Doctor insights on:
Alternatives To Furosemide
Furosemide is a potent diuretic which increases dramatically urine output in most patients. It is most frequently used in patients who are fluid overloaded such as in congestive heart failure. Potassium, sodium and magnesium can be lost in excess with the use of Furosemide and must be closely monitored. It is much stronger than other diuretics used for ...Read more
Is there an alternative to furosemide, that would control edema etc in cingestive heart failure, without the pressing need to urinate?
My 62 yo mom with CHF and a-fib is taking furosemide + amiloride combination as only diuretic. Is this recommended/are there better alternatives?
I'm 65 with chf ckd, get side effects from lasix (furosemide) (hearing/hemoglobin loss, hyperglyc, aplastic anemia). Any alternatives or tips to tolerate lasix (furosemide)?
Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?
Discuss with your MD: Metroprololxr is a good beta blocker&is very well tolerated. There are other options but they are all have same action and side effects. Only Carvedilol is different as it is both alpha and beta blockerLasix is well tolerated. Can be ototoxic in high doses and if combined with other ototoxic drugs. Ototoxicity is rare. Aspirin is safe asking as no contraindications. Discuss your concerns with MD ...Read more
Water pill: Furosemide is a potent diuretic which increases dramatically urine output in most patients. It is most frequently used in patients who are fluid overloaded such as in congestive heart failure. Potassium, sodium and magnesium can be lost in excess with the use of Furosemide and must be closely monitored. It is much stronger than other diuretics used for high blood pressure control. ...Read more
Several possibilites: If your kidney function is normal, it means you're not fluid overloaded. If you have swelling, it doesn't mean that Lasix (furosemide) will fix it - many forms of swelling are not due to volume overload. If you have kidney disease, it could mean that the dose is inadequate - that's why it should only be given under the supervision of a doctor. Rarely, Lasix (furosemide) is not properly absorbed. ...Read more
Oral or IV:
Oral - 30-60 min,
iv - 15-20 min. ...Read more
Call your doctor: And discuss yor symptoms with them.Get a more detailed answer ›
"Could" cause Overdose w/LASIX (furosemide) can cause dehydration, hypotension, electrolyte imbalance, hypokalemia and hypochloremic alkalosis.
The acute toxicity of LASIX (furosemide) has been determined in mice, rats and dogs. In all three, the oral LD50 exceeded 1000 mg/kg body weight, while the intravenous LD50 ranged from 300 to 680 mg/kg. ...Read more
Maybe: Not without the knowledge and endorsement of your treating doctor! There are reasons why Furosemide might not be working that must be considered. Moreover, there are potential serious side effects (low potassium, low blood pressure, kidney damage) which must be balanced against the higher dose. Perhaps Furosemide isn't the best medicine for your condition? Please don't treat yourself! ...Read more
Usual practice is...: Typically most physicians don't use more than 160mg twice a day. However, there may be extenuating circumstances in which a patient may be treated with even more than this. ...Read more
Lasix (furosemide): This is a large dose which we would use only in unusual circumstance. The effect would depend on the patient's physiology. In an otherwise normal patient a large diuresis could be expected and possibly side effects such as ringing in the ears or hearing loss. In someone for whom the dose was appropriate we'd expect less diuresis and perhaps less in side effects. The answer is not simple ...Read more
Why it's being given: Your question has many aspects. If you're asking the physical administration, the answer is likely found in mosby's nursing. If you are asking about why to give or total dosage, a lot goes into the decision: respiratory status, renal function, heart function, electrolyte/acid/base status, and the desired goal. It is an effective and frequently used medication often used for complex situtations. ...Read more
Varies: Too much Furosemide can cause overdiuresis with too much urination and dehydration and therefore low blood pressure - (orthostasis) as well as too low a potassium. Too much diuresis or dehydration of the kidneys can also lead to kidney failure. If one already has low kidney function then the dose is much lower than for a normal kidney. It depends over a whole range of factors. ...Read more
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