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Bioavailability is 80% interactions : drugbank: interactions for torsemide interactions for torsemide: in patients with essential hypertension, demadex has been administered together with beta-blockers, ace inhibitors, and calcium-channel blockers.
Lactation it is not known whether torsemide is excreted in human milk.
Before using this medication, tell your doctor if you are taking any of the following medicines: a beta-blocker such as acebutolol sectral ; , atenolol tenormin ; , carvedilol coreg ; , metoprolol lopressor ; , propranolol inderal ; , and others; a diuretic water pill ; such as furosemide lasix ; , bumetanide bumex ; , ethacrynic acid edecrin ; , torsemide demadex ; , hydrochlorothiazide hydrodiuril ; , chlorthalidone hygroton, thalitone ; , chlorothiazide diuril ; , and others; a tricyclic antidepressant such as amitriptyline elavil ; , doxepin sinequan ; , nortriptyline pamelor ; , and others; a monoamine oxidase inhibitor maoi ; such as isocarboxazid marplan ; , phenelzine nardil ; , or tranylcypromine parnate a medicine such as atropine, belladonna, clidinium quarzan ; , dicyclomine bentyl ; , scopolamine transderm-scop ; , propantheline pro-banthine ; , mepenzolate cantil ; , methantheline banthine ; , methscopolamine pamine ; , and others; or caffeine, diet pills, or decongestants.
DEMADEX torsemide ; is contraindicatod In patients with known hypersensitivity to DEMADEX torsemide or to suoonylumas. DEMADEX torsemide is contraindicated in patients who are anuric, WARNINGS Hepallc dlnuae will, leelleols awl eacilna: c DEMADEX torsemide should be used with caution in patients with Irepatic disease with cirrhosis and ascoes, since sudden afterations OfIbidand electrolyte balance may preopitate hepahccoma. lnnrese patients, diuresis with DEMADEX torsemide ; on any otherdiutetic is best initiated in the hospital. To preveol hypokalemia and metabolic alkalosis, an aldostemne antagoniot or potasslum-sparhrgrag should be used concomitantly withDEMABEX tornemide . d Ototonicity: Tlnnltus hearing loss usually reversible ; have been abseroed after and rapid Intravenous Inlection at other loop diuretics and have also been observed after oral DEMADEX lorsemide ; . It Is not certain that these events were alt obatable to DEMACIEX ; tnrsemde . Ototovicity hasalsobeen seen in animal stuthes when very high plasma levels of DEMADEX tarsemide were induced. Administered Intravenously, DEMADEX torsemide should be in ; ectedlowlyover two minutes, and single doses s should not exceed 200 mg. Volume ned elecleolyla d.pI.lIee: atientseceiving diuretics should be observed ton P r clinival evidence electrolyte of imbalance.ypOvolem orprerenalzntema Symptoms h a of thesedisturbancesay Include one or mom of the following: drynessof the mouth, m thirst, weakness, lethargy, drowsiness, restlessness, muscle pains or cramps, muscolarfafigue, hypotensioo, ol-iguria, tachycardia, nausea, and vomiting. Excessive diuresin may cause dehydration, blond-volume reduction, and possibly thrombotis and embolism, especially In elderly patients. In patients ho developfluidnd electrolyte w a imbalances, hypovolemie, pmmnal azotemia. observed laboratory or the changes may Include hyper- or hypenatremla. yper- hypochlomma hyper-or hypokalemie, cidh or a base abnunnalities, and increased blood ureanitrogen. If any of these occur, DEMADEX tursemidn ; should be discontinued until the situation is corrected; DEMADEX torsemide ; maybe restarted at a lower dose. controlled studies In the United States, DEMADEX torsemide was administered to hypertensive patients at doses ot 5mg or 10mg daIly. After sis weeks at these doses, the mean decreasein serum potassium was appmnenately 0.1 mEqa. The percentage ot patients who had a serum potassium level below 3.5 mtqlt at any time duringthe etudes wau essentiaty the same in patients who received DEMADEX tnrsemide n.5% as in those who receivedplacebo 3% . In patients followed tsr one year, there was no turther change in mean serum potassium levels. In patients with coo9estive heart tailare, hepafic cirrhosis, or meal diseasetreated with DEMADEX torsemide at doses higher than those studied in U.S. antihypertensive trials, hypokalemla was observed withgreater frequency, in a dooe-reialed manner. In patients withcardiovascular disease, especially those receiving digitalis glycosides, diuretic-induced hypokalemia maybe a risk factorar the developmentof anhyfhmias. t The risk of hypokalemie isgreatest patients in withurrlnosis the liver, in patients enoreof riencing a brisk diuresis, in patients who are receiving inadequate oral intake vt electrolytes, and In patients receksng concomitant therapy with corticestemids or ACm. Peoodic monitoring of serum potassium and other electrolytes is advised in patients treated with DEMADEX ; torsemide . PRECAUTIONS Laboeelee'y eat ueo P081081cm: See statement in Wamings. CalcIum: Single doses of DEMADEX torsemide ; Increased the urinary evcretioo of calcium by normal subiects, but serum calcium levels were slightly increased in four-la sin-week hypertension trials. In a long-term snudy ot patients wIth covgestive heart failure, the average ooe-year change In serum calcium wasadecrearre of 0.10 met dL 0.02 mmoVt . oblong 426 patients treated with DEM.ALIEX torsemide for an average 0111 months, hypocaicemla was not reported as an adverse event Magneolum: Single doses of DEMAOEX torsemide caused heathy volunteers to increase their urinary eecretion of magnesium, but serum magnesium levels were slightly increased in four- to six-week hypertension trials. In long-leon hypertension studies, the average one-year change In serum magnesium was an increase of 0.03 mg dL 0.01 mmoLit ; , Among 426 patients treated with DEMADEX tomsemide fur an average sf11 months, one case of hypomagnesemia 1.3 mgldL 0.53 mmol& ; was reported as an adverse event. In a long-term clinical study 01 DEMADEX torsemide in patients with congestive hean faIlure, the estimated annual change in serum magnesium was an increase sf0.2 mgldL 0.08 mmoi L ; . but these data are confounded by the fact that man of these patleots received magnesium supplements. In a tour-week study in whic magnesium supplementation was not given, the rate of occurrence of serum magnesium levels beluw 1.7 mg aL p.70 mmotiL ; was 6% and 9% lottie groups receiving 5mg and 10mg of DEMADEX torsemide . respectively. Blood area nitrogen BUN ; , creallulee, and uric acid: DEMA0EX torsemide ; produces small dose-related increases in each of these laboratory values. In hypertensive patients who receIved 10mg of DEMADEX torsemide ; daily for six weeks, Ike mean increase in blood urea nitrogen was 1, 8 mg aL 0.6 mmnlit ; , the mean increase in serum creatinine was 0.05 rog dL 4 pmollt4, and the mean increase in serum uec acid was 1.2 mg aL 70 pmotL . Lttle further change occurred with long-term treatment, and all changes reversed when treatment was discontinued. symptomatic gout has seen reported in patients receiving DEMADEX torsemide ; , but its incidence has been similar to that seen in patients receiving placebo. Glueou: Hypertensive patents who received 10mg ot daily DEMADEX torsemide eoyerienceda mean increase in serum glucose concentration of 5.5 rog dL 0.3 mmoliL after six weeks of fherayy, with a further increase 011.8 mgidL 0.1 mmuL& during the subsequent year. In long-term studies in diabeflcs, mean faslirrg glucose values were not significantly changed tram baseline. Caset of hyperglycemia have been reported but are uncommon. Serum Ilpido: In the controlled short-term hypertension studies in the United States, daily doses of 5, 10, and 20mg of DEMADEX tornemide ; were associated with iocwases in total plasma cholesterol of 4, and 8 mgidL 0.10100.20 mmolit4, respectively. The changes subsided doIng chronic therapy. In fhe same shod-term hypertension studies, daily doses of 5, 10, and 20 mg of DEMADEX torsemete ; were associated with mean increases in plasma trIglycerides of.
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In certain embodiments, wherein the oral dosage form of the present invention comprises a passageway, preferably the dosage form is an osmotic dosage form having a push or displacement composition as one of the layers of a bilayer core for pushing the torsemide or a pharmaceutically acceptable salt thereof from the dosage form, and a semipermeable wall comprising the sustained release excipient and surrounding the core, wherein the wall has the at least one exit means or passageway for delivering the torsemide or pharmaceutically acceptable salt thereof from the dosage form.
2 a sustained release oral dosage form comprising: an effective amount of torsemide or a pharmaceutically acceptable salt thereof, a sustained release excipient comprising a gelling agent comprising a mixture of a heteropolysaccharide gum and a homopolysaccharide gum, and an ionizable gel strength enhancing agent capable of crosslinking the gelling agent and increasing the gel strength when the dosage form is exposed to an environmental fluid, the dosage providing a mean urinary excretion rate of torsemide of about 210 and tracleer.
02129000 02129019 02129027 DEMADEX - 5MG TAB DEMADEX - 10MG TAB DEMADEX - 20MG TAB DEMADEX - 100MG TAB FANSIDAR 500 25 FORTOVASE - 200MG CAP GARDRIN - 0.035MG CAP HERCEPTIN - 440MG VIAL HIVID - 0.375MG TAB HIVID - 0.75MG TAB INHIBACE - 0.5MG TAB INHIBACE - 1MG TAB INHIBACE - 2.5MG TAB INHIBACE - 5MG TAB INHIBACE PLUS 5 12.5 INVIRASE - 200MG CAP MANERIX - 100MG TAB MANERIX - 150MG TAB MANERIX - 300MG TAB MEGALONE - 4MG ML MEGALONE - 200MG TAB MEGALONE - 400MG TAB NAPROSYN - 25MG ML NAPROSYN - 500MG SUP NAPROSYN - 125MG TAB NAPROSYN - 250MG TAB NAPROSYN - 375MG TAB NAPROSYN - 500MG TAB NAPROSYN E - 250MG TAB NAPROSYN E - 375MG TAB NAPROSYN E - 500MG TAB NAPROSYN SR - 750MG TAB NAPROSYN SR - 1000MG TAB NUTROPIN - 5MG VIAL NUTROPIN - 10MG VIAL NUTROPIN AQ - 5MG ML OSTAC - 400MG CAP PROTROPIN - 5MG VIAL PROTROPIN - 10MG VIAL RHINALAR - 0.25MG ML ROCALTROL - 0.00025MG CAP ROCALTROL - 0.0005MG CAP ROCALTROL - 0.001MG ML ROCEPHIN - 250MG VIAL ROCEPHIN - 500MG VIAL torsemide torsemide torsemide torsemide sulfadoxine pyrimethamine saquinavir enprostil trastuzumab zalcitabine zalcitabine cilazapril cilazapril cilazapril cilazapril saquinavir mesylate moclobemide moclobemide moclobemide fleroxacin fleroxacin fleroxacin naproxen naproxen naproxen naproxen naproxen naproxen naproxen naproxen naproxen naproxen naproxen somatropin somatropin somatropin clodronate disodium somatrem somatrem flunisolide calcitriol calcitriol calcitriol ceftriaxone disodium ceftriaxone disodium C03CA C03CA C03CA C03CA P01BD J05AE A02BB L01XC J05AF J05AF C09AA C09AA C09AA C09AA J05AE N06AG N06AG N06AG J01MA J01MA J01MA M01AE M01AE M01AE M01AE M01AE M01AE M01AE M01AE M01AE M01AE M01AE H01AC H01AC H01AC M05BA H01AC H01AC R01AD A11CC A11CC A11CC J01DA J01DA tablet tablet tablet tablet tablet capsule capsule powder for injectable solution tablet tablet tablet tablet tablet tablet tablet capsule tablet tablet tablet injectable solution tablet tablet oral suspension suppository tablet tablet tablet tablet tablet tablet tablet sustained-release tablet sustained-release tablet powder for injectable solution powder for injectable solution injectable solution capsule powder for injectable solution powder for injectable solution nasal aerosol capsule capsule oral solution powder for injectable solution powder for injectable solution not sold not sold not sold not sold not sold not sold not sold not sold not sold expired not sold not sold not sold not sold.
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The mechanism of action of the antifungal drug griseofulvin is unknown, but is thought to involve inhibition of fungal mitosis. It accumulates in keratin, so is used to treat dermatophyte infections of the skin, hair and nails see p313 ; . It is well absorbed orally, is well tolerated and is suitable for children. However, its use for fungal nail.
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Unless otherwise determined by the Committee and approved by the Exchange if applicable ; . b ; Death. If the Optionee dies while the Option is otherwise exerciseable, unless otherwise determined by the Committee and approved by the Exchange if applicable ; , all Optioned Shares of the Optionee will become immediately vested and will be exerciseable by the legal personal representatives of the estate of the Optionee during a period of the earlier of: i ; ii ; c ; months following the date of death, or the expiry of the Option.
Ultimate graft prognosis 3336 ; . It should be noted that the improvements of the renal function parameters after CsA discontinuation do not necessarily prove the presence of drugrelated structural nephrotoxicity because protocol biopsies were not done in our study. Functional effects on renal hemodynamics 37, 38 ; may not be the only consequences of CsA in the kidney. CsA mediates its immunosuppressive capacity not only through the inhibition of calcineurin phosphatase, but also through the expression of cytokines like transforming growth factor TGF- ; , which enhances the renal scarring process 39, 40 ; . Irreversible morphologic lesions of chronic CsA toxicity typically present with afferent arteriolopathy, tubulointerstitial fibrosis, and tubular atrophy 5 ; . These lesions appear to be less dose-dependent but attributable to an elevated individual susceptibility, which is consistent with the observation of genetic differences in the quantitative liberation of TGF- after the administration of CsA 41, 42 ; . Thus, eliminating the drug exposure in the early posttransplantation period is likely to favorably affect the long-term graft prognosis. The severity of posttransplant hypertension is significantly correlated with the incidence of chronic allograft failure 29, 30 ; , albeit that the interrelation between cause and effect may be less clear 43 ; . This study indicates that switching to CsA-free immunosuppression with MMF is associated with a substantial decline in both systolic and diastolic BP through the entire observation period. The magnitude of the BP lowering effect is in accordance with previous experience 23, 25, 44 ; . Both better renal and treprostinil.
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Pretreatment biochemical values are shown in Table 3. All patients had reduced serum phosphate concentrations 0.61 + 0.03 mmol L; mean + REM ; , normal total serum calcium concentrations 2.31 + 0.03 mmol L ; , and normal serum creatinine levels 67 + 4 pmol L ; . The majority of patients had normal alkaline phosphatase levels 1.26 + 0.16 pkat L only three patients exhibited elevated values. Serum immunoreactive PTH levels were normal or mildly elevated 30 + 6 nLeq mL ; . Serum calcium levels were normal in these patients. In general, nephrogenous CAMP levels correlated with PTH concentrations. However, of the eight patients with mildly elevated PTH levels at baseline evaluation, only two had elevated nephrogenous CAMP levels. Renal phosphate wasting was demonstrated by a low.
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Take demadex torsemide ; exactly as prescribed
Was released, and steroid hormones were synthesized. The selective inhibitors of PD enzymes worked synergistically with forskolin in increasing steroidogenesis. Forskolin also has a stimulatory effect on the cyclic AMP of testicular Leydig cells. This effect is similar to that of the LH luteinizing hormone ; which controls Leydig cell steroidogenesis by stimulation of the androgen pathways mainly through adenylate cyclase and cyclic AMP mediated mechanisms. Cancer, Thyroid Application Cyclic AMP-dependent kinase activation and phosphorylation of steroidogenic proteins presumably causes an increase in testosterone production. Despite the steroidogenic properties of forskolin, a prolonged increase of cyclic AMP levels produced by forskolin in the culture medium of human prostatic cancer cells inhibited cellular growth of the cancer. This inhibition of cellular growth by forskolin generated cyclic AMP suggests a possible new, safe approach to prostatic carcinoma therapy. An additional contribution of forskolin to the anabolic and lean body mass building mechanism is due to its stimulation of adenylate cyclase in the human thyroid. Forskolin stimulation is additive with that of TSH thyroid stimulating hormone ; and also differs from TSH stimulation of adenylate cyclase. Forskolin may also produce an anabolic effect by increasing the thyroid hormone dependent regulation of the uncoupling protein UCP ; and through its role in thermogenesis. Studies were performed in brown adipocytes obtained from the brown fat of euthyroid normal function of thyroid ; or hypothyroid decreased function of thyroid ; rats. T3 and T4 thyroid hormones significantly enhance the effect of forskolin, UCP and thermogenesis. In fat cells from hypothyroid rats, forskolin failed to stimulate UCP; but after exposure to T3 or T4, cells recovered full responsiveness to forskolin. The active principle of Coleus forskohlii, forskolin, emerges as a versatile nutraceutical, that is relatively safe for human consumption, and has many clinically proven applications. However, one of the promising applications of forskolin relates to management of weight loss and improving lean body mass. While sensible, daily exercise remains the primary method to maintain and increase lean body mass, the combined effects of exercise with forskolin supplementation could contribute to, and further optimize, lean body mass. It should be emphasized that healthy functioning of the body depends not so much on a lower fat content, but rather on obtaining a higher percentage of lean body mass. NIE and triazolam.
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Infusion may elicit diuresis in some patients resistant to large boluses. Fourth, diuretic response can be titrated; in the intensive care unit where obligate solute and fluid administration must be balanced by solute and fluid excretion, control of NaCl and water excretion can be obtained by titration of diuretic dose. While this is important in every postoperative patient, it is especially important in patients who are hemodynamically compromised. Magovern reported successful diuresis of hemodynamically compromised patients after cardiac surgery by continuous furosemide infusion [76]. Because continuous infusion of loop diuretics may reduce the sympathetic discharge and activation of the reninangiotensin system, continuous infusions may be the preferred mode of therapy for hemodynamically unstable patients in need of diuresis. Finally, drug toxicity from loop diuretics, such as ototoxicity observed with all loop diuretics ; and myopathies with bumetanide ; , appear to be less common when the drugs are administered as continuous infusions. In fact, total daily furosemide doses exceeding 2 g have been tolerated well when administered over 24 h. Dosage regimens for continuous IV diuretic administration are shown in Table 1.4. Of note, although natriuretic efficacy may vary linearly with loop diuretic dose, high infusion rates e.g. 2 g per day of furosemide ; might lead to toxic serum concentrations if continued for prolonged periods. This is especially true in patients with renal failure, in whom larger doses are often required to initiate diuresis. Special care should be taken when administering large daily doses of loop diuretics over prolonged periods; in patients with renal failure, a drug such as torsemide that is cleared, in part, by hepatic metabolism, may be preferred when high or prolonged therapy is attempted and torsemide!
The bioavailability of both bumetanide and torsemide is greater than 80% and may present practitioners with a smoother transition between oral and intravenous dosing -22 excretion and metabolism differ between the loop diuretics and may influence choice of agent as well and trifluoperazine.
Igf-i and gh to the desired concentrations, adjuvant treatment with pituitary radiotherapy or other medical therapies is indicated.
Or click the first letter of a drug name: a b c advanced search a to z drug list drugs by condition pill identifier drug interactions checker medical encyclopedia medical dictionary pharmaceutical news & articles community forums welcome guest register or sign in my viewing history my drug list my interactions lists member offers professional information fda demadex demadex generic name: torsemide dosage form: tablets, injection demadex description feedback for demadex as a treatment for and trihexyphenidyl.
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Sumer Verma, MD, has received grants and research support from Eli Lilly and Company, GlaxoSmithKline, and Neotherapeutics. He serves as a consultant for Eli Lilly and Company. He has received honoraria from, and is a member of, the Speakers Bureau for Abbott Laboratories, Eli Lilly and Company, Pfizer Inc., and G.D. Searle & Co. He has received other financial or material support from Eli Lilly and Company and tracleer.
Table 3 Decreases to the State MAC Rates for Legend Drugs Drug Name METHYLPREDNISOLONE 4 MG DOSEPAK METOCLOPRAMIDE 5 MG TABLET MINOCYCLINE 100 MG CAPSULE MIRTAZAPINE 30 MG TABLET NABUMETONE 500 MG TABLET NAPROXEN 500 MG TABLET NIFEDIPINE ER 60 MG TABLET NITROFURANTOIN-MACRO 50 MG CAPSULE OMEPRAZOLE 20 MG CAPSULE OXAPROZIN 600 MG TABLET OXYCODONE APAP 7.5 325 MG TABLET PAROXETINE HCL 20 MG TABLET PAROXETINE HCL 40 MG TABLET PENTOXIFYLLINE 400 MG TABLET POLYETHYLENE GLYCOL 3350 POWDER POTASSIUM CL 10 MEQ TAB SA POTASSIUM CL 20 MEQ TAB SA PRAVASTATIN SODIUM 20 MG TABLET PRAVASTATIN SODIUM 40 MG TABLET PROPOXY-N APAP 100-650 TABLET QUINAPRIL 10 MG TABLET QUINAPRIL HCL 20 MG TABLET RANITIDINE 150 MG TABLET SERTRALINE 20 MG ML ORAL CONCENTRATE SERTRALINE HCL 100 MG TABLET SERTRALINE HCL 25 MG TABLET SERTRALINE HCL 50 MG TABLET SIMVASTATIN 5 MG TABLET SIMVASTATIN 80 MG TABLET TERAZOSIN 1 MG CAPSULE THEOPHYLLINE 200 MG TAB SA TIZANIDINE HCL 2 MG TABLET TIZANIDINE HCL 4 MG TABLET TORSEMIDE 20 MG TABLET TRAMADOL HCL 50 MG TABLET and trimethobenzamide.
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