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Introduction About VITATOR 20MG TABLET
VITATOR 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 VITATOR 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 VITATOR 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 VITATOR 20MG TABLET are muscle cramps, loss of appetite, stomach pain, nausea, vomiting, diarrhea, constipation.
Uses Of VITATOR 20MG TABLET
It is used to manage:
- Oedema associated with congestive heart failure, kidney, or liver disease
- Essential hypertension (high blood pressure)
How VITATOR 20MG TABLET Works
VITATOR 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 VITATOR 20MG TABLET
- Take VITATOR 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 VITATOR 20MG TABLET unless your doctor advises you to stop.
Side Effects Of VITATOR 20MG TABLET
Like all medicines, VITATOR 20MG TABLET may cause side effects in few individuals, although not everybody gets them
Common Side Effects of VITATOR 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 VITATOR 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 doctorSafety and effectiveness of VITATOR 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 doctorSafety and effectiveness of VITATOR 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 CautionDo not drive or operate any machines if you feel dizzy after taking VITATOR 20MG TABLET.
Alcohol
Consult your doctorAvoid consumption of alcohol while taking VITATOR 20MG TABLET because it might make you feel dizzy or drowsy.
Kidney
Consult your doctorVITATOR 20MG TABLET is not recommended for use in anuric patients (kidneys fail to produce urine). VITATOR 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 doctorVITATOR 20MG TABLET is not recommended for patients with hepatic coma or pre-coma. VITATOR 20MG TABLET should be taken with caution in patients with liver diseases like cirrhosis and ascites.
Allergy
ContraindicatedDo not take VITATOR 20MG TABLET if you are allergic to Torsemide or to any of the other ingredients of this medicine.
Heart Disease
Use with CautionVITATOR 20MG TABLET should be used with caution in patients with heart failure.
Use In Pediatrics
ContraindicatedVITATOR 20MG TABLET is not recommended for use in children as safety data has not been established yet.
Use In Geriatrics
Consult your doctorThere is no information on dosage adjustments in elderly patients. Consult your doctor before taking VITATOR 20MG TABLET.
Others
VITATOR 20MG TABLET is not recommended if you have:
- Low volume of blood (hypovolaemia)
- Low blood pressure (hypotension)
Interactions
A. Drug-Drug interactions:
Before taking VITATOR 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 VITATOR 20MG TABLET, contact your doctor immediately. Symptoms of VITATOR 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 VITATOR 20MG TABLET
Q: What is VITATOR 20MG TABLET used for?
A: VITATOR 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 VITATOR 20MG TABLET work?
A: VITATOR 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 VITATOR 20MG TABLET?
A: Take VITATOR 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 VITATOR 20MG TABLET?
A: If you miss a dose of VITATOR 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 VITATOR 20MG TABLET?
A: Some common side effects of VITATOR 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 VITATOR 20MG TABLET with other medications?
A: VITATOR 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 VITATOR 20MG TABLET?
A: Before using VITATOR 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 VITATOR 20MG TABLET be used in pregnancy?
A: VITATOR 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 VITATOR 20MG TABLET?
A: It is advisable to limit alcohol consumption while taking VITATOR 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 VITATOR 20MG TABLET?
A: If you forget to take a dose of VITATOR 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 VITATOR 20MG TABLET?
A: Do not stop taking VITATOR 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 VITATOR 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
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