Torget Plus 10 Tablet (Spironolactone 50mg / Torasemide 10mg)

Medical Description

Torget Plus Tablet contains a combination of two medicines namely Torsemide and Spironolactone. This medicine is a water pill, i.e a medicine that increases the frequency of urination. This medicine is used in the treatment of swelling in the lower limbs due to collection of excess fluid which may occur in conditions where there is reduced pumping of blood by the heart, less protein in the blood due to damage to filtration function of kidneys, liver damage, low potassium levels in the blood, etc. This tablet is also used to treat high blood pressure. However, due to some side effects of the medication and its interaction with some other medicines, Torget Plus Tablet is recommended to be taken in doses and duration strictly as prescribed by a doctor. Inform your doctor, in case you are pregnant, planning a pregnancy or are breastfeeding. Tell him about all the medicines and supplements your take, and all the diseases you suffer from before starting this medicine.

Uses of Torget Plus 10mg Tablet

Torget Plus Tablet is helpful to treat swelling in the lower limbs due to the collection of excess fluid. It is used in case of liver damage and low potassium levels in the blood. It is also used to treat high blood pressure with hyperaldosteronism (a condition in which the adrenal gland releases too much of the hormone aldosterone into the blood).

Contraindications of Torget Plus 10mg Tablet

If you are allergic to one or more components of the medicine
If you are unable to pass urine
If you have any liver or kidney disease
If you have a low blood pressure
If you are pregnant or you think you may be pregnant or are breastfeeding
If you have a heart-related disorder
If you have a condition of hepatic coma or pre-coma
If you are currently on antibiotics like Streptomycin, Gentamicin or one of the cephalosporin class of medicines
If your kidneys are damaged due to some medication in past
If you are diagnosed with high potassium levels in the blood or are already taking a water pill (medicine like Eplerenone) that retains potassium
If you have Addison’s disease (symptoms are stomach pain, weakness, weight loss, darkening of the skin for a long time with episodes of low blood pressure, vomiting, lower back pain and loss of consciousness)
If your child has moderate to severe kidney damage

Other General Warnings

Talk to your doctor if
You have problems with your liver or kidney
You have any heart-related problems
You have diabetes
You may experience a ringing sensation in the ears, with or without loss of hearing
You have heart disease with high levels of potassium in the blood
You should be cautious about electrolyte imbalance which can show symptoms like irregular or fast heartbeat, tiredness, lack of energy, fits, nausea, vomiting, diarrhoea, constipation, stomach or muscle cramps and weakness, irritability, confusion, headache, numbness, dry mouth, thirst, drowsiness and restlessness
You are above 65 years of age, as this medicine should be used with caution as the risk of having severe adverse effects may be increased
Torget Plus Tablet may increase the potassium levels in the blood
Male patients may develop swelling in the breast when taking this medicine
Torget Plus Tablet is not recommended for children as there is no information on its safety and efficiency

Related Product

Mode of Action of Torget Plus 10mg Tablet

How Does It Work?
Torsemide and Spironolactone act on various parts of the kidneys and remove the excess fluid and other unwanted ions (sodium, potassium, and chloride). It also prevents loss of potassium which is important for the proper functioning of the heart. The removal of excess fluid also helps in reducing the strain on the heart as well as lowering blood pressure.

Directions for Use of Torget Plus 10mg Tablet

Torget Plus Tablet should be taken by mouth with sufficient water. Do not break, cut or chew the medicine. Dosage and frequency would be as prescribed by your physician. You should take this medicine regularly at the same time and as directed by your doctor. Do not consume it more than the quantity prescribed by your doctor.

Interactions of Torget Plus 10mg Tablet

Interactions with other medicines
Concomitant use of Torget Plus Tablet along with Cholestyramine, (used to lower blood cholesterol), painkillers (Probenecid and Indomethacin) or Carbenoxolone (to treat stomach ulcer), should be avoided as it will reduce the effect of this tablet.
Concomitant use of this tablet along with Lithium (to treat psychiatric diseases) should be avoided as it may lead to lithium toxicity.
This medicine, when taken along with blood pressure tablets like Captopril and lisinopril, may lower the blood pressure excessively and you may feel giddy, thus should be used with caution.
Concomitant use of this tablet along with blood thinners like Heparin, Cotrimoxazole (antibiotic), Indomethacin, etc. (NSAIDs) can cause an increase in the blood potassium levels.
Concomitant use of Torget Plus Tablet with barbiturates like butabarbital or narcotics like morphine may cause a sudden drop in blood pressure causing unconsciousness.
Concomitant use of this medicine with a high dose of salicylates like aspirin may lead to salicylate toxicity and may also cause damage to the kidneys.
Concomitant use of this tablet with Digoxin, (used in case of heart failure), should be avoided as it may result in increased levels of it in blood and may make the heart more sensitive to the medication. You should inform your treating physician if you are already taking Digoxin.
Antidiabetic medicine when taken along with this tablet, the action of antidiabetic medications may be reduced
Concomitant use of this tablet with antibiotics like Amikacin, Neomycin, one of the cephalosporin class of drugs or anticancer medications like Cisplatin should be avoided as you may experience hearing loss, ringing in ears and difficulty in urination.
Other medicines like Tubocurarine, Atracurium, Prednisone and Betamethasone should be used with caution along with Torget Plus Tablet.

Storage and disposal of Torget Plus 10mg Tablet

Store Torget Plus Tablet in a cool and dry place, away from direct sunlight, moisture, and heat.
Please keep it away from the reach of children and pets.
Do not use expired or damaged medicines.
Discard any unused medicine properly, do not flush in the toilet or throw it into the drain.

Dosage of Torget Plus 10mg Tablet

Overdose
The overdose symptoms are weakness, dehydration, dizziness, leg cramps, drowsiness, rash, nausea, vomiting, confusion, dizziness, diarrhoea, etc. If you experience any of these symptoms or in case of an overdose, contact your doctor immediately or visit the nearest hospital.
Missed a Dose
Missing a dose of Torget Plus Tablet may reduce the effectiveness of the treatment and may lead to treatment failure. Hence, it is better to follow the prescribed schedule for optimal results. If you missed any dose of medicine, take it as soon as you remember, if it is time for your next dose, skip the missed dose and continue with your regular dose schedule. Do not take a double dose of medicine to compensate for the missed one.