Fusid Plus 40 mg+50 mg (Tablet)
Unit Price: ৳ 10.03 (2 x 20: ৳ 401.20)
Strip Price: ৳ 200.60
Medicine Details
Category | Details |
---|---|
Generic | Furosemide spironolactone |
Company | Square pharmaceuticals plc |
Also available as |
Indications
- Essential hypertension
- Chronic congestive heart failure
- Hepatic cirrhosis with ascites
- Swelling due to excess fluid retention
- Hyperaldosteronism
- Resistant edema associated with hyperaldosteronism
Pharmacology
- Complementary mechanisms of spironolactone and furosemide
- Inhibition of Na+/K+/2Cl- co-transporter
- Blockage of reabsorption of sodium, potassium, and chloride ions
- Additive or synergistic diuretic effects
Dosage & Administration
- Furosemide 20 and spironolactone 50 mg combination
- Dosage range of 20 to 80 mg of furosemide
- Dosage range of 50 to 200 mg of spironolactone
- Use in previously stabilized patients
- Not suitable for use in children
- Slower excretion in the elderly
Interaction
- Increased risk of hyperkalemia with ACE inhibitors or potassium salts
- Elevated levels of cardiac glycosides with spironolactone
- Potential reduction of diuretic effects with corticosteroids
- Risk of ototoxicity with aminoglycoside antibiotics
Contraindications
- Anuria
- Acute renal insufficiency
- Severe impairment of renal function
- Hyperkalemia
- Addison's disease
- Hypersensitivity to spironolactone, furosemide, or sulphonamides
Side Effects
- Headache
- Drowsiness
- Gastrointestinal distress
- Ataxia
- Mental confusion
- Gynaecomastia
- Endocrine disorders
- Increase in blood-urea-nitrogen concentrations
- Hyponatremia
- Hyperkalemia
- Dehydration
- Reduction in blood volume
- Cardiac arrhythmias
Pregnancy & Lactation
- Metabolite crossing placental barrier
- Fetal abnormalities associated with furosemide
- Use in pregnant women requires consideration of benefits and hazards
- Detection of metabolites in breast milk
- Potential cessation of breastfeeding if treatment is essential
Precautions & Warnings
- Caution in patients prone to electrolyte deficiency
- Use with caution in diabetes, enlarged prostate, hypotension, and hypovolemia
Therapeutic Class
- Potassium-sparing diuretics
- Aldosterone antagonists
Storage Conditions
- Storage below 30°C
- Protection from light and moisture
- Keep out of reach of children