Doctor insights on:
Metolazone And Lasix Timing
Bun creatinine high taking lasix 60 3 days week zaroxolyn (metolazone) 5 mg had chf in march, have afib on heart meds too. Help?
Labs: The increase in your creatinine can be dye to many reason. HF itself can cause abnormal kidney function. Excessive use of Lasix (furosemide) also can make things worse. Suggest you see a kidney doc soon and seek input. Testing is needed including a urine test and a detailed history and exam. Best of luck ...Read more
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
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 more
If I took an overdosage of furosemide (2x40mg)/ metolazone (1x2.5mg) taken at 8am and 2pm combos, would I be ok the next day? Or still affected?
If I had an overdosage of furosemide (2x40mg)/metolazone (1x2.5mg) taken at 8am and 2pm for edema, would I be ok the next day? What electrolytes lost?
Can I take metolazone (5mg) in the morning and hydrochlorothiazide (25mg) in the evening together with furosemide (60mg) for stubborn edema?
No: They are drugs of the same class and there's no benefit in taking both. You list nephrotic syndrome. You will likely need a higher dose of lasix (furosemide). I would start by trying 60 mg twice day (with supervision! As it is dangerous to do this on your own!). Alternatively, change lasix (furosemide) to torsemide which is more potent. ...Read more
Yes: Both a loop diuretics.Get a more detailed answer ›
Yes.: They frequently are. The two are also available in a combo pill. ...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 more
A/W Dr. Margaryan: Drug interaction checker indicates that there is potential for moderate drug interaction with furosemide (lasix) & motrin (ibuprofen). If these medications are used together both renal function & blood pressure should be monitored & dosage adjustments could be required. ...Read more
In renogran report, right kidney, it reads- there is hold up of the activity in the collection system with complete wash out after lasix (furosemide). Meaning?
No obstruction: The Lasix (furosemide) renal scan you had is good for differentiating a dilated collectong system from true obstruction. Sometimes urine will not clear immediately from the collecting system if there is some dilation, but this doesn't necesserily mean it is obstructed. Lasix (furosemide) is given to help flush out the radiotracer; if it washes out then there is no obstruction. ...Read more
Can I use Lasix (furosemide) 20 or 40 mg i/v in the A&E for treating uncontrolled hyper tension without end organ damage.? if no so why and what is the best treatm
Not first line: Lasix (furosemide) and other powerful loop diuretics are not a first line treatment for uncontrolled hypertension, unless there are clear signs of volume overload. Without end organ damage, there's no need for IV therapy; most can be managed via oral medications as an outpatient. ...Read more
Greater volume urine: First of all the Lasix makes more urine, hence your bladder fill up quickly. From here there could be two possibilities: 1- you may have over active bladder and you cannot control the urine when the urge to urinate strikes. Hence with Lasix due to large volume of urine the urine leaks out witout your control. 2- underlying stress urinary incontinence (leakage upon coughing) gets worse. ...Read more
Maybe: What is your kidney function? The response of the kidney to lasix (furosemide) is complex and depends on getting lassie into your blood, then it is bound to albumin and delivered by a complex mechanism to the site where it works. Many factors affect the response of the kidney. You medications reflect you have PPH, and sounds like right side HF. You may not respond because your kidney is sensing pre-renal. ...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
Depends on cause.: Lasix (furosemide)'s a medicine / poison that tricks the kidneys into losing urine while the drug is around. It can damage the kidneys if urine production is shut down as a defense mechanism. However, if the kidney is shutting down because it's not getting enough blood (because the heart is too overburdened with fluid to pump effectively) then Lasix (furosemide) will be helpful in unloading excess fluid & helping the hear ...Read more
Diuresis: First we have to know why the diuretic is needed. If it is indicated, the kidneys have to be good enough to respond, there has to be adequate protein components in the blood, there has to be enough blood pressure going to the kidney. If the data suggests the diuretic should work we work the dose up, sometimes we require a combination of diuretics. Sometimes we have to do dialysis to remove fluid. ...Read more
Don't think it known: Just being on Lasix (furosemide) doesn't necessarily care a risk of death. This medication is used for many purposes. Some patients on this are severely and critically ill and some not so very ill. I don't think you will find any statistics as you posed your question. Perhaps a different question is answerable. ...Read more
If my Lasix (furosemide) was decreased from daily to every other day and I now have a cough then should I increase it or be concerned?
I was on lasix (furosemide) when needed. After putting on 14 lbs. In 2 months, I was put on bumix. What causes edema throughout the body?
Good day are there any fruits or vegetables that can be consumed that would have the same effect on the body that Lasix (furosemide) does? Thanks
No.: Pharmacologic diuretics are orders-of-magnitude more powerful than anything naturopathic. If your dr has put you on a water pill, it is to control fluid build up and symptoms. Should discuss concerns with him/her. ...Read more