Doctor insights on:
Lasix For Chf
Tricky : Heart failure in the setting of low blood pressure is challenging. Diuretics like Lasix (furosemide) can be used but support of the cardiac output is essential. Acute care is usually in the ICU with IV meds. Chronic heart failure managed as an outpatient with diuretics, ace inhibitors, and other cardiac meds requires close follow-up of blood pressure, electrolytes, and kidney function. ...Read moreSee 1 more doctor answer
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
Depends: Usually, CHF pts will need to be treated daily for life but there are exceptions depending on the cause of the chf, the severity of the symptoms, and whther there were extraneous factors that caused a flare of symptoms. Please note: if this is about you, chewing tobacco is very dangerous in the presence of CHF (can precipitate dangerous arrhythmias). ...Read more
Taking the Toprol (metoprolol) 100 norvasc 5 lasix 20 for blood-pressure and diastolic CHF. Better meds (cozaar?) or diuretics for diabetes and kidney conditions?
Salt monitoring: Treatment consists of a good dietary regimen with monitoring of salt intake about 2000 mg salt per day. Second aspect pf therapy is pharmacologic therapy which will be individualised based on the type of heart faiure and other factors that your cardiologist will decide. ...Read moreSee 1 more doctor answer
Im 65 with chf ckd, get side effects from lasix (furosemide) (hearing/hemoglobin loss, hyperglyc, aplastic anemia). Any alternatives or tips to tolerate lasix (furosemide)?
Is lasix (furosemide) more effective than Spiro for edema? Should lasix (furosemide) be considered for someone who didn't benefit much from Spiro?
Diuretics : Furosemide (Lasix) and spironolactone are both diuretic drugs, but are quite different in the way they work. The best medicine for a particular patient depends on the medical indication, what other medicines are being used, and other individual factors. For a personal answer consider a consult here on HealthTap. ...Read more
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 moreSee 1 more doctor answer
A-HEFT Trial: A large trial looked at the combination of hydralazien and Isordil (isosorbide dinitrate) with african american patients and showed a benefit of improving heart failure status, on top of standard medical therapy. It is thought to be believed due to lack of Nitric Oxide delivery to endothelium in african americans, that is improved by this therapy. Blood pressure tends to be higher in the first place, which improves. ...Read more
Does chlorthalidone cause impaired renal function in CKD, what antihypertensive is safe to HTN (now using lercanidipine 20,metoprolol 25mg), in73yrpat?
CTD IN RENAL FAILURE: 28 F Iraq asks if CTD can cause impaired renal function in CKD AND what is safe BP med is safe in 73 yr pt? ANS: depends on stage of CKD and cause. It can be very good to help lower BP. But if BP gets 2 Lo may worsen. I specialize in this and happy to do 2nd opinion consult with U. HI BP in CKD often driven by eating more salt than kidney can get rid of. Estimate Na intake using fitness pal. ...Read more
Low salt!: If Lasix (furosemide) is not working as expected, consider your diet. Dietary sodium intake > 2000mg daily may overwhelm the diuretic's actions. Also, if you have a kidney dysfunction, the Lasix (furosemide) dose may need to be increased. But please get in the habit of reading food labels carefully, particularly sodium content per serving size. You may be consuming more salt than you realize. Stay well. ...Read moreSee 1 more doctor answer
No perfect answer: Probably best to avoid combination medicines which contain pseudoephedrine, which many do. This speeds up your heart. Diphenhydramine (benedryl) can dry up secretions. However, it is important to understand that the cough may be due to the chf. Also medications commonly used to treat CHF (ace inhibitors - often end with ..Pril) can sometimes cause a chronic dry cough. Talk to your md. ...Read moreSee 1 more doctor answer
OK: Lasix (furosemide) is useful to manage the fluid overload and edema that go with kidney disease. It will also help keep potassium controlled and acidosis. It helps with blood pressure and congestive heart failure, it is very commonly used in chronic kidney disease. It does not improved kidney disease but it helps keep you well with kidney disease ...Read more
They're different: They're apples and oranges! Lasix (furosemide) is a potent diuretic. Spironolactone is a weak diuretic that is usually used with Furosemide or hydrochlorothiazide because it helps counteract the loss by the kidneys of potassium those diuretics cause. Moreover, it counteracts a hormone that make heart failure worse and that effect is independent of its diuretic effect. ...Read more
My 62 yo mom with CHF and a-fib is taking furosemide + amiloride combination as only diuretic. Is this recommended/are there better alternatives?
Heart failure is a complex set of conditions in which the heart "fails" to pump a normal amount of blood with each beat. This can be due to poor squeezing function (systolic heart failure) and/or a stiff heart incapable of filling normally (diastolic heart failure). Common symptoms include swelling and trouble breathing, particularly when ...Read more