Torsemide Dosing

The torsemide dosing guidelines your healthcare provider will follow will vary depending on several factors, such as how you respond to torsemide, other medical conditions you may have, and other medications you may be taking. The recommended starting torsemide dosage for controlling high blood pressure is 5 mg once daily. The recommended starting dose of torsemide for treating water retention will vary depending on the condition that is causing the fluid retention.

An Overview of Torsemide Dosing

The dose of torsemide (Demadex®) your healthcare provider recommends will vary depending on a number of factors, including:
  • Other medical conditions you may have
  • Other medications you may currently be taking
  • How you respond to torsemide.
As is always the case, do not adjust your dose unless your healthcare provider specifically instructs you to do so.
Torsemide Dosing for High Blood Pressure
The recommended starting torsemide dose for high blood pressure is torsemide 5 mg once daily. Based on the initial blood pressure response and/or side effects of torsemide, your healthcare provider may increase (or decrease) your dose if necessary, up to torsemide 10 mg per day. With each change in dosage, it may take several weeks to see the full effects of torsemide on lowering blood pressure. If your blood pressure is not adequately controlled with torsemide 10 mg per day, your healthcare provider should add a different type of blood pressure medication, instead of increasing your torsemide dose.
Torsemide Dosing for Water Retention
The recommended dose of torsemide for fluid retention (edema) depends on the condition that is causing the fluid retention. For fluid retention due to congestive heart failure (CHF), the starting dose is torsemide 10 mg or 20 mg once daily. For fluid retention related to kidney failure (renal failure), the starting dose is torsemide 20 mg once daily. For people with fluid retention due to cirrhosis of the liver, the starting dose is torsemide 5 mg or 10 mg once daily. Your healthcare provider may increase your dose if necessary, up to a maximum of 200 mg daily (for CHF or kidney failure) or 40 mg daily (for cirrhosis).
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Torsemide Tablets

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