Torinef-Plus 10 Tablet
Prescription Required
Product introduction
Torinef-Plus 10 Tablet is a combination of two medicines used to reduce excess fluid levels in the body while maintaining the potassium balance. It is used to treat edema (fluid overload) and some cases of hypertension.
It is best to take Torinef-Plus 10 Tablet 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 everyday. 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.
Dehydration is very common side effect of this medicine. 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.
Before taking this medicine, tell your doctor if you have any liver or kidney disease. Tell your doctor if you are pregnant or breastfeeding. You should also let your healthcare team know all other medicines you are taking as they may affect, or be affected by this medicine.
Uses of Torinef-Plus Tablet
Benefits of Torinef-Plus Tablet
In Treatment of Edema
Edema means swelling of the body due to excess water. Swelling usually occurs in the feet, legs, arms but it can involve your whole body. Torinef-Plus 10 Tablet reduces swelling by increasing the amount of urine produced. This helps your body get rid of extra water and treats edema. Torinef-Plus 10 Tablet helps maintain the level of potassium in the body. Altogether, this will help you go about your daily activities more easily and make you more confident about being active. Take it regularly and make appropriate lifestyle changes to help this medicine be more effective.
Side effects of Torinef-Plus Tablet
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 Torinef-Plus
- Dizziness
- Frequent urge to urinate
- Headache
- Inflammation of the nose
- Muscle pain
- Gastrointestinal disturbance
- Increased liver enzymes
- Gum inflammation
- Abdominal pain
- Diarrhea
- Memory impairment
- Decreased sodium level in blood
- Anemia (low number of red blood cells)
- Pain during periods
- Abnormal ECG
How to use Torinef-Plus Tablet
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Torinef-Plus 10 Tablet is to be taken with food.
How Torinef-Plus Tablet works
Torinef-Plus 10 Tablet is a combination of two medicines: Spironolactone and Torasemide.
Safety advice
Alcohol
UNSAFE
It is unsafe to consume alcohol with Torinef-Plus 10 Tablet.
Pregnancy
CONSULT YOUR DOCTOR
Torinef-Plus 10 Tablet 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
Torinef-Plus 10 Tablet 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
Torinef-Plus 10 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.
Kidney
CAUTION
Torinef-Plus 10 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Torinef-Plus 10 Tablet may be needed. Please consult your doctor.
Use of Torinef-Plus 10 Tablet is not recommended in patients with severe kidney disease.
Use of Torinef-Plus 10 Tablet is not recommended in patients with severe kidney disease.
Liver
CAUTION
Torinef-Plus 10 Tablet should be used with caution in patients with liver disease. Dose adjustment of Torinef-Plus 10 Tablet may be needed. Please consult your doctor.
What if you forget to take Torinef-Plus Tablet?
If you miss a dose of Torinef-Plus 10 Tablet, 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.
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Quick tips
- Torinef-Plus 10 Tablet 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
FAQs
Q. Can the use of Torinef-Plus 10 Tablet cause dizziness?
Yes, the use of Torinef-Plus 10 Tablet 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 Torinef-Plus 10 Tablet cause gout?
Yes, Torinef-Plus 10 Tablet can cause gout. Torinef-Plus 10 Tablet contains torasemide 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 Torinef-Plus 10 Tablet should be avoided in patients with gout.
Q. Can the use of Torinef-Plus 10 Tablet cause dehydration (excessive loss of fluid)?
Yes, the use of Torinef-Plus 10 Tablet can cause dehydration (excessive loss of fluid). The patient may experience dryness of the mouth, thirst, drowsiness, restlessness, muscle pain, weakness, tiredness, fall in blood pressure (hypotension), decreased urination (oliguria), increased heart rate (tachycardia), nausea and vomiting. Inform your doctor if you experience persistent problems while taking this medicine.
Q. Can the use of Torinef-Plus 10 Tablet cause hyperkalemia (increased potassium levels)?
Yes, Torinef-Plus 10 Tablet can cause hyperkalemia (increased potassium levels). This occurs more commonly in patients with underlying kidney disease or in patients taking excessive potassium in their diet. High potassium levels can cause fatal heart problems. It is very important to get electrolytes and kidney function tests done on a regular basis while you are taking this medicine.
Q. What are the contraindications to the use of Torinef-Plus 10 Tablet?
The use of Torinef-Plus 10 Tablet should be avoided in patients with hypersensitivity to torasemide, 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 the storage condition for the Torinef-Plus 10 Tablet?
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 is Torinef-Plus 10 Tablet?
Torinef-Plus 10 Tablet is a fixed-dose combination of torasemide (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 Torinef-Plus 10 Tablet?
Yes, Torinef-Plus 10 Tablet is safe to use in 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.
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Disclaimer:
Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.References
- MedIndia. Spironolactone. [Accessed 11 Apr. 2019] (online) Available from:
- Drugs.com. Spironolactone Pregnancy and Breastfeeding Warnings. [Accessed 11 Apr. 2019] (online) Available from:
- Torsemide. Leganes Spain: Roche Farma S.A.; 2010. [Accessed 11 Apr. 2019] (online) Available from:
- Torsemide and Spironolactone Tablets [Patient Information]. Ahmedabad, India: Torrent Pharmaceuticals Ltd.; 2015. [Accessed 28th Sept. 2023] (online) Available from:
Marketer details
Name: Sainef Therapeutics Pvt Ltd
Address: B-11, 3rd Floor, Block B, Mayapuri Industrial Area Phase I, Mayapuri, New Delhi, Delhi, 110064
Country of origin: India
The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.
The list of available options shown with the same composition has been prepared upon the advice of registered medical practitioners, pharmacists affiliated with TATA 1MG. TATA 1MG does not promote any pharmaceutical product of any particular company, and all recommendations are based on the medical opinion, advisories from specialist medical and pharmaceutical professionals.
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