|
| Pronunciation |
|
 (byoo
MET a
nide) |
|
|
| Brand Names |
|
| Bumex® |
|
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| Foreign Brand
Names |
|
| Burinex® (Canada); Bumedyl®
(Mexico) |
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|
| Therapeutic
Categories |
|
|
Diuretic, Loop |
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| What key warnings should I know
about before taking this
medicine? |
|
|
- This medicine is a strong water pill. Sometimes too much water and
important elements in the blood can be lost. Your healthcare provider will
follow you closely to change the dose to match your body's
needs.
|
|
|
| Reasons not to take this
medicine |
|
|
- If you have an allergy to sulfonylureas, bumetanide, or any other part
of the medicine.
- If you have any of the following conditions: Severe kidney disease;
severe liver disease; history of coma from liver disease; low potassium,
magnesium, or calcium.
- If you are pregnant.
|
|
|
| What is this medicine used
for? |
|
|
- This medicine is used to rid the body of extra salt and water.
Patients who frequently have this problem are ones with weakened hearts
(congestive heart failure), poor kidney function, or poor liver function. It can
be used to reduce blood pressure in these patients whose high blood pressure is
due to extra salt and water.
|
|
|
| How does it work? |
|
|
- Bumetanide acts on the kidney to eliminate more water and salt in the
urine.
|
|
|
| How is it best taken? |
|
|
- Take with or without food. Take with food if this medicine causes an
upset stomach.
- Take early in the day to avoid sleep problems. Can cause lots of trips
to the bathroom.
- Follow diet plan as recommended by healthcare provider (usually low
sodium).
|
|
|
| What do I do if I miss a
dose? |
|
|
- Take a missed dose as soon as possible.
- If it is almost time for the next dose, skip the missed one. Return to
your regular schedule.
- Do not discontinue without talking with healthcare
provider.
|
|
|
| What are the precautions when
taking this
medicine? |
|
|
- Limit alcohol intake (includes wine, beer, and liquor). No more than 5
ounces of wine, 12 ounces of beer, or 1 ounce of liquor per day.
- Do not use over-the-counter products that increase blood pressure.
These include cough or cold remedies, diet pills, stimulants, ibuprofen or like
products, and certain herbs or supplements. Talk with healthcare provider.
- May need extra potassium. Talk with healthcare provider.
- Watch for gout attacks. If you have sudden pain in a single joint,
like the toe, talk with healthcare provider.
- You can get sunburned more easily. Avoid lots of sun. Use sunscreen;
wear protective clothing and eyewear.
- Tell healthcare provider if you are allergic to any medicine,
especially a sulfonamide one. Make sure to tell about the allergy and how it
affected you. This includes telling about rash; hives; itching; shortness of
breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other
symptoms involved.
- Tell healthcare provider if you are pregnant or plan on getting
pregnant.
- Tell healthcare provider if you are
breast-feeding.
|
|
|
| What are the common side effects
of this
medicine? |
|
|
- Feeling lightheaded. Avoid driving, doing other tasks or activities
that require you to be alert until you see how this medicine affects you.
- Headache. Mild pain medicine may help.
- Dizziness is common. Rise slowly over several minutes from sitting or
lying position. Be careful climbing stairs.
- Belly pain and cramps.
- Nausea or vomiting. Small frequent meals, frequent mouth care, sucking
hard candy, or chewing gum may
help.
|
|
|
| What should I monitor? |
|
|
- Watch for swelling of legs or belly, shortness of breath, weight gain,
exercise tolerance. If any of these worsen, talk with healthcare provider.
- Report a 3-5 pound weight gain.
- Check blood pressure regularly.
- Follow diet plan and exercise program as recommended by healthcare
provider.
- Check blood work. Talk with healthcare
provider.
|
|
|
| Reasons to call healthcare
provider
immediately |
|
|
- Signs of a life-threatening reaction. These include wheezing;
tightness in the chest; fever; itching; bad cough; blue skin color; fits;
swelling of face, lips, tongue, or throat.
- Passing out, fainting, dizziness, or lightheadedness.
- Severe nausea, vomiting, and/or diarrhea.
- Any rash.
- No improvement in condition or feeling
worse.
|
|
|
| How should I store this
medicine? |
|
|
- Store in a tight, light-resistant container at room
temperature.
|
|
|
| General statements |
|
|
- Do not share your medicine with others and do not take anyone else's
medicine.
- Keep all medicine out of the reach of children and pets.
- Keep a list of all your medicines (prescription, herbal/supplements,
vitamins, over-the-counter) with you. Give this list to healthcare provider
(doctor, nurse, pharmacist, physician assistant).
- Talk with healthcare provider before starting any new medicine,
including over-the-counter or natural products (herbs,
vitamins).
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