Spironolactone+torsemide

Spironolactone+torsemide should not be given to the people allergic to Spironolactone+torsemide, have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease (with creatinine clearance less than 30 mL/min), liver disease, pregnant women, or planning to get pregnant and breastfeeding women. Besides this, it is contraindicated in low blood pressure (hypotension), cardiogenic shock (sudden stopping of blood flow to the heart), and aortic stenosis (heart valve problem). Spironolactone+torsemide can pass into breast milk, but its effect on the baby is unknown, so it is better to tell your doctor if you are taking Spironolactone+torsemide and breastfeeding. Dehydration with electrolyte and acid-base disturbances must be corrected before using Spironolactone+torsemide. Do not take any extra potassium supplements or potassium-rich foods such as bananas and broccoli with Spironolactone+torsemide, as it may lead to an excessive increase in blood potassium level (hyperkalemia). Please take Spironolactone+torsemide at least 4 hours before sleeping to avoid frequent urination at night.

Drug-Drug Interactions: Spironolactone+torsemide may interact with other high blood pressure-lowering pills (metoprolol, ramipril, hydrochlorothiazide, atorvastatin), and it can lower your blood pressure leading to severe condition. Besides this, it also interacts with medicine to treat erectile dysfunction (sildenafil), anti-epilepsy medicines (carbamazepine, phenobarbital), immune-suppressing drugs (cyclosporine), and painkillers (ibuprofen, aspirin), etc.

Drug-Food Interactions: You are recommended not to consume alcohol along with Spironolactone+torsemide to avoid unpleasant side effects.

Drug-Disease Interactions: Spironolactone+torsemide should not be given to the people with cardiogenic shock (when the heart fails to pump required blood to the body), heart valve problem (stenosis), low blood pressure (hypotension), coronary heart disease, liver disease, or heart failure, low serum potassium (hypokalemia), and patients with nil urine output (anuria).

• Consume antioxidant-rich food. Blueberries, cherries, tomatoes, squash, and bell peppers are high in antioxidants.
• Eat natural diuretic foods. Asparagus, beets, green beans, grapes, onion, leafy greens, pineapple, leeks, pumpkin, and garlic are all-natural diuretic foods.
• Use healthy cooking oils like soybean, olive, canola, and coconut oil.
• You should avoid refined foods such as white bread, spaghetti, sugar, and red meat.
• Reduce or eliminate Trans fatty acids, which are found in commercially baked items such as cookies, cakes, crackers, French fries, onion rings, doughnuts, and processed foods.
• Avoid consumption of too much salt or salty food.
• Keep your weight under control with a BMI of 19.5-24.9.
• Regular physical activity or exercise like walking improves your blood flow.
• When possible, elevate your legs or the swollen area on a chair or pillows.
• Avoid standing or sitting for extended periods of time.
• Avoid chronic stress as it can raise your blood pressure.
• Spend time with your loved ones to cope with stress and practice mindfulness techniques.
• Quitting smoking and alcohol consumption is the best strategy to lower the risk of many health complications.

• Treatment with Spironolactone+torsemide requires regular monitoring of serum potassium, sodium, and creatinine level.
• Monitor your blood pressure daily and if there is too much fluctuation, then immediately contact your doctor.
• If you have diabetes, torsemide in Spironolactone+torsemide may rarely affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Your doctor may need to adjust your diabetes medication, exercise program or diet.