Torasemide (Upcard) any experiences?

RE: Torasemide (Upcard) any experiences?

John Flynn — Sun, 06 Mar 2016 20:36:48 GMT

[quote user="Kate Richardson"]diuresis occurs over a smaller window so making management of unwanted indoor puddles a bit easier,[/quote]

I don't understand this.

[quote user="Kate Richardson"]increasing compliance as only a once a day tablet rather than 2-3 times daily with frusemide in some cases.[/quote]

I thought this was main advantage was longer drug half-life therefore less frequent dosing required for patients in need of serious diuresis.

I've used it for this reason a few times (switchoing from approx 1/10th of furosemide dose that was required) with modest satisfaction - probably not enough cases to draw a firm opinion.

[quote user="Kate Richardson"]first line treatment[/quote]

furosemide is cheaper than torasemide here and I generlaly prefer minimal diuresis reuqired to bring resting resp rate down while avoiding unpleasant piddling in house etc, so often try to get down to once daily furosemide after compensation. Also significantly more clinical experience with furosemide.

[quote user="Kate Richardson"]What has been your clinical experience[/quote]

Using for dogs that were on high doses of furosemide with insufficient effect and not much polyuria, I found torasemide to be effective in producing the marked diuresis that was being aimed for but not achieved with the furosemide - we're only talking a couple of cases though.

RE: Torasemide (Upcard) any experiences?

Kate Richardson — Sun, 06 Mar 2016 18:58:59 GMT

My understanding from the rep is that the diuresis occurs over a smaller window so making management of unwanted indoor puddles a bit easier, plus increasing compliance as only a once a day tablet rather than 2-3 times daily with frusemide in some cases. And is indicated as a first line treatment. What has been your clinical experience with it Bob Russell? Or anyone else?

RE: Torasemide (Upcard) any experiences?

Bob Russell — Sat, 05 Mar 2016 10:27:20 GMT

Been using the human version for some years where furosemide is providing insufficient diuresis. Nothing new about the drug, just the licence and flavour!

Generally works well but not sure I would use it as first line. We are off the beaten track for most reps because we are too small for them to bother with!

RE: Torasemide (Upcard) any experiences?

Gareth C. — Fri, 04 Mar 2016 17:29:56 GMT

use the higher end dose rate DO NOT go off the laminated chart they give you. heard lecturer mention it at LVS and does sound promising at the right dose.