Frudema
Generic Name
Furosemide
Manufacturer
Incepta Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| frudema 40 mg tablet | ৳ 0.53 | ৳ 5.30 |
Description
Overview of the medicine
Frudema 40 mg Tablet contains Furosemide, a potent loop diuretic used to treat fluid retention (edema) associated with congestive heart failure, liver cirrhosis, and renal disease. It works by increasing the excretion of sodium, chloride, and water from the body.
Uses & Indications
Dosage
Adults
Initial dose 20-80 mg once daily, adjusted based on response. Maintenance dose typically 20-80 mg/day, but can be higher in severe cases.
Elderly
Start with lower doses (e.g., 20 mg daily) and titrate carefully due to increased sensitivity and potential for adverse effects.
Renal_impairment
Dosage adjustment may be necessary. Higher doses might be required, but close monitoring for electrolyte imbalance is crucial.
How to Take
Take Frudema 40 mg Tablet orally, usually once or twice daily. It can be taken with or without food, but consistency is advised. Take it in the morning to avoid nighttime urination.
Mechanism of Action
Furosemide acts on the thick ascending limb of the loop of Henle in the kidneys, inhibiting the Na-K-2Cl cotransporter. This prevents the reabsorption of sodium, potassium, and chloride ions, leading to increased excretion of water, sodium, chloride, magnesium, and calcium.
Pharmacokinetics
Onset
Oral: 30-60 min; IV: 5 min.
Excretion
Primarily renal (60-90% as unchanged drug), some biliary.
Half life
0.5-2 hours (in healthy individuals).
Absorption
Rapidly absorbed, bioavailability varies (40-70%).
Metabolism
Partially metabolized in the liver, primarily by glucuronidation.
Side Effects
Contraindications
- •Anuria
- •Hypersensitivity to furosemide or sulfonamides
- •Hepatic coma or precoma
- •Severe electrolyte depletion (e.g., hypokalemia, hyponatremia)
Drug Interactions
NSAIDs
May reduce the diuretic and antihypertensive effects of furosemide.
Digoxin
Increased risk of digoxin toxicity due to hypokalemia.
Lithium
Reduced renal clearance of lithium, leading to increased serum lithium levels and toxicity.
Other antihypertensives
Potentiated hypotensive effect.
Aminoglycoside antibiotics
Increased risk of ototoxicity.
Storage
Store below 30°C in a dry place, protected from light and moisture. Keep out of reach of children.
Overdose
Symptoms of overdose include dehydration, electrolyte imbalance (hypokalemia, hyponatremia, hypochloremic alkalosis), hypotension, and cardiovascular collapse. Treatment involves fluid and electrolyte replacement, and supportive care.
Pregnancy & Lactation
Pregnancy Category C. Use only if the potential benefit justifies the potential risk to the fetus. Furosemide is excreted in breast milk and may inhibit lactation; caution is advised during breastfeeding.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 24-36 months from manufacturing date
Availability
Available in pharmacies and hospitals
Approval Status
Approved by major regulatory bodies (e.g., FDA, DGDA)
Patent Status
Off-patent, available as generic
WHO Essential Medicine
YesAlternative Medicines in Bangladesh
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Global Brand Names
International brand names for this medicine
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