Furosemide (NA) + Spironolactone (NA)

Introduction To Furosemide (NA) + Spironolactone (NA)

Furosemide (NA) + Spironolactone (NA) is a combination of two medicines used to reduce excess fluid levels in the body while maintaining the potassium balance. It is used to treat edema (fluid overload) and some cases of hypertension.

It is best to take Furosemide (NA) + Spironolactone (NA) in the morning along with food in order to avoid frequent urination at night time. For better results, it is suggested to take it at the same time every day. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you.

Dehydration is a very common side effect of this medicine. It might lower down the level of calcium, sodium and magnesium in the blood. Hence, regular monitoring of kidney function and electrolytes is important while using this medicine. It might cause dizziness or tiredness if happens rise slowly from sitting position or avoid driving.

It is generally safe to use during breastfeeding. Before taking this medicine, tell your doctor if you have any liver or kidney disease or pregnant. You should also let your healthcare team know all other medicines you are taking as they may affect, or be affected by this medicine.

Uses of Furosemide (NA) + Spironolactone (NA)

  • Treatment of Edema

Benefits of Furosemide (NA) + Spironolactone (NA)

Treatment of Edema
Edema is caused by your body retaining too much water. Furosemide (NA) + Spironolactone (NA) helps get rid of the extra water and electrolytes from your body by increasing the amount of urine produced. This enables your body to get rid of extra water thereby relieving symptoms such as shortness of breath and swelling in your arms, legs, or abdomen. Therefore, you can carry out your daily activities more comfortably. Take Furosemide (NA) + Spironolactone (NA) regularly without skipping any doses. Make appropriate lifestyle changes, like losing weight (if you are overweight), exercise daily, and eat a healthy diet to get maximum benefits.

Side effects of Furosemide (NA) + Spironolactone (NA)

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Frulac

  • Breast enlargement in male
  • Electrolyte imbalance
  • Volume depletion

How to use Furosemide (NA) + Spironolactone (NA)

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Empty the granules in a glass of water/milk, stir it and consume immediately. Furosemide (NA) + Spironolactone (NA) is to be taken with food.
Avoid Furosemide (NA) + Spironolactone (NA) with dietary sodium.

How Furosemide (NA) + Spironolactone (NA) works

Furosemide (NA) + Spironolactone (NA) is a combination of two medicines: Furosemide and Spironolactone. Furosemide is a diuretic which removes extra water and certain electrolytes from the body through urine. Over time, it also relaxes blood vessels, but causes potassium loss. Spironolactone is also a diuretic which conserves potassium, thereby balancing its levels in the body.

Quick tips

  • Furosemide (NA) + Spironolactone (NA) helps removes excess water from your body.
  • Take it in the morning with breakfast to avoid getting up at night to urinate.
  • It may cause dizziness or sleepiness. Don't drive or do anything requiring concentration until you know how it affects you.
  • To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
  • It may cause excessive urine production, dehydration, and low electrolyte levels. Notify your doctor if you experience dizziness, tiredness, or muscle weakness that doesn't go away.
  • Your doctor may regularly monitor your blood pressure, kidney function and the level of salts such as potassium and sodium in your blood while you're taking this medication.

Safety Advice

sdsPregnancyCONSULT YOUR DOCTOR

Can I take Furosemide (NA) + Spironolactone (NA) if I’m pregnant?

Furosemide (NA) + Spironolactone (NA) may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

sdsBreastfeedingSAFE IF PRESCRIBED

Can I take Furosemide (NA) + Spironolactone (NA) if I’m breastfeeding?

Furosemide (NA) + Spironolactone (NA) is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

sdsAlcoholUNSAFE

Is drinking alcohol while taking Furosemide (NA) + Spironolactone (NA) safe?

It is unsafe to consume alcohol with Furosemide (NA) + Spironolactone (NA).

sdsDrivingUNSAFE

Can I drive after taking Furosemide (NA) + Spironolactone (NA)?

Furosemide (NA) + Spironolactone (NA) may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

sdsKidneyCAUTION

Can I take Furosemide (NA) + Spironolactone (NA) if I have/had kidney diseases?

Furosemide (NA) + Spironolactone (NA) should be used with caution in patients with kidney disease. Dose adjustment of Furosemide (NA) + Spironolactone (NA) may be needed. Please consult your doctor. Use of Furosemide (NA) + Spironolactone (NA) is not recommended in patients with severe kidney disease.

sdsLiverCAUTION

Can I take Furosemide (NA) + Spironolactone (NA) if I have/had liver diseases?

Furosemide (NA) + Spironolactone (NA) should be used with caution in patients with liver disease. Dose adjustment of Furosemide (NA) + Spironolactone (NA) may be needed. Please consult your doctor.

Frequently Asked Questions

Q. What are the recommended storage conditions for Furosemide (NA) + Spironolactone (NA)?

Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

Q. What are the contraindications associated with the use of Furosemide (NA) + Spironolactone (NA)?

The use of Furosemide (NA) + Spironolactone (NA) should be avoided in patients with hypersensitivity to furosemide, sulfonylureas or spironolactone or any other ingredient of the product. The use of this medicine should also be avoided in patients with anuria, acute renal insufficiency, hepatic coma and pre-coma, low blood pressure (hypotension), cardiac arrhythmias, patients taking aminoglycosides or cephalosporins, kidney dysfunction due to drugs which cause renal damage, patients with high potassium levels (hyperkalemia), Addison's disease and in children with moderate to severe renal impairment.

Q. What is Furosemide (NA) + Spironolactone (NA)?

Furosemide (NA) + Spironolactone (NA) is a fixed-dose combination of furosemide (a loop diuretic) and spironolactone (an antagonist of aldosterone). Both are diuretics and they help to remove excess fluid from the body. The use of this combination is advised in patients of congestive heart failure (heart failure leading to fluid accumulation in the lung and rest of the body), nephrotic syndrome (a kidney disorder), liver cirrhosis with fluid retention (edema) and swelling of the abdomen (ascites).

Q. Is it safe to use Furosemide (NA) + Spironolactone (NA)?

Yes, Furosemide (NA) + Spironolactone (NA) is safe for most of the patients. However, in some patients it may cause common side effects like dizziness, dehydration, decreased sodium level in blood, breast enlargement in males, decreased magnesium level in blood, decreased calcium level in blood, increased blood uric acid. Inform your doctor if you experience any persistent problem while taking this medicine.

Q. Can the use of Furosemide (NA) + Spironolactone (NA) cause dizziness?

Yes, the use of Furosemide (NA) + Spironolactone (NA) can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, it is better to rest for some time and resume once you feel better. Do not drive or use any machines.

Q. Can the use of Furosemide (NA) + Spironolactone (NA) cause gout?

Yes, Furosemide (NA) + Spironolactone (NA) can cause gout. Furosemide (NA) + Spironolactone (NA) contains furosemide which can increase the blood uric acid levels by increasing its absorption from the kidneys. Increased uric acid levels can cause a gout attack. Inform your doctor if you have hyperuricemia (excess of uric acid in blood) or a history of gout before taking this medicine. Use of Furosemide (NA) + Spironolactone (NA) should be avoided in patients with gout.

References

Written By:

Dr Advikka Ridhy

Dr Advikka Ridhy

MBBS

RMO, Aster MIMS

Disclaimer: The contents of this material are solely intended for informational purposes and do not serve as a substitute for professional medical advice, diagnosis, or treatment. MediClap does not offer advice, endorse any specific prescription drug, pharmacy, or other information on the site. Furthermore, MediClap does not provide any warranty for the information presented. It is recommended that you seek medical advice prior to commencing, altering, or terminating any medical treatment.
MediClap strives to make its website accessible to all users, including those with disabilities. Should you encounter any difficulty accessing this website, kindly send an email to hello@mediclap.com to enable us to provide the necessary services through alternative means.
MediClap is not affiliated with nor sponsored by any of the third-party brands mentioned. All trademarks, brands, logos, and copyrights mentioned remain the sole property of their respective owners.