Knowledge (XXG)

Torasemide

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Ozierański K, Balsam P, Kapłon-Cieślicka A, Tymińska A, Kowalik R, Grabowski M, et al. (February 2019). "Comparative Analysis of Long-Term Outcomes of Torasemide and Furosemide in Heart Failure Patients in Heart Failure Registries of the European Society of Cardiology".
810:, particularly in people with poor thiamine intake, and this depletion may worsen heart failure. It is therefore reasonable to either also give thiamine supplements or to check blood thiamine levels in those being treated with chronic loop diuretics. 787:. Compared with furosemide, torasemide is associated with a lower risk of rehospitalization for heart failure and an improvement in New York Heart Association class of heart failure. In heart failure it may be safer and more effective than 916:), which is the drug naming system coordinated by the USAN Council, which is co-sponsored by the American Medical Association (AMA), the United States Pharmacopeial Convention (USP), and the American Pharmacists Association (APhA). 1180:
Täger T, Fröhlich H, Seiz M, Katus HA, Frankenstein L (March 2019). "READY: relative efficacy of loop diuretics in patients with chronic systolic heart failure-a systematic review and network meta-analysis of randomised trials".
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Miles JA, Hanumanthu BK, Patel K, Chen M, Siegel RM, Kokkinidis DG (June 2019). "Torsemide versus furosemide and intermediate-term outcomes in patients with heart failure: an updated meta-analysis".
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In May 2024, the US FDA conditionally approved the first torsemide animal medication for dogs. UpCard-CA1 (torsemide oral solution) was conditionally approved for use with concurrent therapy with
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Abraham B, Megaly M, Sous M, Fransawyalkomos M, Saad M, Fraser R, et al. (January 2020). "Meta-Analysis Comparing Torsemide Versus Furosemide in Patients With Heart Failure".
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Dunn CJ, Fitton A, Brogden RN (January 1995). "Torasemide. An update of its pharmacological properties and therapeutic efficacy".
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InChI=1S/C16H20N4O3S/c1-11(2)18-16(21)20-24(22,23)15-10-17-8-7-14(15)19-13-6-4-5-12(3)9-13/h4-11H,1-3H3,(H,17,19)(H2,18,20,21)
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Common side effects include headache, increased urination, diarrhea, cough, and dizziness. Other side effects may include
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Wargo KA, Banta WM (November 2009). "A comprehensive review of the loop diuretics: should furosemide be first line?".
865: 499: 854: 132: 1982: 913: 68: 873: 858: 2346: 1817: 1054: 909: 2361: 2128: 1909: 1821: 1622: 368: 2336: 2275: 1669: 941: 143: 538: 2341: 1986: 1905: 1698: 246: 2024: 1740: 791:. Long-term outcomes with torasemide may be better than with furosemide in patients with heart failure. 359: 488: 763:. In 2021, it was the 180th most commonly prescribed medication in the United States, with more than 2 2054: 1541: 269: 1870: 1840: 784: 725: 515: 314: 150: 2216: 1895: 1875: 1662: 1481: 1438: 1335: 1292: 1249: 1206: 1162: 760: 2351: 2210: 2184: 1561: 1522: 1473: 1430: 1384: 1327: 1284: 1241: 1198: 1154: 1034: 1028: 1007: 218: 54: 468: 2086: 1885: 1855: 1553: 1512: 1465: 1420: 1412: 1374: 1366: 1319: 1276: 1233: 1190: 1146: 1062: 555: 228: 428: 408: 323: 2320: 2132: 2090: 1717: 937: 256: 236: 1353:
Buggey J, Mentz RJ, Pitt B, Eisenstein EL, Anstrom KJ, Velazquez EJ, et al. (2015).
542: 519: 2281: 2179: 2039: 1850: 1768: 1703: 1379: 1354: 929: 713:. It is a less preferred treatment for high blood pressure. It is taken by mouth or by 706: 2330: 2221: 1918: 1860: 1798: 1736: 1726: 1645: 1609: 1557: 1485: 1469: 1166: 933: 780: 741: 733: 710: 702: 531: 166: 105: 1442: 1339: 1296: 1253: 1210: 2064: 2033: 1963: 1890: 1689: 776: 721: 698: 186: 181: 154: 1542:"Torasemide: An Update of its Pharmacological Properties and Therapeutic Efficacy" 1150: 1082: 348: 1237: 1112: 974: 91: 2240: 2235: 2229: 2206: 2014: 1933: 1923: 1778: 843: 800: 755:
Torasemide was patented in 1974 and came into medical use in 1993. It is on the
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World Health Organization model list of essential medicines: 22nd list (2021)
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Torasemide is the recommended name of the drug (rINN) according to the (
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Roush GC, Kaur R, Ernst ME (2014). "Diuretics: a review and update".
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Compared with other loop diuretics, torasemide has a more prolonged
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This article incorporates text from this source, which is in the
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This article incorporates text from this source, which is in the
1587:"FDA Conditionally Approves First Torsemide Animal Drug for Dogs" 1355:"A reappraisal of loop diuretic choice in heart failure patients" 2113: 439: 1658: 912:. Torsemide is the official name of the drug according to the ( 212: 122: 837: 1006:(76 ed.). Pharmaceutical Press. 2018. pp. 227–228. 806:
Loop diuretics, including torsemide, may decrease total body
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World Health Organization's List of Essential Medicines
680: 908:), which is the drug naming system coordinated by the 2304: 2249: 2195: 2122: 2085: 2023: 1995: 1981: 1904: 1812: 1735: 1712: 1697: 603: 590: 554: 549: 530: 498: 478: 458: 438: 418: 398: 378: 367: 358: 333: 313: 285: 268: 255: 245: 235: 227: 202: 197: 172: 160: 142: 112: 98: 80: 63: 53: 48: 347: 981:. American Society of Health-System Pharmacists 322: 1670: 934:angiotensin-converting enzyme (ACE) inhibitor 744:. It works by decreasing the reabsorption of 8: 1499:Kattoor AJ, Goel A, Mehta JL (August 2018). 131: 32: 872:. Unsourced material may be challenged and 1992: 1709: 1677: 1663: 1655: 969: 967: 965: 963: 961: 959: 957: 541: 518: 407: 40: 1516: 1424: 1378: 1066: 892:Learn how and when to remove this message 697:, is a diuretic medication used to treat 637:CC(C)NC(=O)NS(=O)(=O)c1cnccc1Nc2cc(C)ccc2 427: 1004:British national formulary : BNF 76 2311: 998: 996: 975:"Torsemide Monograph for Professionals" 953: 654: 634: 514: 387: 299: 104: 1033:. John Wiley & Sons. p. 458. 532: 31: 1061:. Geneva: World Health Organization. 487: 467: 90: 72: 7: 1093:from the original on 15 January 2024 870:adding citations to reliable sources 185: 1113:"Torsemide - Drug Usage Statistics" 447: 338: 799:No evidence of torasemide-induced 25: 1627:U.S. Food and Drug Administration 1591:U.S. Food and Drug Administration 803:has been demonstrated in humans. 2314: 1639: 1603: 1558:10.2165/00003495-199549010-00009 1470:10.2165/00003495-199549010-00009 1405:Cardiovascular Drugs and Therapy 842: 822:effect than equipotent doses of 783:. It is sometimes used to treat 572: 566: 2257:Hydrochlorothiazide/triamterene 2124:Vasopressin receptor inhibitors 1027:Fischer J, Ganellin CR (2006). 662:Key:NGBFQHCMQULJNZ-UHFFFAOYSA-N 1312:J. Cardiovasc. Pharmacol. Ther 584: 578: 560: 1: 2357:Carbonic anhydrase inhibitors 1226:J Cardiovasc Med (Hagerstown) 1151:10.1016/j.amjcard.2019.09.039 1030:Analogue-based Drug Discovery 1629:(Press release). 14 May 2024 1593:(Press release). 10 May 2024 1540:Christopher J. Dunn (1995). 1238:10.2459/JCM.0000000000000794 736:. Use is not recommended in 1623:"FDA Roundup: May 14, 2024" 2378: 1195:10.1007/s10741-019-09771-8 1071:. WHO/MHP/HPS/EML/2021.02. 550:Chemical and physical data 305:--4-pyridine-3-sulfonamide 2265: 1518:10.1007/s10557-018-6808-8 1417:10.1007/s10557-018-6843-5 1371:10.1016/j.ahj.2014.12.009 1055:World Health Organization 910:World Health Organization 826:and relatively decreased 670: 645: 625: 290: 39: 1324:10.1177/1074248413497257 2025:Aldosterone antagonists 942:myxomatous mitral valve 767:million prescriptions. 759:. It is available as a 251:Highly bound (>99%). 936:for the management of 67:Torsemide, Torsemide ( 59:Demadex, Tortas, Wator 1505:Cardiovasc Drugs Ther 1083:"The Top 300 of 2021" 715:injection into a vein 2250:Combination products 2055:Potassium canrenoate 866:improve this section 775:It is used to treat 2217:mercurial diuretics 1871:Hydrochlorothiazide 1841:Bendroflumethiazide 785:high blood pressure 726:low blood potassium 36: 27:Diuretic medication 2292:Never to phase III 1896:Trichlormethiazide 1876:Hydroflumethiazide 761:generic medication 728:. Torasemide is a 2302: 2301: 2185:Lithium carbonate 2087:Osmotic diuretics 2081: 2080: 1983:Potassium-sparing 1977: 1976: 1281:10.1345/aph.1M177 1040:978-3-527-60749-5 1013:978-0-85711-338-2 902: 901: 894: 688: 687: 616:Interactive image 500:CompTox Dashboard 216: 125: 75: 16:(Redirected from 2369: 2347:4-Aminopyridines 2319: 2318: 2317: 2310: 1993: 1886:Methyclothiazide 1856:Cyclopenthiazide 1710: 1679: 1672: 1665: 1656: 1649: 1643: 1642: 1638: 1636: 1634: 1619: 1613: 1607: 1606: 1602: 1600: 1598: 1583: 1577: 1576: 1574: 1572: 1537: 1531: 1530: 1520: 1496: 1490: 1489: 1453: 1447: 1446: 1428: 1399: 1393: 1392: 1382: 1350: 1344: 1343: 1307: 1301: 1300: 1269:Ann Pharmacother 1264: 1258: 1257: 1221: 1215: 1214: 1177: 1171: 1170: 1134: 1128: 1127: 1125: 1123: 1109: 1103: 1102: 1100: 1098: 1079: 1073: 1072: 1070: 1051: 1045: 1044: 1024: 1018: 1017: 1000: 991: 990: 988: 986: 971: 944:disease (MMVD). 897: 890: 886: 883: 877: 846: 838: 766: 693:, also known as 684: 683: 676: 618: 598: 586: 580: 574: 568: 562: 545: 534: 523: 522: 508: 506: 491: 471: 451: 431: 411: 391: 371: 351: 341: 340: 326: 273: 214: 211: 189: 135: 124: 121: 108: 94: 74: 71: 44: 37: 35: 21: 2377: 2376: 2372: 2371: 2370: 2368: 2367: 2366: 2362:Dog medications 2327: 2326: 2325: 2315: 2313: 2305: 2303: 2298: 2297: 2282:Clinical trials 2261: 2245: 2191: 2126: 2118: 2077: 2019: 1973: 1900: 1827:Calcium-sparing 1825: 1808: 1731: 1701: 1693: 1683: 1653: 1652: 1640: 1632: 1630: 1621: 1620: 1616: 1604: 1596: 1594: 1585: 1584: 1580: 1570: 1568: 1539: 1538: 1534: 1498: 1497: 1493: 1455: 1454: 1450: 1401: 1400: 1396: 1352: 1351: 1347: 1309: 1308: 1304: 1275:(11): 1836–47. 1266: 1265: 1261: 1223: 1222: 1218: 1179: 1178: 1174: 1136: 1135: 1131: 1121: 1119: 1111: 1110: 1106: 1096: 1094: 1081: 1080: 1076: 1053: 1052: 1048: 1041: 1026: 1025: 1021: 1014: 1002: 1001: 994: 984: 982: 973: 972: 955: 950: 938:pulmonary edema 922: 920:Veterinary uses 898: 887: 881: 878: 863: 847: 836: 816: 797: 795:Adverse effects 773: 764: 679: 677: 674:(what is this?) 671: 666: 663: 658: 653: 652: 641: 638: 633: 632: 621: 596: 583: 577: 571: 565: 526: 502: 494: 474: 454: 434: 414: 394: 374: 354: 337: 329: 309: 306: 298: 297: 271: 247:Protein binding 237:Bioavailability 229:Pharmacokinetic 223: 193: 145: 138: 28: 23: 22: 15: 12: 11: 5: 2375: 2373: 2365: 2364: 2359: 2354: 2349: 2344: 2339: 2337:Loop diuretics 2329: 2328: 2324: 2323: 2300: 2299: 2296: 2295: 2294: 2293: 2290: 2279: 2273: 2267: 2266: 2263: 2262: 2260: 2259: 2253: 2251: 2247: 2246: 2244: 2243: 2238: 2233: 2213: 2199: 2197: 2193: 2192: 2190: 2189: 2188: 2187: 2182: 2180:Demeclocycline 2169: 2168: 2167: 2166: 2161: 2156: 2151: 2138: 2136: 2120: 2119: 2117: 2116: 2111: 2106: 2100: 2098: 2083: 2082: 2079: 2078: 2076: 2075: 2074: 2073: 2060: 2059: 2058: 2057: 2052: 2047: 2042: 2040:Spironolactone 2029: 2027: 2021: 2020: 2018: 2017: 2012: 2007: 2001: 1999: 1990: 1979: 1978: 1975: 1974: 1972: 1971: 1966: 1961: 1956: 1951: 1946: 1941: 1936: 1931: 1926: 1921: 1915: 1913: 1906:Thiazide-likes 1902: 1901: 1899: 1898: 1893: 1888: 1883: 1878: 1873: 1868: 1863: 1858: 1853: 1851:Chlorothiazide 1848: 1843: 1838: 1832: 1830: 1810: 1809: 1807: 1806: 1801: 1796: 1791: 1786: 1781: 1776: 1771: 1769:Etacrynic acid 1766: 1761: 1756: 1750: 1748: 1733: 1732: 1730: 1729: 1723: 1721: 1707: 1704:etacrynic acid 1695: 1694: 1684: 1682: 1681: 1674: 1667: 1659: 1651: 1650: 1614: 1578: 1552:(1): 121–142. 1532: 1511:(4): 313–317. 1491: 1448: 1394: 1345: 1302: 1259: 1232:(6): 379–388. 1216: 1189:(4): 461–472. 1183:Heart Fail Rev 1172: 1139:Am. 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1964:Quinethazone 1891:Polythiazide 1803: 1699:Sulfonamides 1631:. Retrieved 1626: 1617: 1595:. Retrieved 1590: 1581: 1569:. Retrieved 1549: 1545: 1535: 1508: 1504: 1494: 1461: 1457: 1451: 1411:(1): 77–86. 1408: 1404: 1397: 1362: 1358: 1348: 1315: 1311: 1305: 1272: 1268: 1262: 1229: 1225: 1219: 1186: 1182: 1175: 1145:(1): 92–99. 1142: 1138: 1132: 1120:. Retrieved 1116: 1107: 1095:. Retrieved 1086: 1077: 1068:10665/345533 1058: 1049: 1029: 1022: 1003: 983:. Retrieved 978: 923: 903: 888: 879: 864:Please help 852: 817: 805: 798: 774: 771:Medical uses 754: 722:hearing loss 719: 694: 690: 689: 678:   672:   302: 270:Elimination 204:Legal status 198:Legal status 155:intraveneous 114:License data 29: 2278:from market 2241:Cicletanine 2236:Theobromine 2230:Meralluride 2207:Isopropanol 2015:Triamterene 1934:Clorexolone 1924:Clofenamide 1908:(primarily 1779:Indacrinone 1359:Am. Heart J 1318:(1): 5–13. 801:ototoxicity 730:sulfonamide 599: g·mol 539:100.164.924 286:Identifiers 281:: 7-8 hours 277:3.5 hours; 100:MedlinePlus 64:Other names 55:Trade names 18:C16H20N4O3S 2331:Categories 2159:Satavaptan 2154:Mozavaptan 2149:Conivaptan 2071:Finerenone 2050:Eplerenone 1959:Metolazone 1944:Indapamide 1939:Fenquizone 1881:Mebutizide 1804:Torasemide 1794:Piretanide 1784:Muzolimine 1764:Bumetanide 1754:Furosemide 1426:2183/22704 1122:14 January 1097:14 January 948:References 926:pimobendan 824:furosemide 789:furosemide 691:Torasemide 604:3D model ( 592:Molar mass 489:ChEMBL1148 469:CHEBI:9637 429:W31X2H97FB 400:ChemSpider 360:IUPHAR/BPS 324:56211-40-6 315:CAS Number 295:IUPAC name 257:Metabolism 162:Drug class 34:Torasemide 2288:Phase III 2276:Withdrawn 2164:Tolvaptan 2045:Canrenone 2005:Amiloride 1954:Meticrane 1949:Mefruside 1929:Clopamide 1866:Epitizide 1814:Thiazides 1789:Ozolinone 1759:Azosemide 1686:Diuretics 1486:261404564 1167:207937875 979:Drugs.com 932:, and an 853:does not 828:potassium 814:Chemistry 738:pregnancy 695:torsemide 279:Cirrhosis 272:half-life 144:Routes of 133:Torsemide 92:Monograph 86:Drugs.com 2352:Anilines 2321:Medicine 2226:Mersalyl 2109:Glycerol 2104:Mannitol 2010:Benzamil 1969:Xipamide 1846:Butizide 1836:Altizide 1774:Etozolin 1527:30022355 1443:58014640 1435:30649675 1389:25728721 1340:21204143 1332:24243991 1297:43339236 1289:19843838 1254:96436158 1246:30950982 1211:77394851 1203:30874955 1159:31699358 1117:ClinCalc 1091:Archived 1087:ClinCalc 1057:(2021). 985:18 March 820:diuretic 808:thiamine 681:(verify) 380:DrugBank 174:ATC code 151:By mouth 128:DailyMed 2203:Ethanol 2143:Vaptans 1741:Na-K-Cl 1571:8 March 1566:7705212 1478:7705212 1380:4346710 874:removed 859:sources 779:due to 750:kidneys 748:by the 701:due to 556:Formula 389:DB00214 335:PubChem 190:) 184: ( 182:C03CA04 130::  106:a601212 2307:Portal 2271:WHO-EM 2174:Others 1633:15 May 1597:15 May 1564:  1525:  1484:  1476:  1441:  1433:  1387:  1377:  1338:  1330:  1295:  1287:  1252:  1244:  1209:  1201:  1165:  1157:  1037:  1010:  830:loss. 765:  746:sodium 709:, and 630:SMILES 597:348.42 480:ChEMBL 449:D00382 241:80-90% 219:℞-only 217: 126:  2196:Other 1818:Na-Cl 1702:(and 1546:Drugs 1482:S2CID 1458:Drugs 1439:S2CID 1336:S2CID 1293:S2CID 1250:S2CID 1207:S2CID 1163:S2CID 834:Names 650:InChI 606:JSmol 460:ChEBI 409:38123 349:41781 264:(80%) 262:Liver 2211:2M2B 2131:and 2114:Urea 1985:(at 1737:Loop 1716:(at 1635:2024 1599:2024 1573:2024 1562:PMID 1523:PMID 1474:PMID 1431:PMID 1385:PMID 1328:PMID 1285:PMID 1242:PMID 1199:PMID 1155:PMID 1124:2024 1099:2024 1035:ISBN 1008:ISBN 987:2019 914:USAN 857:any 855:cite 732:and 724:and 440:KEGG 420:UNII 369:7312 231:data 82:AHFS 69:USAN 2129:DCT 1910:DCT 1822:DCT 1820:at 1743:at 1690:C03 1554:doi 1513:doi 1466:doi 1421:hdl 1413:doi 1375:PMC 1367:doi 1363:169 1320:doi 1277:doi 1234:doi 1191:doi 1147:doi 1143:125 1063:hdl 906:INN 868:by 740:or 505:EPA 339:CID 187:WHO 2333:: 2284:: 2228:, 2224:, 2209:, 2205:, 2133:CD 2095:DL 2093:, 2091:PT 1987:CD 1745:AL 1718:PT 1625:. 1589:. 1560:. 1550:49 1548:. 1544:. 1521:. 1509:32 1507:. 1503:. 1480:. 1472:. 1462:49 1460:. 1437:. 1429:. 1419:. 1409:33 1407:. 1383:. 1373:. 1361:. 1357:. 1334:. 1326:. 1316:19 1314:. 1291:. 1283:. 1273:43 1271:. 1248:. 1240:. 1230:20 1228:. 1205:. 1197:. 1187:24 1185:. 1161:. 1153:. 1141:. 1115:. 1089:. 1085:. 995:^ 977:. 956:^ 928:, 752:. 717:. 705:, 570:20 564:16 213:US 153:, 123:US 73:US 2309:: 2232:) 2220:( 2135:) 2127:( 2097:) 2089:( 1989:) 1912:) 1829:) 1824:, 1816:( 1747:) 1739:( 1720:) 1706:) 1692:) 1688:( 1678:e 1671:t 1664:v 1648:. 1637:. 1612:. 1601:. 1575:. 1556:: 1529:. 1515:: 1488:. 1468:: 1445:. 1423:: 1415:: 1391:. 1369:: 1342:. 1322:: 1299:. 1279:: 1256:. 1236:: 1213:. 1193:: 1169:. 1149:: 1126:. 1101:. 1065:: 1043:. 1016:. 989:. 895:) 889:( 884:) 880:( 876:. 862:. 608:) 585:S 582:3 579:O 576:4 573:N 567:H 561:C 507:) 503:( 303:N 215:: 84:/ 76:) 20:)

Index

C16H20N4O3S

Trade names
USAN
AHFS
Drugs.com
Monograph
MedlinePlus
a601212
License data
DailyMed
Torsemide
Routes of
administration

By mouth
intraveneous
Drug class
Loop diuretic
ATC code
C03CA04
WHO
Legal status
℞-only
Pharmacokinetic
Bioavailability
Protein binding
Metabolism
Liver
Elimination half-life
Cirrhosis
IUPAC name

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