Fusid Plus 40 mg+50 mg (Tablet)

Unit Price: ৳ 10.03 (2 x 20: ৳ 401.20)
Strip Price: ৳ 200.60

Medicine Details

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

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