TORSEMIDE 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.

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

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

Take this medicine by mouth with a glass of water. 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.

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.

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

This list may not describe all possible interactions. Give your health care provider 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.

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.

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

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

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

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

This list may not describe all possible side effects.

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.