Torsemide
別名: Demadex, Torem, Unat
**Torsemide** is a powerful "water pill" (diuretic) used to help your pet's body eliminate excess fluid, usually due to severe heart disease. * **Bathroom Habits**: Your pet will urinate much more frequently and in larger amounts. Ensure they always have access to fresh drinking water to prevent dehydration. * **Timing**: Because it causes increased urination, try not to give the dose right before bedtime unless instructed by your veterinarian. * **What to Watch For**: Contact your vet immediately if you notice signs of dehydration or electrolyte imbalance, such as: * Excessive thirst or lethargy * Weakness or stumbling * Vomiting or loss of appetite * Restlessness or a rapid heart rate > **Note**: Never change the dose or stop this medication without consulting your veterinarian, as fluid can rapidly build up in the lungs.
劑量必須由獸醫按你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
用途
- Adjunctive treatment of refractory congestive heart failure
- Congestive heart failure
- Adjunctive treatment of refractory congestive heart failure
- Congestive heart failure
給藥方式
可能的副作用
- Fluid and electrolyte abnormalities (hyponatremia, hypocalcemia, hypokalemia, hypomagnesemia)
- Prerenal azotemia (secondary to dehydration)
- Gastrointestinal disturbances
- Hematologic effects (anemia, leukopenia)
- Weakness
- Restlessness
- Ototoxicity (rare, associated with rapid IV administration)
注意事項與禁忌
- Known hypersensitivity to torsemide or other sulfonylureas
- Anuric patients
- Use cautiously in patients with significant **hepatic dysfunction**, **hyperuricemia** (may increase serum uric acid), or **diabetes mellitus** (may increase serum glucose). > **Note**: IV injection should be administered slowly over a period of 2 minutes to minimize the risk of ototoxicity.
藥物相互作用
- ACE Inhibitors (e.g., enalapril, benazepril): Increased risks for hypotension, particularly in patients who are volume or sodium depleted secondary to diuretics
- Aminoglycosides (gentamicin, amikacin, etc.): May increase the ototoxic or nephrotoxic risks of aminoglycosides
- Amphotericin B: May increase the risk for nephrotoxicity development
- Digoxin: Can increase the area under the curve of torsemide by 50%; torsemide-induced hypokalemia may increase the potential for digoxin toxicity
- Lithium: Torsemide may reduce lithium clearance
- NSAIDs: Some NSAIDs may reduce the natriuretic effects of torsemide
- Probenecid: Can reduce the diuretic efficacy of torsemide
- Salicylates: Torsemide can reduce the excretion of salicylates
常見問題
Torsemide用於寵物有甚麼用途？
**Torsemide** is a powerful "water pill" (diuretic) used to help your pet's body eliminate excess fluid, usually due to severe heart disease. * **Bathroom Habits**: Your pet will urinate much more frequently and in larger amounts. Ensure they always have access to fresh drinking water to prevent dehydration. * **Timing**: Because it causes increased urination, try not to give the dose right before bedtime unless instructed by your veterinarian. * **What to Watch For**: Contact your vet immediately if you notice signs of dehydration or electrolyte imbalance, such as: * Excessive thirst or lethargy * Weakness or stumbling * Vomiting or loss of appetite * Restlessness or a rapid heart rate > **Note**: Never change the dose or stop this medication without consulting your veterinarian, as fluid can rapidly build up in the lungs.
Torsemide對我的寵物安全嗎？
劑量必須由獸醫按你寵物的個別情況決定。切勿在沒有獸醫指導下給予人類藥物或其他寵物的處方藥。
本文僅供一般健康教育，不能取代專業獸醫意見。如寵物身體不適，請諮詢獸醫。