Diuver - a drug with diuretic action.
Pharmacological action Diuvera
The active substance of the preparation - torasemide, which inhibits absorption of sodium ions and water, reduces the osmotic pressure of the liquid in the cells.
There have been, and such further action of the drug, as the improvement of diastolic function of the heart muscle and reducing fibrosis.
In action similar to furosemide torasemide (a common diuretic), but judging by the reviews of Diuvere, its active ingredient is increasingly different duration of action and it is to a lesser extent provoked hypokalemia. For these reasons for long-term treatment is preferable to choose Diuver.
Release tablets Diuver.
Diuver of instruction prescribed for diseases of the kidneys, liver and lungs, to relieve swelling, arising out of the chronic heart failure.
Instructions Diuvera: how to use
Diuver taken once a day, after a meal at a dosage of 5 mg. If necessary, the dosage is increased to 20 or 40 mg.
Before treatment is necessary to adjust the water and electrolyte balance. Patients with diabetes are recommended during therapy to control blood glucose.
If long-term treatment is shown, to control the level of glucose needed for all patients and, in addition, further to monitor the levels of creatinine, uric acid, lipids, electrolytes.
Diuver can produce thrombocytopenia, leukopenia, reducing the number of erythrocytes, lowering the pressure, thromboembolism, circulatory disorder, dyspepsia, pancreatitis, poor appetite, increased liver enzymes, urine retention (obstruction of urinary ducts), dry mouth, increasing the amount of creatinine, urea, headache, confusion, numbness in hands and feet, drowsiness, weakness, hypovolemia, hyperglycaemia, electrolyte imbalance, hyperlipidemia, hypokalemia, increase in the amount of uric acid in the blood, deafness.
There are reviews of Diuvere also cause tinnitus, blurred vision, rash, pruritus, photosensitivity.
Because of the use of excessive doses Diuvera in hypovolemia occurs, confusion, drowsiness, collapse, increased urination, causing electrolyte imbalance. It can also disrupt the activities of the gastrointestinal tract, lower blood pressure.
To eliminate these side effects, reduce the dose Diuvera or completely cancel it, make up for the loss of electrolytes and fluids.
Do not take Diuver in renal failure, hypotension, anuria in prekomatosnoe state in hepatic coma, arrhythmias, children up to 18L, pregnant women, during lactation, in case of hypersensitivity to sulfonamides, torasemide.
The instructions Diuver stated that caution should be taking the drug, patients predisposed to the development of gout, hyperuricemia, with a strong and hidden diabetes.
There are reviews of Diuvere, that it affects the psychomotor reactions, so it is necessary to warn patients who drive a car and those whose daily work requires high concentration of attention.
During the application Diuvera consider that his active ingredient increases the sensitivity of the heart muscle to cardiac glycosides, enhances the action of the low-pressure medicines, theophylline, coumarin derivatives, ototoxic and nephrotoxic effects of aminoglycosides, nephrotoxic effects of cephalosporins, and neurotoxic effects of lithium toxicity of cisplatin.
The combination of torasemide with laxatives, corticosteroids promotes increased excretion of potassium.
Diuver reduces the effectiveness of diabetes.
The diuretic effect of the drug and probenecid reduce nesteroidy. Suction torasemide from the gastrointestinal tract has a negative impact cholestyramine.