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J B CHEMICALS & PHARMACEUTICALS LTD

JBTOR 10 Injection 2ml

Hypertension
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    Introduction About JBTOR 10 INJECTION

    JBTOR 10 INJECTION 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.

    JBTOR 10 INJECTION 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 receiving JBTOR 10 INJECTION, inform your doctor if you have any liver, kidney, or heart failure. Safety and effectiveness in pregnant or breastfeeding women and children has not been established yet, therefore consult your doctor before receiving the medicine.

    JBTOR 10 INJECTION should be used with caution in elderly patients above 65 years of age. The most common side effects are headache, nausea, vomiting, diarrhea or constipation. Consult your doctor if any of the above side effects worsen.

    Uses Of JBTOR 10 INJECTION

    It is used to manage:

    How JBTOR 10 INJECTION Works

    JBTOR 10 INJECTION 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 JBTOR 10 INJECTION

    • JBTOR 10 INJECTION will be administered into a vein only by a doctor or a nurse.
    • Your doctor will administer the correct dose and duration for you depending upon your age, body weight and disease condition.

    Side Effects Of JBTOR 10 INJECTION

    Like all medicines, JBTOR 10 INJECTION may cause side effects in few individuals, although not everybody gets them

    Common Side Effects of JBTOR 10 INJECTION:

    • headache
    • nausea, vomiting
    • dizziness
    • constipation
    • upset stomach

    Stop receiving JBTOR 10 INJECTION 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 JBTOR 10 INJECTION 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 JBTOR 10 INJECTION 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 receiving JBTOR 10 INJECTION.

    Kidney

    Consult your doctor

    JBTOR 10 INJECTION is not recommended for use in anuric patients (kidneys fail to produce urine). JBTOR 10 INJECTION should be used with caution in patients with kidney failure, and severe urinary flow disorders. The dose will be adjusted by your doctor.

    Liver

    Consult your doctor

    JBTOR 10 INJECTION is not recommended for patients with hepatic coma or pre-coma. JBTOR 10 INJECTION should be used with caution in patients with liver diseases like cirrhosis and ascites.

    Allergy

    Contraindicated

    Do not receive JBTOR 10 INJECTION if you are allergic to Torsemide or to any of the other ingredients of this medicine.

    Heart Disease

    Use with Caution

    JBTOR 10 INJECTION should be used with caution in patients with heart failure.

    Use In Pediatrics

    Consult your doctor

    Safety and effectiveness of JBTOR 10 INJECTION in children has not been established yet.

    Use In Geriatrics

    Consult your doctor

    There is no information on dosage adjustments in elderly patients.

    Others

    JBTOR 10 INJECTION is not recommended if you have:

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

    Interactions

    A. Drug-Drug interactions:

    Before receiving JBTOR 10 INJECTION, inform your doctor if you are taking any of the following medicine:

    • medicines used to relieve pain, stiffness, and inflammation (Ex. aspirin, ibuprofen, indomethacin)
    • lithium (used to manage mood disorders)
    • medicines used to manage bacterial infections (Ex. streptomycin, gentamycin, rifampin)
    • medicines used to manage heart conditions like increased blood pressure and heart insufficiency (Ex. captopril, enalapril, digoxin)
    • medicines used to manage inflammatory conditions (Ex. prednisolone, hydrocortisone)
    • medicines helps to excrete excess body fluid (Ex. spironolactone, amiloride)
    • cholestyramine (used to manage high cholesterol levels)
    • probenecid (used to manage gout)
    • medicines used to manage fungal infections (Ex. itraconazole, ketoconazole, fluconazole, miconazole)
    • oxandrolone (used to promote weight gain)
    • warfarin (used to manage blood clots)
    • medicines used to manage fits (Ex. phenytoin, ACTH)
    • ethacrynic acid (used to manage fluid retention)

    Overdosage:

    JBTOR 10 INJECTION will be administered to you only by a doctor or a nurse in a hospital, and so you are unlikely to receive an overdose. However, consult your doctor or nurse if you experience any unusual symptoms like dehydration, hypovolemia, low blood pressure, low sodium and potassium levels, hypochloremic alkalosis, and hemoconcentration.

    Synopsis

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

    More Information

    Storage

    • Keep JBTOR 10 INJECTION out of reach of children
    • Store below 30°C

    FAQs About JBTOR 10 INJECTION

    Q: What is JBTOR 10 INJECTION used for?

    A: JBTOR 10 INJECTION 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: Can I take JBTOR 10 INJECTION with other medications?

    A: JBTOR 10 INJECTION 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 JBTOR 10 INJECTION?

    A: Before using JBTOR 10 INJECTION, 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 JBTOR 10 INJECTION be used in pregnancy?

    A: JBTOR 10 INJECTION is generally not recommended during pregnancy unless absolutely necessary due to lack of safety data. 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: How JBTOR 10 INJECTION works?

    A: JBTOR 10 INJECTION inhibits reabsorption of sodium and chloride in kidney by increasing urinary excretion of sodium, chloride, and water. Thus, removing excessive fluid from the body.

    Q: Is JBTOR 10 INJECTION safe in pregnancy?

    A: Safety and effectiveness of JBTOR 10 INJECTION in pregnant women or women planning to have a baby has not been established yet. Consult your doctor before receiving the medicine.

    Q What precautions do I need to follow while receiving JBTOR 10 INJECTION?

    A: Patients receiving JBTOR 10 INJECTION must inform their doctor if they have any liver or kidney problems, if they are pregnant, breast-feeding, having any allergies, high or low blood potassium levels, low blood volume, or if you are not passing any urine. Tell your doctor immediately if you have any unusual symptoms while receiving JBTOR 10 INJECTION.

    Q: Can JBTOR 10 INJECTION cause nausea?

    A: Yes. nausea is a side effect of JBTOR 10 INJECTION. In such case, Take regular sips of a cold drink. Have ginger or peppermint tea. Stick to simple meals. Avoid eating oily or spicy foods. Tell your doctor if you have persistent nausea.

    Q: Can I drive or use any machines after receiving JBTOR 10 INJECTION?

    A: Do not dive or use any machines if you experience dizziness or similar kind of symptoms after receiving JBTOR 10 INJECTION. Consult your doctor for more information.

    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. Torrent Pharmaceuticals Ltd. [Accessed on 3rd June 2024] click here

    6. Micro Labs. E library.  Torsemide. [Accessed on 3rd 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 | 04:03 PM(IST)
    Lab updated