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Furosemide

Brand: Lasix

Loop diureticUsed for: Edema, heart failureCardiovascular

No boxed warning on the current FDA label.

Caution
Potent diuretic: excessive doses cause profound water and electrolyte loss, so dosing is individualized and electrolytes are monitored.

Common side effects

  • Frequent urination
  • Low potassium
  • Dizziness
  • Dehydration
  • Hearing changes at high doses

Key interactions

  • NSAIDs can blunt its effect
  • Adds to blood-pressure lowering of other drugs
  • May raise lithium levels
  • Caution with other ototoxic drugs

Counseling points

  • Take earlier in the day to limit nighttime urination
  • Rise slowly to reduce dizziness
  • Report muscle cramps or weakness
  • May need potassium-rich foods or supplement
  • Report ringing in the ears
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