托拉塞米
別名: Demadex, Torem, Unat
藥物類別: Loop Diuretic
**托拉塞米**是一種強效的「水丸」(利尿劑),用於幫助您的寵物排出體內多餘的水分,通常用於嚴重心臟病。 * **排尿習慣**:您的寵物排尿頻率和尿量會大幅增加。請確保牠們隨時有新鮮的飲用水,以防脫水。 * **給藥時間**:因為會增加排尿,除非獸醫指示,否則盡量不要在睡前給藥。 * **注意事項**:如果您發現脫水或電解質失衡的跡象,請立即聯繫獸醫,例如: * 極度口渴或嗜睡 * 虛弱或步態不穩 * 嘔吐或食慾不振 * 焦躁不安或心跳過快 > **注意**:未經獸醫同意,切勿自行更改劑量或停藥,否則液體可能會迅速積聚在肺部。
劑量必須由獸醫依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
POIV
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
托拉塞米用於寵物有什麼用途?
**托拉塞米**是一種強效的「水丸」(利尿劑),用於幫助您的寵物排出體內多餘的水分,通常用於嚴重心臟病。 * **排尿習慣**:您的寵物排尿頻率和尿量會大幅增加。請確保牠們隨時有新鮮的飲用水,以防脫水。 * **給藥時間**:因為會增加排尿,除非獸醫指示,否則盡量不要在睡前給藥。 * **注意事項**:如果您發現脫水或電解質失衡的跡象,請立即聯繫獸醫,例如: * 極度口渴或嗜睡 * 虛弱或步態不穩 * 嘔吐或食慾不振 * 焦躁不安或心跳過快 > **注意**:未經獸醫同意,切勿自行更改劑量或停藥,否則液體可能會迅速積聚在肺部。
托拉塞米對我的寵物安全嗎?
劑量必須由獸醫依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。