Trusted, medically reviewed health information • Not a substitute for medical advice
Medically Verified MonographPrescription OnlyClass: Loop Diuretics

Torsemide

Generic Name: Torsemide

Common Brand Names: Demadex
Dosage Form:Tablet, Injection
Route:Oral, Intravenous
Pregnancy Category:B
Last Reviewed:9/21/2026

Seek Urgent Medical Attention If:

You experience severe allergic reaction symptoms (swelling of the face, lips, tongue, or throat causing difficulty breathing), severe rash with skin peeling, sudden intense chest pain, or symptoms of overdose. Call emergency medical services immediately.

Uses & Medical Indications

Management of edema associated with heart failure, renal disease, or hepatic disease; hypertension

Medical Conditions Treated:

Edema, Hypertension

Dosage & Administration Guidelines

Adult Dosage

Edema: 10-20 mg once daily. Hypertension: 5 mg once daily.

Pediatric Dosage

Safety and effectiveness not established

Elderly / Geriatric Considerations

No specific adjustment, start at lower end

Maximum Dose Limit

200 mg/day

Renal Impairment:

Can be used in severe renal impairment, higher doses may be needed

Hepatic Impairment:

Use with caution with aldosterone antagonists in cirrhosis

Side Effects & Safety Warnings

Common Side Effects

Increased urination, headache, dizziness, rhinitis

Serious Adverse Reactions

Profound diuresis, electrolyte depletion (hypokalemia), ototoxicity (rare)

Contraindications:

Anuria, hepatic coma, hypersensitivity to sulfonylureas

Important Warnings & Precautions:

Can lead to severe volume and electrolyte depletion

Interactions (Drugs, Food & Alcohol)

Drug-Drug Interactions:

NSAIDs, lithium, digoxin, aminoglycosides

Food & Dietary Interactions:

N/A

Alcohol Interaction Warning:

May increase risk of orthostatic hypotension

Pregnancy & Breastfeeding Safety

Pregnancy Safety

Use if clearly needed; generally avoid diuretics unless for cardiac conditions

Breastfeeding / Lactation

Unknown if excreted in milk; caution advised

Patient Counseling & Practical Advice

How to Take:

Take in the morning to avoid nocturia. Report muscle cramps or severe dizziness.

What to Do if You Miss a Dose:

Take as soon as remembered. If late in the day, skip to avoid sleep disruption.

Recommended Monitoring & Lab Tests:

Electrolytes, BUN, creatinine, blood pressure, body weight

Trustworthy Sources & Medical Review

Content for Torsemide was synthesized and fact-checked against standardized regulatory monographs, official pharmacopoeias, and national health authorities:

  • Central Drugs Standard Control Organization (CDSCO) — National List of Essential Medicines
  • World Health Organization (WHO) — Model List of Essential Medicines 23rd List
  • Indian Pharmacopoeia Commission (IPC) — Indian Pharmacopoeia Drug Monographs
  • National Health Service (NHS) — Medicines A to Z Clinical Guidelines
Reviewer Credentials: PharmD, Clinical PharmacologistLast Reviewed Date: 9/21/2026

The information provided on this website is for educational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider with any questions you may have regarding a medical condition.