Why doesn't my lasix work? i take 60mg of lasix and i also take atenolol, spironolactone and k-dur. i am always swollen in my legs, ankles and top of feet. the water pills don't work every day like they should. i have hypertension, hypertensive cardiovasc

Lasix (furosemide) : Lasix (furosemide) is actually not a very good drug for leg swelling. It lasts only about 4 hours. After it stops working, your kidneys usually hold on to even more salt and water. Very frequently, obstructive sleep apnea is a cause of this kind of edema (leg swelling) that is overlooked by doctors. If you snore at night and are overweight, you may have sleep apnea causing the edema. Also some medications (anti-inflammatories, amlodipine. Gabapentin for example) can cause edema. Talk to your doctor about why you might have edema. Sodium restriction might help also.

Diuretics : Diuretics like Lasix (furosemide) may help decrease your leg swelling, but better to look at the causes, and treat them. Venous disease (venous incompetence), cv disease especially congestive heart failure, hypertension, kidney failure, poor nutrition, inactivity and having legs in a dependent position for most of the day, and obesity are all reasons to have swollen legs. Suggestion: see a phlebologist who can evaluate you, and advise best treatment.

Consult kidney doc: Lasix (furosemide) should be dosed atleast twice a day for maximum effect. Salt intake should be restricted. Higher doses are needed if you have kidney problem or low albumin in the blood.Most important, talk to your doctor to figure out why your legs are swollen.It can be due to poor circulation which may not respond to Lasix (furosemide).