage Forms||:||Tablet, Injection|
What is TOR used for?
It is used to treat oedema (excessive fluid trapped in your body's tissues lead to swelling or puffiness) related to congestive heart failure, kidney, or liver disease. It is also used to treat essential hypertension.
Can TOR be used on infants?
No. TOR is used for adults and not recommended for children and adolescents under 18 years of age as safety data has not been established yet. Consult your doctor before taking the medicine.
What if I forget to take a dose of TOR?
If you forget to take a dose of TOR, 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.
Can I stop taking TOR?
Do not stop taking TOR 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 TOR, ask your doctor.
Can TOR cause diarrhea?
Diarrhea is a side effect of TOR. If you experience it, drink lots of fluids, such as water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor. Consult your physician if you have continuous diarrhea.
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 2022] https://www.ncbi.nlm.nih.gov/books/NBK559175/#:~:text=Go%20to%3A-,Mechanism%20of%20Action,K%2B%2F2Cl%2D%20cotransport%20mechanism.
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 2022] https://pubmed.ncbi.nlm.nih.gov/1706990/#:~:text=Torasemide%20%28torsemide%29%20is%20a%20high-ceiling%20loop%20diuretic%20which,is%20from%20the%20luminal%20side%20of%20the%20cell.
4. Cipla House. Dytor tablet (Torsemide). [Revised in January 2021] [Accessed on 4th June 2022] https://www.ciplamed.com/content/dytor-tablets-injection
5. M/s Swiss Garnier Genexiaa Sciences Pvt. Ltd. Torsemide. [Revised in April 2021] [Accessed on 4th June 2022] https://www.torrentian.com/pisheet/Upload/PI_Sheet/3043.pdf
6. Torsemide. [Revised in June 2017] [Accessed on 4th June 2022] https://docetp.mpa.se/LMF/Torasemid%20Sandoz%20tablet%20ENG%20PL_09001be6801d86a1.pdf
Torsemide TABLET : Therapeutic Uses, Warning and Precautions, Interactions, Directions for Use, Side Effects and Storage
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