Torsem Tablet 2.5 mg (Torsemide)

Adult dose

Take with a little water at breakfast or with another meal. ○ Adults Mild to moderate essential hypertension The initial and average maintenance dose of torsemide is 2.5 mg orally once daily. If an adequate antihypertensive effect is not achieved with this dose, the daily dose may be increased to 5 mg. Increasing the dose further generally does not increase the effect. ○ Patients with hepatic impairment Do not administer this medicine to patients with severe hepatic impairment. ○ Older adults No special dose adjustment is necessary for older adults.

This medication should be administered with caution to patients with edema or ascites due to liver cirrhosis, as it can cause a rapid change in fluid and electrolyte balance, leading to a risk of hepatic coma. It is particularly recommended to be treated in a hospital to prevent dangerous electrolyte imbalances and hepatic coma. It is advisable to use an aldosterone antagonist or potassium-sparing diuretics to prevent hypokalemia and metabolic acidosis. This medication should not be used in certain patients, including those under 12 years of age, patients with hypotension, those with anuria from renal failure, patients with severe liver dysfunction, pregnant or breastfeeding women, and patients with arrhythmias. Patients with lactose intolerance or specific genetic metabolic disorders should also not receive this medication. Patients with gout or diabetes, or with a family history of these conditions, as well as those with kidney or liver function issues, severe diarrhea or vomiting, pre-surgical patients, and elderly individuals should use this medication with caution. Various side effects such as headaches, dizziness, fatigue, muscle numbness, hypokalemia, hypotension, cardiac abnormalities, gastrointestinal disturbances, changes in kidney function, and skin rashes may occur while taking this medication, so symptoms should be closely monitored. Moreover, this medication may interact with other antihypertensive agents, cardiac medications, diabetes medications, and anti-inflammatory painkillers, so caution is required when taken together. While taking this medication, it is essential to maintain adequate potassium intake and regularly check electrolytes, blood sugar, and kidney function through blood tests, and to be cautious when driving or operating machinery. Pregnant or breastfeeding women should not use this medication, and elderly individuals should start with a low dose due to a higher risk of hyponatremia or hypokalemia and monitor their conditions closely. In case of overdose, symptoms may include drowsiness, confusion, hypotension, gastrointestinal symptoms, and there is no specific antidote, so treatment should focus on replenishing fluids and electrolytes. This medication should be kept out of the reach of children and should not be transferred to another container for safety.

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

This medication should be stored in a tightly sealed container to protect it from air and moisture. It is best to maintain the storage temperature between 1 and 30 degrees Celsius at room temperature. This helps maintain the medication's efficacy and safety for a long period.

Appearance

White to pale yellow round tablets

Package unit

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