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Furosemide information


Furosemide
Clinical data
Pronunciation/fjʊˈrsəˌmd/
Trade namesLasix, Furoscix, others
Other namesFurosemide
AHFS/Drugs.comMonograph
MedlinePlusa682858
License data
  • US DailyMed: Furosemide
Pregnancy
category
  • AU: C
Routes of
administration
oral, intravenous, intramuscular, subcutaneous
ATC code
  • C03CA01 (WHO)
Legal status
Legal status
  • AU: S4 (Prescription only)
  • UK: POM (Prescription only)
  • US: WARNING[1]Rx-only[2][3]
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability43–69%
Protein binding91–99%
Metabolismliver and kidney glucuronidation
Onset of action30 to 60 min (PO), 5 min (IV)[4]
Elimination half-lifeup to 100 minutes
ExcretionKidneys (66%), bile (33%)
Identifiers
IUPAC name
  • 4-Chloro-2-[(furan-2-ylmethyl)amino]-5-sulfamoylbenzoic acid
CAS Number
  • 54-31-9 checkY
PubChem CID
  • 3440
DrugBank
  • DB00695 checkY
ChemSpider
  • 3322 checkY
UNII
  • 7LXU5N7ZO5
KEGG
  • D00331 checkY
ChEBI
  • CHEBI:47426 checkY
ChEMBL
  • ChEMBL35 checkY
CompTox Dashboard (EPA)
  • DTXSID6020648 Edit this at Wikidata
ECHA InfoCard100.000.185 Edit this at Wikidata
Chemical and physical data
FormulaC12H11ClN2O5S
Molar mass330.74 g·mol−1
3D model (JSmol)
  • Interactive image
SMILES
  • o1cccc1CNc(cc2Cl)c(C(=O)O)cc2S(=O)(=O)N
InChI
  • InChI=1S/C12H11ClN2O5S/c13-9-5-10(15-6-7-2-1-3-20-7)8(12(16)17)4-11(9)21(14,18)19/h1-5,15H,6H2,(H,16,17)(H2,14,18,19) checkY
  • Key:ZZUFCTLCJUWOSV-UHFFFAOYSA-N checkY
  (verify)

Furosemide is a loop diuretic medication used to treat edema due to heart failure, liver scarring, or kidney disease.[4] It has had many trade names including Discoid, Frusemide, Lasix and Uremide. Furosemide may also be used for the treatment of high blood pressure.[4] It can be taken intravenously or orally.[4] When given intravenously, furosemide typically takes effect within five minutes; when taken orally, it typically metabolizes within an hour.[4]

Common side effects include orthostatic hypotension (decrease in blood pressure while standing, and associated lightheadedness), tinnitus (ringing in the ears), and photosensitivity (sensitivity to light).[4] Potentially serious side effects include electrolyte abnormalities, low blood pressure, and hearing loss.[4] It is recommended that serum electrolytes (especially potassium), serum CO2, creatinine, BUN levels, and liver and kidney functioning be monitored in patients taking furosemide. It is also recommended to be alert for the occurrence of any potential blood dyscrasias.[4] Furosemide is a type of loop diuretic that works by decreasing the reabsorption of sodium by the kidneys.[4] Common side effects of furosemide injection include hypokalemia (low potassium level), hypotension (low blood pressure), and dizziness.[5]

Furosemide was patented in 1959 and approved for medical use in 1964.[6] It is on the World Health Organization's List of Essential Medicines.[7] In the United States, it is available as a generic medication.[4] In 2021, it was the 21st most commonly prescribed medication in the United States, with more than 26 million prescriptions.[8][9] In 2020/21 it was the twentieth most prescribed medication in England.[10] It is on the World Anti-Doping Agency's banned drug list due to concerns that it may mask other drugs.[11] It has also been used in race horses for the treatment and prevention of exercise-induced pulmonary hemorrhage.[12][13]

  1. ^ "FDA-sourced list of all drugs with black box warnings (Use Download Full Results and View Query links.)". nctr-crs.fda.gov. FDA. Retrieved 22 October 2023.
  2. ^ "Lasix- furosemide tablet". DailyMed. 26 January 2021. Retrieved 18 November 2022.
  3. ^ "Furoscix- furosemide injection 80 mg/ 10 ml injection". DailyMed. 21 October 2022. Retrieved 18 November 2022.
  4. ^ a b c d e f g h i j "Furosemide". The American Society of Health-System Pharmacists. Archived from the original on 19 November 2015. Retrieved 23 October 2015.
  5. ^ "Coronavirus (COVID-19) Update: December 22, 2020". U.S. Food and Drug Administration (Press release). 22 December 2020. Retrieved 22 December 2020. Public Domain This article incorporates text from this source, which is in the public domain.
  6. ^ Fischer J, Ganellin CR (2006). Analogue-based Drug Discovery. John Wiley & Sons. p. 458. ISBN 9783527607495.
  7. ^ World Health Organization (2019). World Health Organization model list of essential medicines: 21st list 2019. Geneva: World Health Organization. hdl:10665/325771. WHO/MVP/EMP/IAU/2019.06. License: CC BY-NC-SA 3.0 IGO.
  8. ^ "The Top 300 of 2021". ClinCalc. Archived from the original on 15 January 2024. Retrieved 14 January 2024.
  9. ^ "Furosemide - Drug Usage Statistics". ClinCalc. Retrieved 14 January 2024.
  10. ^ "PCA England". nhsbsa-opendata.s3.eu-west-2.amazonaws.com. Retrieved 8 August 2022.
  11. ^ "WORLD ANTI-DOPING CODE INTERNATIONAL STANDARD PROHIBITED LIST 2022" (PDF). 2022. p. 12. Archived (PDF) from the original on 10 July 2022. Retrieved 27 July 2022.
  12. ^ Sullivan S, Hinchcliff K (April 2015). "Update on exercise-induced pulmonary hemorrhage". The Veterinary Clinics of North America. Equine Practice. 31 (1): 187–198. doi:10.1016/j.cveq.2014.11.011. PMID 25770069.
  13. ^ Hinchcliff KW, Couetil LL, Knight PK, Morley PS, Robinson NE, Sweeney CR, et al. (2015). "Exercise induced pulmonary hemorrhage in horses: American College of Veterinary Internal Medicine consensus statement". Journal of Veterinary Internal Medicine. 29 (3): 743–758. doi:10.1111/jvim.12593. PMC 4895427. PMID 25996660.

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Furosemide

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Furosemide is a loop diuretic medication used to treat edema due to heart failure, liver scarring, or kidney disease. It has had many trade names including...

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Loop diuretic

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function. The availability of furosemide is highly variable, ranging from 10% to 90%. The biological half-life of furosemide is limited by absorption from...

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Torasemide

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failure. It is sometimes used to treat high blood pressure. Compared with furosemide, torasemide is associated with a lower risk of rehospitalization for heart...

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Diuretic

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often synonymous with high-ceiling diuretics. Loop diuretics, such as furosemide, inhibit the body's ability to reabsorb sodium at the ascending loop in...

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Pimobendan

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and for use with concurrent therapy for congestive heart failure (e.g.,furosemide, etc.) as appropriate on a case-by-case basis. It is also indicated for...

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India at the 2004 Summer Olympics

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53 kg category), but was disqualified after being tested positive for furosemide. The following is the list of number of competitors participating in the...

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Bumetanide

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main difference between bumetanide and furosemide is in their bioavailability and potency. About 60% of furosemide is absorbed in the intestine, and there...

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Weightlifting at the 2000 Summer Olympics

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positive for furosemide. b Sevdalin Minchev of Bulgaria originally won the bronze medal, but was disqualified after testing positive for furosemide. c Ashot...

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Chlorothiazide

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given to diurese a patient in addition to furosemide (Lasix). Working in a separate mechanism from furosemide and absorbed enterically as a reconstituted...

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Persistent aura without infarction

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treatment, notably acetazolamide, valproate, lamotrigine, topiramate, and furosemide. Chen, WT; Fuh, JL; Lu, SR; Wang, SJ (September 2001). "Persistent migrainous...

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Ascites

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For nonresponders, a loop diuretic may also be added and generally, furosemide is added at a dose of 40 mg/day (max 160 mg/day), or alternatively (bumetanide...

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Hypokalemia

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arrest. Causes of hypokalemia include vomiting, diarrhea, medications like furosemide and steroids, dialysis, diabetes insipidus, hyperaldosteronism, hypomagnesemia...

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Intravenous therapy

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people is also a reason for a medication to be administered IV, as with furosemide. Oral medications also may be less desirable if a person is nauseous or...

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Hypercalcaemia

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intravenous fluids, furosemide, calcitonin, intravenous bisphosphonate, in addition to treating the underlying cause. The evidence for furosemide use, however...

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Cocaine

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Blockers Crofelemer DIDS Ethacrynic acid Flufenamic acid Fluoxetine Furosemide Glibenclamide Mefloquine Mibefradil Niflumic acid Activators Carbachol...

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Weightlifting at the 1988 Summer Olympics

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positive for furosemide. 2 Angel Guenchev of Bulgaria originally won the gold medal, but he was disqualified after he tested positive for furosemide. 3 Andor...

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List of sulfonamides

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Tolazamide Tolbutamide Acetazolamide Bumetanide Chlorthalidone Clopamide Furosemide Hydrochlorothiazide Indapamide Mefruside Metolazone Xipamide Methazolamide...

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Auditory fatigue

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(1989-04-01). "Effect of Albumin-Bound Furosemide on the Endocochlear Potential of the Chinchilla: Alleviation of Furosemide-Induced Ototoxicity". Archives of...

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Kidney ischemia

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kidneys post-ischemia as compared to not having the preconditioning. Furosemide is a common diuretic and is used for the prevention or to reverse acute...

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Glutamine

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oroxylin A) Flumazenil Fluoroquinolones (e.g., ciprofloxacin) Flurothyl Furosemide Golexanolone Iomazenil (123I) IPTBO Isopregnanolone (sepranolone) L-655...

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Hypoaldosteronism

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as the thiazide diuretic, bendrofluazide, or a loop diuretic, such as furosemide) is used to control the hyperkalemia. Addison's disease Adrenal gland...

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Acute decompensated heart failure

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giving oxygen to correct hypoxemia, administering morphine, diuretics like furosemide, addition of an ACE inhibitor, use of nitrates and use of digoxin if indicated...

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Ketamine

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Blockers Crofelemer DIDS Ethacrynic acid Flufenamic acid Fluoxetine Furosemide Glibenclamide Mefloquine Mibefradil Niflumic acid Activators Carbachol...

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Sulfanilamide

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family of molecules containing these functional groups. Examples include: Furosemide, a loop diuretic Sulfadiazine, an antibiotic Sulfamethoxazole, an antibiotic...

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Calcium channel blocker

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Blockers Crofelemer DIDS Ethacrynic acid Flufenamic acid Fluoxetine Furosemide Glibenclamide Mefloquine Mibefradil Niflumic acid Activators Carbachol...

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Hypermagnesemia

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are very high include calcium chloride, intravenous normal saline with furosemide, and hemodialysis. Hypermagnesemia is uncommon. Rates among hospitalized...

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