Torsilem Forte 50mg/20mg Tablet
(SPIRONOLACTONE + TORASEMIDE)

What are the contraindications to the use of Dyloop Plus?
The use of Dyloop Plus should be avoided in patients with hypersensitivity to torasemide, sulfonylureas or spironolactone or any other ingredient of the product. The use of this medicine should also be avoided in patients with anuria, acute renal insufficiency, hepatic coma and pre-coma, low blood pressure (hypotension), cardiac arrhythmias, patients taking aminoglycosides or cephalosporins, kidney dysfunction due to drugs which cause renal damage, patients with high potassium levels (hyperkalemia), Addisons disease and in children with moderate to severe renal impairment.

Can the use of Dyloop Plus cause gout?
Yes, Dyloop Plus can cause gout. Dyloop Plus contains torasemide which can increase the blood uric acid levels by increasing its absorption from the kidneys. Increased uric acid levels can cause a gout attack. Inform your doctor if you have hyperuricemia (excess of uric acid in blood) or a history of gout before taking this medicine. Use of Dyloop Plus should be avoided in patients with gout.

Can the use of Tor Plus cause hyperkalemia (increased potassium levels)?
Yes, Tor Plus can cause hyperkalemia (increased potassium levels). This occurs more commonly in patients with underlying kidney disease or in patients taking excessive potassium in their diet. High potassium levels can cause fatal heart problems. It is very important to get electrolytes and kidney function tests done on a regular basis while you are taking this medicine.

What are the contraindications to the use of Torlactone?
The use of Torlactone should be avoided in patients with hypersensitivity to torasemide, sulfonylureas or spironolactone or any other ingredient of the product. The use of this medicine should also be avoided in patients with anuria, acute renal insufficiency, hepatic coma and pre-coma, low blood pressure (hypotension), cardiac arrhythmias, patients taking aminoglycosides or cephalosporins, kidney dysfunction due to drugs which cause renal damage, patients with high potassium levels (hyperkalemia), Addisons disease and in children with moderate to severe renal impairment.

Can the use of Torsilem Forte cause dizziness?
Yes, the use of Torsilem Forte can cause dizziness (feeling faint, weak, unsteady or lightheaded) in some patients. If you feel dizzy or lightheaded, it is better to rest for some time and resume once you feel better. Do not drive or use any machines.

Can the use of Torsilem Forte cause dehydration (excessive loss of fluid)?
Yes, the use of Torsilem Forte can cause dehydration (excessive loss of fluid). The patient may experience dryness of the mouth, thirst, drowsiness, restlessness, muscle pain, weakness, tiredness, fall in blood pressure (hypotension), decreased urination (oliguria), increased heart rate (tachycardia), nausea and vomiting. Inform your doctor if you experience persistent problems while taking this medicine.