Fruselac Ds Tablet

FRUSELAC DS TABLET

FRUSELAC DS TABLET by LUPIN LTD is a combination medication primarily used to treat fluid retention (edema) and high blood pressure (hypertension).

• Name

  • Brand Name: FRUSELAC DS TABLET
  • Manufacturer: LUPIN LTD

• Composition

  • Each tablet contains Furosemide 40 mg and Spironolactone 50 mg.
  • Furosemide is a loop diuretic that increases urine production to eliminate excess salt and water.
  • Spironolactone is a potassium-sparing diuretic that helps remove excess fluid while minimizing potassium loss, maintaining electrolyte balance.

• Uses FRUSELAC DS TABLET is prescribed for:

  • Fluid retention (edema) associated with conditions such as heart failure, liver disease (e.g., cirrhosis with ascites), and kidney disorders (e.g., nephrotic syndrome).
  • Treatment of mild to moderate essential hypertension (high blood pressure).
  • Managing primary hyperaldosteronism.

• Dosage and Administration

  • The usual starting dose is one tablet daily, preferably in the morning to reduce nighttime urination.
  • Swallow the tablet whole with a glass of water; do not crush or chew.
  • It can be taken with or without food, but consistency in timing is recommended.
  • Dosage may be adjusted by a healthcare professional based on individual response and kidney function.

• Side Effects Common side effects may include:

  • Dizziness, lightheadedness, and weakness.
  • Dehydration, increased thirst, and dry mouth.
  • Electrolyte imbalances (e.g., low sodium, low magnesium, low calcium, high potassium).
  • Gastrointestinal disturbances such as nausea, vomiting, diarrhea, and abdominal cramps.
  • Changes in blood pressure (hypotension).
  • Muscle cramps and pain.
  • Irregular heartbeats (arrhythmia) and fast heart rate.
  • Increased sensitivity of the skin to sunlight.

• Precautions

  • Pregnancy and Breastfeeding: Contraindicated in pregnant women; consult a doctor if breastfeeding.
  • Alcohol: Avoid consuming alcohol as it can worsen dehydration, dizziness, and lightheadedness.
  • Medical Conditions: Use with caution in patients with kidney disease, liver disease, diabetes, or gout. It is contraindicated in cases of severe kidney failure, hepatic coma, low blood pressure, high potassium levels (hyperkalemia), and Addison's disease.
  • Driving: May cause dizziness; avoid driving or operating machinery until you know how it affects you.
  • Interactions: Inform your doctor about all other medications, supplements, and herbal products to prevent interactions. Regular monitoring of electrolyte levels, kidney function, and blood pressure is recommended.

• Storage

  • Store in a cool, dry place away from direct sunlight and moisture.
  • Keep out of reach of children and pets.
  • Store ideally below 25°C or 30°C.

FRUSELAC DS TABLET, manufactured by Lupin Ltd, is a combination medication containing Furosemide (40 mg) and Spironolactone (50 mg). It is primarily used to manage fluid retention and high blood pressure.

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What is Fruselac DS Tablet used for?

Fruselac DS Tablet is used to manage fluid retention, also known as edema, which can be associated with conditions like congestive heart failure, liver cirrhosis (including ascites), nephrotic syndrome, and lung disease. It is also prescribed for the treatment of high blood pressure (hypertension), including resistant and mild to moderate essential hypertension, and primary hyperaldosteronism.

How does Fruselac DS Tablet work?

This medicine contains two diuretic components: Furosemide and Spironolactone. Furosemide is a loop diuretic that works by increasing urine production, helping the body eliminate excess salt and water. Spironolactone is a potassium-sparing diuretic that blocks the action of aldosterone, a hormone that promotes sodium retention and potassium loss, thereby helping to maintain potassium levels while reducing excess fluid. The combined action efficiently reduces fluid volume and helps balance electrolytes.

What is the usual dosage for Fruselac DS Tablet?

The dosage of Fruselac DS Tablet should be strictly as prescribed by your doctor. Typically, it is taken once daily, preferably in the morning to prevent frequent urination during the night. The tablet should be swallowed whole with a glass of water, and not chewed or crushed. It can generally be taken with food. Your doctor will determine the appropriate dose and duration based on your medical condition and response to the treatment.

What are the possible side effects of Fruselac DS Tablet?

Common side effects may include feeling sick (nausea), vomiting, diarrhea, dizziness, dehydration, increased urination, abdominal cramps, weakness, dry mouth, muscle pain, and low blood pressure. It can also lead to electrolyte imbalances such as decreased sodium, magnesium, or calcium levels, and increased uric acid. Less common but more severe side effects can include hearing impairment, irregular heartbeat, confusion, increased skin sensitivity to sunlight, muscle spasm, skin rash, and vocal changes.

Is Fruselac DS Tablet safe during pregnancy or breastfeeding?

Fruselac DS Tablet is generally considered unsafe and is contraindicated during pregnancy due to potential risks to both the mother and the fetus. For breastfeeding mothers, the medicine is also largely contraindicated. Although some limited data might suggest it's "probably safe if prescribed" or "generally safe" with expert consultation, it's crucial to consult your doctor before taking this medicine if you are pregnant or breastfeeding.

Can Fruselac DS Tablet be taken with other medications?

Fruselac DS Tablet can interact with various medications. For instance, concomitant use with medicines that increase serum potassium (e.g., ACE inhibitors like lisinopril or losartan, or potassium supplements) can lead to hyperkalaemia (high potassium levels) and a significant drop in blood pressure. Heart medications like digoxin may have increased adverse effects. Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen can reduce the effectiveness of Fruselac DS Tablet. It may also interact with lithium. Always inform your doctor about all prescription drugs, over-the-counter medicines, herbal supplements, and vitamins you are taking to avoid potential interactions.

What precautions should be taken while on Fruselac DS Tablet?

Several precautions should be observed while taking Fruselac DS Tablet. It is contraindicated in individuals with high potassium levels (hyperkalaemia), Addison's disease, very low blood pressure (hypotension), cardiogenic shock, or aortic stenosis. Use with caution in patients with kidney disease, liver disease, or diabetes, as close monitoring of kidney function, electrolyte levels, and blood sugar is essential. Alcohol consumption should be avoided as it can worsen side effects like dizziness. You should also avoid high-sodium and high-potassium foods (like bananas, spinach, and potatoes) to prevent complications. This medicine may cause dizziness or decreased alertness, so it is advisable to avoid driving or operating machinery if you experience these symptoms.

What happens if a dose of Fruselac DS Tablet is missed?

If you miss a dose of Fruselac DS Tablet, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should Fruselac DS Tablet be stored?

Fruselac DS Tablet should be stored at room temperature, ideally below 25°C or 30°C, in a clean and dry place. It should be protected from direct sunlight, moisture, and heat. Always ensure the medicine is kept out of the reach of children and pets.