Torsamolex 20 mg 20 Tablets

Torsamolex 20 mg (20 Tablets)

Active Ingredient:

• Torsemide 20 mg

Therapeutic Class:
Loop Diuretic (Water Pill) – Antihypertensive and Anti-edema Agent

Indications:

• Edema (fluid retention) due to:

  • Congestive heart failure

  • Chronic kidney disease

  • Liver cirrhosis

• Hypertension (high blood pressure) – alone or in combination with other antihypertensive medications

Dosage:

• Edema: Commonly 10–20 mg once daily; can be increased gradually up to 200 mg/day depending on response.

• Hypertension: Usually 5–10 mg once daily.

• Administer in the morning to prevent sleep disturbance from nighttime urination.

• May be taken with or without food.

Mechanism of Action:
Torsemide blocks the Na⁺/K⁺/2Cl⁻ cotransporter in the thick ascending limb of the loop of Henle, resulting in:

• Increased urinary excretion of sodium, chloride, and water

• Reduced plasma volume and blood pressure

• Relief of edema and fluid overload

Precautions:

• Contraindicated in:

  • Anuria (no urine output)

  • Severe electrolyte imbalance (e.g., hypokalemia, hyponatremia)

  • Hepatic coma

  • Hypersensitivity to torsemide or sulfonamide derivatives

• Use with caution in:

  • Renal impairment

  • Diabetes mellitus (may elevate blood glucose)

  • Gout (may raise uric acid)

  • Patients on digoxin or corticosteroids (risk of hypokalemia)

• Regular monitoring of electrolytes, kidney function, and blood pressure is essential.

Possible Side Effects:

• Dizziness or postural hypotension

• Increased urination and dehydration

• Hypokalemia (low potassium)

• Hyponatremia (low sodium)

• Hyperuricemia or gout attacks

• Muscle weakness or cramps

Storage:
Store below 25°C in a dry place, away from heat, light, and moisture.
Keep out of reach of children.