Fruselac DS Tablet (Furosemide 40mg / Spironolactone 50mg)

Description

Fruselac DS Tablet is a combination medicine used in the treatment of resistant edema associated with secondary hyperaldosteronism, resistant hypertension, chronic cardiac failure, and hepatic cirrhosis. This medicine is not recommended for use in children.

Side effects

Major & minor side effects for Fruselac DS Tablet
Low magnesium levels
Decreased calcium level
Hearing impairment
Headache
Weakness
Increased sensitivity of the skin to sunlight
Muscle spasm
Skin rash
Stomach pain
Dizziness
Irregular heartbeat

Uses of Fruselac DS Tablet

What is it prescribed for?
Resistant Hypertension
This medicine is used in the treatment of resistant hypertension, a condition where the blood pressure remains above 140/90 mmHg despite the concurrent use of three antihypertensive agents.
Chronic cardiac failure
This medicine is used in the treatment of chronic cardiac failure, a condition where the heart is unable to pump sufficient blood.
Resistant edema associated with secondary Hyperaldosteronism
This medicine is used in the treatment of resistant edema associated with secondary hyperaldosteronism, a condition where aldosterone is produced excessively due to reduced blood flow to the kidneys.
Hepatic cirrhosis
This medicine is used in the treatment of hepatic cirrhosis, a condition characterized by jaundice, ascites, weight loss, swelling of legs, easy bleeding or bruising, etc.

When not to use?

Allergy
This medicine is not recommended for use in patients with a known allergy to spironolactone, furosemide, other diuretics, or any other inactive ingredients present with the formulation.
Anuria
This medicine is not recommended for use in patients with anuria, a condition where the kidney is unable to produce urine.

Warnings

Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may advise you to discontinue breastfeeding or to discontinue the drug based on your clinical condition.

General warnings

Volume depletion and Electrolyte imbalance
This medicine may alter the blood volume and electrolyte levels in some patients. This may cause dizziness, dry mouth, and acid-base imbalance. This risk is especially higher in patients suffering from kidney and liver diseases. Close monitoring of blood pressure and electrolyte levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Hyperkalemia
This medicine may increase the potassium levels in the blood (hyperkalemia). This may cause serious side effects such as fatal cardiac rhythm irregularities. It is advised to avoid potassium-rich foods (potatoes, bananas) and other medicines that may increase potassium levels (ACE inhibitors and potassium supplements) during treatment with this medicine.
Diabetes
This medicine should be used with extreme caution in patients with diabetes mellitus due to the increased risk of severe adverse effects. Close monitoring of blood glucose levels and electrolyte levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Use in elderly patients
This medicine should be used with caution in elderly patients due to the increased risk of severe adverse effects. Appropriate dose adjustments may be necessary based on the clinical condition.
Severe kidney impairment
This medicine is not recommended for use in patients with a known history of severe kidney impairment due to the increased risk of worsening of the patient’s condition.
Driving or operating machines
This medicine may cause dizziness in some patients. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you experience any dizziness during treatment with this medicine.

Dosage

Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.

General Instructions

Take this medicine as advised by your doctor. Do not take in larger amounts than prescribed. It is advised to take this medicine in the daytime to prevent sleep disturbance. Drink an adequate amount of water. Close monitoring of kidney function and electrolytes levels is necessary during treatment with this medicine. Report any undesired side effects to the doctor. Do not stop the use of this medicine without consulting your doctor.