| Ημερομηνία | barcode | code | περιεχομενο | τιμή παραγωγός | χονδρική | λιανική |
|---|---|---|---|---|---|---|
| 05/2018 | 2803051601015 | 305160101 | TORMIS TAB 2.5MG/TAB BTx30 tabs σε blister PVC/Alu | 2.30 | 2.41 | 3.32 |
| 05/2018 | 2803051602012 | 305160201 | TORMIS TAB 5MG/TAB BTx30 tabs σε blister PVC/Alu | 3.54 | 3.71 | 5.11 |
| 05/2018 | 2803051603019 | 305160301 | TORMIS TAB 10MG/TAB BTx30 tabs σε blister PVC/Alu | 06.04 | 6.34 | 8.73 |
For the treatment of edema associated with congestive heart failure, renal disease, or hepatic disease. Also for the treatment of hypertension alone or in combination with other antihypertensive agents.
Torasemide inhibits the Na<sup>+</sup>/K<sup>+</sup>/2Cl<sup>-</sup>-carrier system (via interference of the chloride binding site) in the lumen of the thick ascending portion of the loop of Henle, resulting in a decrease in reabsorption of sodium and chloride. This results in an increase in the rate of delivery of tubular fluid and electrolytes to the distal sites of hydrogen and potassium ion secretion, while plasma volume contraction increases aldosterone production. The increased delivery and high aldosterone levels promote sodium reabsorption at the distal tubules, and By increasing the delivery of sodium to the distal renal tubule, torasemide indirectly increases potassium excretion via the sodium-potassium exchange mechanism. Torasemide's effects in other segments of the nephron have not been demonstrated. Thus torasemide increases the urinary excretion of sodium, chloride, and water, but it does not significantly alter glomerular filtration rate, renal plasma flow, or acid-base balance. Torasemide's effects as a antihypertensive are due to its diuretic actions. By reducing extracellular and plasma fluid volume, blood pressure is reduced temporarily, and cardiac output also decreases.
Symptoms of overdose include dehydration, hypovolemia, hypotension, hyponatremia, hypokalemia, hypochloremic alkalosis, and hemoconcentration. Oral LD<sub>50</sub> in rat is 5 g/kg, and intravenous LD<sub>50</sub> in rat is 500 mg/kg.
Rapidly absorbed following oral administration. Absolute bioavailability is 80%. Food has no effect on absorption.
3.5 hours
Torsemide is cleared from the circulation by both hepatic metabolism (approximately 80% of total clearance) and excretion into the urine (approximately 20% of total clearance in patients with normal renal function).
* 12 to 15 L [normal adults or in patients with mild to moderate renal failure or congestive heart failure]