Doctor insights on:
Metolazone And Lasix Timing
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
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
Diuretic combo: Yes, both can be taken at the same time. Lasix (furosemide) is a loop diuretic and can be used in combination with Metolazone to deliver a greater diuresis than Lasix (furosemide) gives by its self. You should have your doctor test the patient for other causes of leg edema, such as varicose veins or pulmonary artery hypertension to make sure the edema is being treated appropriately, good luck. ...Read moreSee 1 more doctor answer
Lasix (furosemide) prescription 20mg every other day. Lasix (furosemide) dose has started to cause decrease in urine compared to days when it isn't taken? Thoughts?
Tolerance vs dry: After taking Lasix (furosemide) for awhile, like many other medications, you build tolerance and are less sensitive to the medication at the same dose. Another possible cause is that you have been dried out by the Lasix (furosemide) and are actually a little dehydrated, which leads to lower urine output. Call your doctor to see if dose needs to be adjusted. ...Read moreSee 1 more doctor answer
Is 20 mg lasix (furosemide) appropriate daily maint dosage for ckd 4 to help with swelling due to proteinuria, or it should be as needed? Effects on kidney funct?
It may vary: The suggested dose may vary but when doses which exceed 80 mg/day are given for prolonged periods, careful clinical observation and laboratory monitoring are suggested. Please talk to the prescribing doctor about this. ...Read more
How does the combination of lisinopril (an acei) and hydrochlorthiazide (a diuretic) act to lower blood pressure?
Is it good to use Lasix (furosemide) and hydrochlorothiazide together in the treatment of hypertension?
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?
Conflicting info on diuretics use in ckd4 with hyperkalemia issues (low aldosterone) with 2 g proteinuria. Will 20 mg lasix (furosemide) daily dose harm kidney?
Follow MD advice : You already have kidney problems and should be monitored by a kidney specialist. Follow their advice closely rather then trying to treat yourself. What is appropriate for your problem is best determined by some who does this for a living then try to make sense of all the information that you get from your well meaning friends and the internet ...Read more
Diuretics: Both are diuretics, but they work in very different ways. Lasix (furosemide) will cause the body to excrete potassium while spironolactone will cause the body to retain potassium. This is an important difference. These diuretics are sometimes given together, but they are not interchangeable. ...Read moreSee 1 more doctor answer
Can amphetamines be found after heavy diuresis with meds Lasix (furosemide) and bumex and 24~48 hours since supposed use?
Probably: I don't know the answer and it would depend to some extent on exactly which amphetamines and what dose was taken but i suspect they can be measured at 48 hours. I don't think the diuretics are a factor since they don't selectively remove amphetamines which remain in the serum and tissures until metabolized fully. Methamphetamine has a 5 hr half life and is surely measurable at 24 hours. ...Read more
Need florinef (fludrocortisone) for dysautonomia, my potassium is 3.2 on 100meq potassium drinks per day, what is best action as I need the florinef (fludrocortisone)?
Why low K: Florinef (fludrocortisone) will help with low Potassium. I would suggest work up as why you have low potassium and need 100 meq replacement. That is a large dose. Unless losses in stool I suspect the kidney is loosing K. A urine spot potassium should answer this when done along with blood potassium level. Long term indefinite use of Florinef (fludrocortisone) is not recommended. ...Read more
Is Cardura (doxazosin) a reasonable second BP drug with Lisinopril when CCBs, diuretics, beta blockers are not well tolerated? Also on B-agonists for asthma.
Yes, it is an option: Cardura (doxazosin) or another alpha blocker type drug is an option when the other classes of drugs mentioned are not well tolerated. Alpha blockers can cause dizziness so they are best taken at night to minimize this effect. The dose needs to be increased slowly. Make sure you are exercising and minimizing salt, alcohol and caffeine as well. ...Read more
Yes: Both a loop diuretics.Get a more detailed answer ›
Which is the preferred drug to control Bp moduretic or codiovan if s.cr1.7,B.urea37,s.k4.6for my father he also take amlodipine and betalocforafib?
No ideal drug yet: Response to BP drugs varies greatly among people and often depending on co-existing illnesses and side effects as well. I think your father needs the guidance of a very skilled cardiologist. If he is smoking or obese, these are the two factors he will need to work on. ...Read more
Which is the best treatment for hbp: exforge (amlodipine and valsartan) or diltiazem and lisinopril?
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)?
BP 135/72. Age 72. history: AMI, IHD and PVD. Treat with aspirin, Frusemide, irbesartan/ hydrochlothiazide, atenolol. will the doctor cease frusemide?
Use of diuretics: Diuretics, like furosemide (and hydrochlorothiazide) are used to increase excretion of salt and water through the kidneys. Common applications for these medications are to help control high blood pressure, and to prevent fluid retention in congestive heart failure. Whether to continue the treatment in this case would depend on medical details including heart & kidney function. ...Read more
How to increase sodium level, at present 131meq/l. taking diuretic dytor 5mg and aldactone (spironolactone) 25mg. could this be the reason for constipation also.pl adv?
Other reason: You are on torsemide and spironolactone, and those are not likely to cause the hyponatremia. Thiazide-type diuretics can typically cause hyponatremia. The most likely cause in someone with cirrhosis and what sounds like heart failure is likely those. Thus, the treatment would be geared toward those. Unfortunately in the US, tolvaptan would not be an option due to cirrhosis. Can fluid restrict. ...Read more