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Increase in blood urea nitrogen BUN and loss of sodium may cause confusion in elderly; monitor renal function and electrolytes. Agent is potent diuretic that, if given in excessive amounts, may lead to profound diuresis with water and electrolyte depletion. Risks of fluid or electrolyte imbalance including causing hyperglycemia, hyperuricemia, gout, hypotension, metabolic alkalosis, severe hyponatremia, severe hypokalemia, hepatic coma and precoma, hypovolemia with or without hypotension. Efficacy is diminished and risk of ototoxicity increased in patients with hypoproteinemia associated with nephrotic syndrome ; ototoxicity is associated with rapid injection, severe renal impairment, use of higher than recommended doses, concomitant therapy with aminoglycoside antibiotics, ethacrynic acid, or other ototoxic drugs. To prevent oliguria, reversible increases in BUN and creatinine, and azotemia, monitor fluid status and renal function; discontinue therapy if azotemia and oliguria occur during treatment of severe progressive renal disease. FDA-approved product labeling for many medications have included a broad contraindication in patients with a prior allregic reaction to sulfonamides; however, recent studies have suggested that crossreactivity between antibiotic sulfonamides and nonantibiotic sulfonamides is unlikely to occur. In patients at high risk for radiocontrast nephropathy furosemide can lead to higher incidence of deterioration in renal function after receiving radiocontrast compared to high-risk patients who received only intravenous hydration prior to receiving radiocontrast.

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Furosemide exerts a minor action on diluting segments of the distal tubule. Furosemide potentiates renal blood flow to the benefit of the cortical zone. This propriety is of particular interest in association with beta-blockers which may produce the reverse effect. Saliuretic action raises accordingly with the doses administered and persists in patients with renal insufficiency. Furosemide exerts antihypertensive action, resulting both from sodium depletion and hemodynamic action. Product only available at the hospital.

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It is manufactured by Sanofi Bangladesh Ltd. Tablets Injection Oral Solution. Furosemide is a diuretic recommended for use in all furosemide ampules price when Furosemide 40 mg tablet include cardiac, pulmonary, hepatic and renal oedema, peripheral edema due to mechanical obstruction or venous insufficiency and hypertension. Furosemide Injection is a diuretic recommended for use when a prompt and effective diuresis is required. Indications include cardiac, pulmonary, hepatic and renal oedema.

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