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Other strengths and forms by Square Pharmaceuticals PLC, Pabna
Indications & Uses
Torsid is indicated for:
Pharmacology
Torasemide blocks the Na+/K+/2Cl- carrier system by interfering with the chloride binding site in the lumen of the thick ascending limb of the loop of Henle, which reduces reabsorption of sodium and chloride. This speeds up the delivery of tubular fluid and electrolytes to the distal sites where hydrogen and potassium ions are secreted, while the resulting contraction of plasma volume raises aldosterone production. The greater fluid delivery combined with high aldosterone levels promotes sodium reabsorption at the distal tubules, and because more sodium reaches the distal renal tubule, torasemide indirectly boosts potassium excretion through the sodium-potassium exchange mechanism. No effects of torasemide have been shown in other segments of the nephron. In this way, torasemide raises urinary excretion of sodium, chloride, and water without meaningfully changing glomerular filtration rate, renal plasma flow, or acid-base balance. Its blood-pressure-lowering effect comes from this diuretic action: by lowering extracellular and plasma fluid volume, it temporarily reduces blood pressure and also decreases cardiac output.
Dosage Reference
Reference Information Only
Dosages shown are general references from official sources. Always consult your doctor or pharmacist for personalized dosing.
Adults:
Congestive heart failure: The usual starting oral dose is 10 mg or 20 mg once daily. If the diuretic response is not enough, the dose should be increased step by step, roughly doubling each time, until the desired diuretic response is reached. Single doses above 200 mg have not been adequately studied.
Chronic renal failure: The usual starting oral dose is 20 mg once daily. If the diuretic response is not enough, the dose should be increased step by step, roughly doubling each time, until the desired diuretic response is reached. Single doses above 200 mg have not been adequately studied.
Hepatic cirrhosis: The usual starting oral dose is 5 mg or 10 mg once daily, given together with an aldosterone antagonist or a potassium sparing diuretic. If the diuretic response is not enough, the dose should be increased step by step, roughly doubling each time, until the desired diuretic response is reached. Single doses above 40 mg have not been adequately studied. Long term use of any diuretic in liver disease has not been studied in adequate and well controlled trials.
Hypertension: The usual starting oral dose is 2.5 to 5 mg once daily. If the 5 mg dose does not lower blood pressure enough within 4 to 6 weeks, the dose may be raised to 10 mg once daily. If the response to 10 mg is still not sufficient, another antihypertensive medicine should be added to the treatment.
Side Effects
Torsem is usually well tolerated. A small number of people may, however, experience side effects such as dry mouth, dizziness, tiredness, skin rash, diarrhoea, constipation, nausea, vomiting, orthostatic hypotension (a drop in blood pressure on standing) or muscle cramps. These side effects are generally mild and pass on their own.
Cautions & Contraindications
Warnings & Precautions
Torsem should be used with caution in people who have diabetes, gout, low blood pressure (hypotension) or liver failure.
Contraindications
Torasemide should not be used in people who have a known allergy to torasemide or to other sulfonylureas. It should also not be given to patients who are unable to produce urine (anuria).
Pregnancy & Breastfeeding
Pregnancy: There have been no adequate, well-controlled studies of torasemide in pregnant women, and animal studies do not reliably predict how a drug will behave in humans. For this reason, torasemide should be used during pregnancy only when clearly needed.
Breastfeeding: It is not known whether torasemide passes into human breast milk. Since many drugs do pass into breast milk, it should be used with caution in a nursing mother.
⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.
Use in Special Populations
Use in children: Torasemide has not been shown to be safe or effective in children.
Overdose
No one has reported an overdose of Torasemide in humans. Even so, the signs you would expect are those of too much of the medicine's normal effect: dehydration, hypovolemia, hypotension and hypokalemia. Treatment of an overdose should be fluid and electrolyte supplement.
⚠️ In an emergency call 999 or go to the nearest hospital emergency department.
Storage
Keep Torasemide at room temperature, below 30° C, in a cool and dry place. Protect it from moisture and sunlight. Always keep the medicine out of the reach of children.
Drug Interactions
Common questions about Torsid 20 mg
What is Torsid 20 mg Tablet?
Torsid 20 mg Tablet is a medicine that contains Torasemide. It is made by Square Pharmaceuticals PLC, Pabna. It belongs to the Loop diuretics group of medicines.
What is Torsid used for?
Torsid is used for: Hypertension, Edema.
What are the side effects of Torsid?
Torsem is usually well tolerated. A small number of people may, however, experience side effects such as dry mouth, dizziness, tiredness, skin rash, diarrhoea, constipation, nausea, vomiting, orthostatic hypotension (a drop in blood pressure on standing) or muscle cramps.
Can I take Torsid during pregnancy or while breastfeeding?
Pregnancy: There have been no adequate, well-controlled studies of torasemide in pregnant women, and animal studies do not reliably predict how a drug will behave in humans. For this reason, torasemide should be used during pregnancy only when clearly needed. Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.
What happens if I take too much Torsid?
No one has reported an overdose of Torasemide in humans. Even so, the signs you would expect are those of too much of the medicine's normal effect: dehydration, hypovolemia, hypotension and hypokalemia. In an emergency call 999 or go to the nearest hospital emergency department.
How should I store Torsid?
Keep Torasemide at room temperature, below 30° C, in a cool and dry place. Protect it from moisture and sunlight.
Can I take other medicines with Torsid?
Some medicines can interact with Torasemide, for example: Digoxin. Tell your doctor or pharmacist about every medicine you take.
Is there a cheaper medicine with the same ingredient?
Torsid is already among the lowest-priced brands of Torasemide at this strength.
Do I need a prescription for Torsid?
Torsid is a prescription (Rx) medicine. Take it as your doctor advises.