Frulac Sachet is a medicine used in the treatment of congestive heart failure, nephrotic syndrome, ascites associated with liver cirrhosis, and mild and moderate degrees of essential hypertension. It works by reducing the excess fluid levels in the body while maintaining the potassium balance.
It is best to take Frulac Sachet in the morning along with food in order to avoid frequent urination at night time. For better results, it is suggested to take it at the same time every day. The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms. You should take this medicine for as long as it is prescribed for you.
Common side effects of this medicine include dehydration, dryness of mouth, thirst, weakness, lethargy, muscle pains, and low blood pressure. It might lower down the level of calcium, sodium and magnesium in the blood. Hence, regular monitoring of kidney function and electrolytes is important while using this medicine. It might cause dizziness or tiredness if happens rise slowly from sitting position or avoid driving.
It is generally safe to use during breastfeeding. Before taking this medicine, tell your doctor if you have any liver or kidney disease or pregnant. You should also let your healthcare team know all other medicines you are taking as they may affect, or be affected by this medicine.
In Treatment of Ascites associated with Liver cirrhosis
Frulac Sachet helps reduce fluid retention and maintains potassium levels while also assisting in reducing fluid retention. This way it helps to address the underlying cause of ascites, manage the symptoms, and maintain electrolyte balance, leading to effective diuresis and improved quality of life for individuals with liver cirrhosis-associated ascites.
In Treatment of Mild and moderate degrees of essential Hypertension (high blood pressure)
If your blood pressure is controlled you are less at risk of having a heart attack or stroke. Frulac Sachet reduces the chances of heart diseases and helps you remain healthier for longer. Take it regularly and make appropriate lifestyle changes, such as eating healthy and staying active, to maximize the effectiveness of this medicine.
Side effects of Frulac Sachet
Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them
Common side effects of Frulac
Electrolyte imbalance
Volume depletion
Dryness in mouth
Weakness
Lethargy
Restlessness
Muscle pain
Hypotension (low blood pressure)
Fast heart rate
Arrhythmia (irregular heartbeats)
Gastrointestinal disturbance
Feeling thirsty
How to use Frulac Sachet
Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Empty the granules in a glass of water/milk, stir it and consume immediately. Frulac Sachet is to be taken with food. Avoid Frulac Sachet with dietary sodium.
How Frulac Sachet works
Frulac Sachet is a combination of two medicines: Furosemide and Spironolactone. Furosemide is a diuretic which removes extra water and certain electrolytes from the body through urine. Over time, it also reduces blood pressure and enables heart to pump efficiently. Spironolactone is also a diuretic which conserves potassium, thereby balancing its levels in the body.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Frulac Sachet.
Pregnancy
CONSULT YOUR DOCTOR
Frulac Sachet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Breast feeding
SAFE IF PRESCRIBED
Frulac Sachet is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.
Driving
UNSAFE
Frulac Sachet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Frulac Sachet should be used with caution in patients with kidney disease. Dose adjustment of Frulac Sachet may be needed. Please consult your doctor. Use of Frulac Sachet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Frulac Sachet should be used with caution in patients with liver disease. Dose adjustment of Frulac Sachet may be needed. Please consult your doctor.
What if you forget to take Frulac Sachet?
If you miss a dose of Frulac Sachet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.
All substitutes
For informational purposes only. Consult a doctor before taking any medicines.
No substitutes found for this medicine
Quick tips
Frulac Sachet helps removes excess water from your body.
Take it in the morning with breakfast to avoid getting up at night to urinate.
It may cause dizziness or sleepiness. Don't drive or do anything requiring concentration until you know how it affects you.
To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down.
It may cause excessive urine production, dehydration, and low electrolyte levels. Notify your doctor if you experience dizziness, tiredness, or muscle weakness that doesn't go away.
Your doctor may regularly monitor your blood pressure, kidney function and the level of salts such as potassium and sodium in your blood while you're taking this medication.
Fact Box
Habit Forming
No
Therapeutic Class
CARDIAC
Patient concerns
I am a patient of hypertension
Dr. Jyoti Kapoor Madan
Psychiatry
Hypertension is clinal condition of high blood pressure. Please see a physician.
Hypertension is clinically high blood pressure. Persistent high arterial blood pressure above 120/80 mm HG is termed as pre-hypertension or hypertension, but the point to be emphasized is that this rise in blood pressure is persistent. Transient increase in BP occurs in stress and anxiety and needs to be treated accordingly.
Suffering from chronic liver parenchymal disease since last three months is it curable and what food habit will follow?
Dr. Sfurti Mann
Internal Medicine
Liver cirrhosis can not be cured. Cause of liver cirrhosis needs to be worked up as well as upper GI endoscopy to look for varies. Avoid alcohol & pain killers .
reduce weight by exercise & dietfor diet consult dietician for weight loss diet plan chartingfor high BP, tell me ur BP , measure it 2 times daily for 2 days in morning & eveningalso do following blood test before we start any medicationHBA1c, Blood sugar, LIPID profile, LIVER profile, Serum Creatinine, BUN, Uric Acid, Urine routine, CBC
Q. What are the recommended storage conditions for Frulac Sachet?
Keep this medicine in the container or the pack it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.
Q. What are the contraindications associated with the use of Frulac Sachet?
The use of Frulac Sachet should be avoided in patients with hypersensitivity to furosemide, sulfonylureas or spironolactone or any other ingredient of the product. The use of this medicine should also be avoided in patients with anuria, acute renal insufficiency, hepatic coma and pre-coma, low blood pressure (hypotension), cardiac arrhythmias, patients taking aminoglycosides or cephalosporins, kidney dysfunction due to drugs which cause renal damage, patients with high potassium levels (hyperkalemia), Addison's disease and in children with moderate to severe renal impairment.
Q. What is Frulac Sachet?
Frulac Sachet is a fixed-dose combination of furosemide (a loop diuretic) and spironolactone (an antagonist of aldosterone). Both are diuretics and they help to remove excess fluid from the body. The use of this combination is advised in patients of congestive heart failure (heart failure leading to fluid accumulation in the lung and rest of the body), nephrotic syndrome (a kidney disorder), liver cirrhosis with fluid retention (edema) and swelling of the abdomen (ascites).
Q. Is it safe to use Frulac Sachet?
Yes, Frulac Sachet is safe for most of the patients. However, in some patients it may cause common side effects like dizziness, dehydration, decreased sodium level in blood, breast enlargement in males, decreased magnesium level in blood, decreased calcium level in blood, increased blood uric acid. Inform your doctor if you experience any persistent problem while taking this medicine.
Q. Can the use of Frulac Sachet cause dizziness?
Yes, the use of Frulac Sachet can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, it is better to rest for some time and resume once you feel better. Do not drive or use any machines.
Q. Can the use of Frulac Sachet cause gout?
Yes, Frulac Sachet can cause gout. Frulac Sachet contains furosemide which can increase the blood uric acid levels by increasing its absorption from the kidneys. Increased uric acid levels can cause a gout attack. Inform your doctor if you have hyperuricemia (excess of uric acid in blood) or a history of gout before taking this medicine. Use of Frulac Sachet should be avoided in patients with gout.
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References
Lactomide. [Accessed 11 Apr. 2019] (online) Available from:
Frusemide and Spironolactone [Patient Information Sheet]. Mehsana, Gujarat: Torrent Pharmaceuticals Ltd. [Accessed 28th Sept. 2023] (online) Available from:
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