WHAT IS Demadex/Torsemide TABLETS?

TORSEMIDE/Demadex is a diuretic. It helps you make more urine and to lose salt and excess water from your body. This medicine is used to treat high blood pressure, and edema or swelling from heart, kidney, or liver disease. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

WHERE SHOULD I KEEP Demadex/Torsemide?

Keep out of the reach of children.

HOW SHOULD I USE Demadex/Torsemide?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. You may take this medicine with or without food. If it upsets your stomach, take it with food or milk. Do not take your medicine more often than directed. Remember that you will need to pass more urine after taking this medicine. Do not take your medicine at a time of day that will cause you problems. Do not take at bedtime.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

WHAT IF I MISS A DOSE?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

WHAT SHOULD I WATCH FOR WHILE USING Demadex/Torsemide?

Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure regularly. Ask your doctor or health care professional what your blood pressure should be, and when you should contact him or her. If you are a diabetic, check your blood sugar as directed.

You may need to be on a special diet while taking this medicine. Check with your doctor. Also, ask how many glasses of fluid you need to drink a day. You must not get dehydrated.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.

WHAT MAY INTERACT WITH Demadex/Torsemide?

certain heart medicines like digoxin/Lanoxin
• alcohol
• probenecid/Benemid
• medicines for blood pressure
• NSAIDs, medicines for pain and inflammation, like ibuprofen/Motrin or naproxen/Anaprox
• steroid medicines like prednisone/Meticorten or cortisone
• medicines that relax muscles for surgery
• OTC supplements like ginseng and ephedra
• medicines for diabetes
• medicines for cholesterol like cholestyramine
• diuretics
• lithium/Lithotabs
• certain antibiotics given by injection

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

WHAT SIDE EFFECTS MAY I NOTICE FROM Demadex/Torsemide?

Side effects that you should report to your doctor or health care professional as soon as possible:

• irregular heartbeat
• vomiting or diarrhea
• dry mouth
• allergic reactions such as skin rash or itching, hives, swelling of the lips, mouth, tongue or throat
• hearing loss or ringing in the ears
• muscle pain, weakness or cramps
• blood in urine or stool
• pain or difficulty passing urine
• unusually weak or tired

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• sexual difficulties
• headache
• dizzy or lightheaded
• passing large amounts of urine
• increased thirst
• stomach pain, upset or nausea

This list may not describe all possible side effects.

WHAT SHOULD I TELL MY HEALTH CARE PROVIDERS BEFORE I TAKE Demadex/Torsemide?

They need to know if you have any of these conditions:

• kidney disease
• liver disease
• diabetes
• pregnant or trying to get pregnant
• small amounts of urine, or difficulty passing urine
• gout
• breast-feeding
• heart disease
• abnormal blood electrolytes
• an unusual or allergic reaction to torsemide/Demadex , sulfa drugs, other medicines, foods, dyes, or preservatives

What is the shelf life of the pills?

• The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.