GENERIC NAME: BUMETANIDE - INJECTION (bue-MET-a-nide)
BRAND NAME(S): Bumex
WARNING: This is a very strong medication. Using too much of this drug can lead to serious water and mineral loss (dehydration). Therefore, it is important that you be closely monitored by your doctor. Tell your doctor immediately if you become very thirsty or confused or if you develop muscle cramps/weakness while using this medication.
USES: Bumetanide is used to reduce extra fluid in the body (edema) caused by conditions such as congestive heart failure, liver disease, and kidney disease. Getting rid of extra water helps to reduce fluid in the lungs so that you can breathe easier. It also helps to decrease swelling of the arms, legs, and stomach/abdomen. This medication is known as a diuretic (the same kind of drug as a "water pill"). It causes your body to get rid of extra water by increasing the amount of urine you make.
HOW TO USE: This medication is given by injection into a vein or into a muscle, as directed by your doctor. Dosage is based on your medical condition and response to treatment. Do not increase your dose, use this more often than prescribed, or stop using this medication without consulting your doctor.If you are giving this medication to yourself at home, learn all preparation and usage instructions from your health care professional. Before using, check this product visually for particles or discoloration. If either is present, do not use the liquid. Learn how to store and discard medical supplies safely.If you use this drug too close to bedtime, you may need to wake up to urinate. Therefore, it is best to use this medication at least 4 hours before your bedtime. Consult your doctor or pharmacist if you have questions about your dosing schedule.Tell your doctor if your condition persists or worsens.
SIDE EFFECTS: This medication is expected to increase urination.Dizziness, headache, tiredness, nausea, or pain/redness at the injection site may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.This medication may lead the loss of too much body water and minerals (including potassium), causing dehydration. Tell your doctor immediately if you have any of these unlikely but serious symptoms of dehydration or mineral loss: muscle cramps/weakness, confusion, severe dizziness, drowsiness, unusual dry mouth/thirst, nausea/vomiting, fast/irregular heartbeat, unusual decrease in the amount of urine, fainting, seizures.Tell your doctor right away if you have any serious side effects, including: decreased sexual ability, chest pain, hearing problems (e.g., ringing in the ears, hearing loss), easy bruising/bleeding, stomach/abdominal pain, yellowing eyes/skin, dark urine, sudden loss of consciousness.A very serious allergic reaction to this drug is unlikely, but get medical help right away if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.In the US -Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
PRECAUTIONS: Before using bumetanide, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: severe kidney disease (an inability to make urine), severe liver disease.Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, liver problems, untreated mineral imbalance (e.g., low blood levels of sodium or potassium), gout, irregular heartbeat (e.g., ventricular arrhythmias), loss of too much body water (dehydration).This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.To reduce dizziness and lightheadedness, get up slowly when rising from a sitting or lying position.If you have diabetes, bumetanide may infrequently make it harder to control your blood sugar. Monitor your blood sugar levels regularly and share the results with your doctor.This drug may reduce the potassium levels in your blood. Ask your doctor about adding potassium to your diet. Your doctor may prescribe a potassium supplement.Before having surgery, tell your doctor or dentist that you are taking this medication.Kidney function declines as you grow older. This medication is removed by the kidneys. Therefore, the elderly may be more sensitive to the effects of this drug such as dizziness.Newborn babies, especially those that are severely ill or have a certain liver problem (jaundice), may be at greater risk for serious side effects (brain damage caused by too much bilirubin in the blood - kernicterus) while using this drug. Consult the doctor for more details.During pregnancy, this drug should be used only when clearly needed. Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.
DRUG INTERACTIONS: Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.Some products that may interact with this drug include: cisapride, digoxin, ginseng, lithium, probenecid, drugs that can cause hearing or kidney problems (e.g., cisplatin).Check the labels on all your medicines (e.g., cough-and-cold products, diet aids, nonsteroidal anti-inflammatory drugs-NSAIDs such as ibuprofen for pain/fever reduction) because they may contain ingredients that could increase your blood pressure or cause swelling (edema). Ask your pharmacist about using those products safely.
OVERDOSE: If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: an unusual increase in urination followed by a severe decrease in the amount of urine, severe weakness, weakness on one side of the body, slurred speech, sudden vision changes, fainting.
NOTES: Dietary changes may increase the effectiveness of this medicine. Talk to your doctor or pharmacist about the dietary changes that might benefit you.Laboratory and/or medical tests (e.g., blood mineral levels such as potassium, kidney function tests) should be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
MISSED DOSE: For the best possible benefit, it is important to receive each scheduled dose of this medication as directed. If you miss a dose, contact your doctor or pharmacist immediately to establish a new dosing schedule. Do not double the dose to catch up.
STORAGE: Consult the product instructions and your pharmacist for storage details. Keep all medications away from children and pets.Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.
Information last revised March 2013. Copyright(c) 2013 First Databank, Inc.
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Symptoms include yellowing of the skin (jaundice), itching, and fatigue.
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High Blood Pressure (Hypertension)
High blood pressure (hypertension) is a disease in which pressure within the arteries of the body is elevated. About 75 million people in the US have hypertension (1 in 3 adults), and only half of them are able to manage it. Many people do not know that they have high blood pressure because it often has no has no warning signs or symptoms.
Systolic and diastolic are the two readings in which blood pressure is measured. The American College of Cardiology released new guidelines for high blood pressure in 2017. The guidelines now state that blood normal blood pressure is 120/80 mmHg. If either one of those numbers is higher, you have high blood pressure.
The American Academy of Cardiology defines high blood pressure slightly differently. The AAC considers 130/80 mm Hg. or greater (either number) stage 1 hypertension. Stage 2 hypertension is considered 140/90 mm Hg. or greater.
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REFERENCE: CDC. High Blood Pressure. Updated: Nov 13, 2017.
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