TORLACTONE 5 TABLET

Uses and Benefits of TORLACTONE 5 TABLET (TORSEMIDE + SPIRONOLACTONE)

This combination medicine is mainly prescribed to treat fluid retention (oedema) and swelling associated with heart failure, liver cirrhosis, and kidney disease.

WHAT THIS MEDICINE IS USED FOR

• Reducing swelling in legs, ankles, and abdomen due to fluid retention
• Managing fluid overload in congestive heart failure
• Managing ascites and oedema caused by liver cirrhosis
• Helping control fluid-related symptoms in some kidney disorders

HOW IT WORKS

• Torsemide acts on the kidneys to increase urine output, removing excess salt and water
• Spironolactone blocks a hormone called aldosterone, causing mild diuresis while helping the body retain potassium
• Together they balance fluid removal with reduced risk of potassium loss

WHAT IT IS NOT USED FOR

• It is not a treatment for high blood pressure alone unless specifically prescribed for that purpose
• It does not cure the underlying heart, liver, or kidney disease, only manages fluid symptoms
• It is not meant for quick weight loss or cosmetic water-weight reduction
• It should not be used without medical supervision for general swelling of unknown cause

Side Effects of TORLACTONE 5 TABLET (TORSEMIDE + SPIRONOLACTONE)

COMMON SIDE EFFECTS

• Increased urination
• Dizziness or lightheadedness
• Headache
• Nausea
• Muscle cramps

LESS COMMON SIDE EFFECTS

• Diarrhoea or stomach upset
• Dry mouth or increased thirst
• Breast tenderness or enlargement (in men)
• Menstrual irregularities in women
• Fatigue or weakness

SERIOUS SIDE EFFECTS — STOP AND SEE A DOCTOR IMMEDIATELY

• Signs of high potassium levels such as irregular heartbeat, muscle weakness, or tingling
• Severe dehydration, low blood pressure, or fainting
• Significant decrease in urine output
• Yellowing of skin or eyes, signalling liver problems
• Severe allergic reaction with rash, swelling of face/lips, or difficulty breathing
• Severe dizziness or confusion

This is not a complete list. Report any unusual or persistent symptom to your doctor or pharmacist.

How to Use TORLACTONE 5 TABLET (TORSEMIDE + SPIRONOLACTONE)

HOW TO TAKE IT

• Take this medicine exactly as prescribed by your doctor, usually once daily in the morning
• It can be taken with or without food, but taking it consistently at the same time each day is helpful
• Avoid taking it in the evening, as it may cause frequent urination at night
• Do not stop the medicine suddenly without talking to your doctor, even if you feel better
• Your doctor may ask for regular blood tests to monitor kidney function and potassium levels while you are on this medicine

IF YOU MISS A DOSE

• Take the missed dose as soon as you remember, unless it is close to your next dose
• Do not double the dose to make up for a missed one
• If you miss doses often, set a reminder or speak to your doctor about adjusting your routine

STORAGE

• Store at room temperature, away from direct sunlight and moisture
• Keep in the original packaging, tightly closed
• Keep out of reach of children and pets
• Do not use after the expiry date printed on the pack

Safety Information and Precautions for TORLACTONE 5 TABLET (TORSEMIDE + SPIRONOLACTONE)

This is a prescription-only medicine in India and should only be used under medical supervision.

DO NOT TAKE THIS MEDICINE IF YOU

• Are allergic to torsemide, spironolactone, or sulfonamide-related drugs
• Have severe kidney failure with little or no urine output
• Have very high blood potassium levels (hyperkalemia)
• Have Addison's disease or severe liver failure without medical guidance

TELL YOUR DOCTOR BEFORE STARTING IF YOU

• Have kidney or liver disease
• Have diabetes
• Are pregnant, planning pregnancy, or breastfeeding
• Have low blood pressure or are prone to dehydration
• Are taking potassium supplements or a potassium-rich diet
• Have any heart rhythm problems

MEDICINES THAT CAN INTERACT

• ACE inhibitors or ARBs used for blood pressure (risk of high potassium)
• Other diuretics or blood pressure medicines
• NSAIDs like ibuprofen (can reduce effectiveness and affect kidneys)
• Lithium
• Digoxin (heart medicine)
• Potassium supplements or salt substitutes containing potassium

FREQUENTLY ASKED QUESTIONS

Can I take this medicine for long-term use?

Yes, it is often prescribed long-term for chronic conditions, but your doctor will monitor you regularly with blood tests.

Will this medicine make me urinate a lot?

Yes, increased urination is expected and is how the medicine works to remove excess fluid.

Can I take potassium supplements while on this medicine?

• Not without your doctor's advice, since spironolactone already helps retain potassium and extra supplements may raise levels too high.
• Doctor ya pharmacist se salah lein.