Torsem Tablet 5 mg (Torsemide)

Adult dose

Take with a small amount of water at breakfast or another meal. ○ Adults 1. Mild to moderate essential hypertension The initial and average maintenance dose of torsemide is 2.5 mg orally once daily. If this dose does not provide an adequate reduction in blood pressure, the daily dose may be increased to 5 mg. Increasing the dose further generally does not increase efficacy. 2. Edema due to congestive heart failure The initial and average maintenance dose is 5 mg orally once daily. If the therapeutic effect is inadequate, the dose may be increased to 20 mg once daily according to clinical symptoms. 3. Edema due to cirrhosis (ascites) The initial dose is 5 mg orally once daily. The daily dose may be increased to 40 mg according to clinical symptoms. 4. Edema due to renal disease The initial dose is 5 ～ 20 mg per day orally. The dose may be increased to 100 mg per day according to clinical symptoms. ○ Patients with hepatic failure Do not administer this medicine to patients with severe hepatic failure. ○ Elderly patients No special dose adjustment is necessary for elderly patients.

This medication should be used very cautiously in patients with edema or ascites due to cirrhosis, as there is a risk of sudden changes in fluid and electrolyte balance that can lead to hepatic encephalopathy, a severe brain dysfunction. This medication should not be used in certain patients such as children under 12 years, individuals with allergies to this drug, patients with hypotension, and those with severely impaired renal function. Additionally, it should not be administered to pregnant or nursing women, nor to patients with extremely low blood pressure or heart rhythm issues. Blood potassium and sodium levels should be regularly monitored while using this drug, and attention should be paid to dietary potassium intake to prevent deficiency. During treatment, symptoms such as dizziness, fatigue, and muscle numbness may occur, and rarely, cardiac issues, blood pressure drop, or gastrointestinal bleeding may arise. This drug can interact with other medications, so it is essential to consult with a physician or pharmacist when taking antihypertensives, antidiabetics, diuretics, antibiotics, heart medications, etc. It is advisable to avoid dangerous activities such as driving or operating machinery during the initial dosing or when switching from another medication to this one, as alcohol consumption can exacerbate symptoms. Elderly patients should start with low doses while using this medication due to a higher risk of dehydration, hypotension, dizziness, and thrombosis, and their condition should be closely monitored. In case of overdose, severe dehydration, electrolyte imbalance, drowsiness, confusion, and hypotension may occur, requiring immediate contact with healthcare personnel for appropriate treatment. This medication should be kept out of the reach of children, and transferring it to another container should be avoided to prevent deterioration of quality or risk of accidents.

• Hepatic coma
• hypokalemia
• metabolic acidosis
• headache
• dizziness
• fatigue
• weakness
• muscle numbness
• worsening of metabolic alkalosis
• hypotension

Store this medication in a tightly sealed container to protect it from air and moisture. It is important to maintain a storage temperature between 1 degree and 30 degrees Celsius.

Appearance

White to light yellow round tablets

Package unit

30 tablets/box [10 tablets/PTP x 3], 100 tablets/box [10 tablets/PTP x 10]