Furo
Furo
Furo
Furosemide (Systemic)
Introductory Information
Brands: Lasix®
Boxed Warning
• Furosemide is a potent diuretic that given in excessive amounts may induce a profound diuresis with
water and electrolyte depletion.133, e Careful medical supervision is required; dosage selection and
titration should be adjusted to the individual patient's needs.133, e (See Dosage and Administration.)
Uses
Edema
Management of edema associated with CHF, hepatic cirrhosis, and renal disease (e.g., nephrotic
syndrome).133, e
IV management of acute pulmonary edema (in combination with oxygen and a cardiac glycoside).150
Hypertension
One of several preferred initial therapies in hypertensive patients with CHF or renal disease.100, 101, 109,
124, 127, 144
Can be used as monotherapy for initial management of uncomplicated hypertension; however, thiazide
diuretics are preferred by JNC 7.100, 101, 124, 127, 142, 143, 144
General
Edema
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Hypertension
Administration
Oral Administration
Administer orally once (preferably in the morning)e or twice daily .133
For ease of administration and maximum dosage flexibility in children, consider use of oral solution
preparation.151
IV Administration
For solution and drug compatibility information, see Compatibility under Stability.
IV administration may be used in emergency clinical circumstances when a rapid onset of diuresis is
desired, or in patients unable to take oral medication or those with impaired GI absorption; replace with
oral therapy as soon as possible.133, 150, e
Consider the potential risks, when using large parenteral doses; monitor patient closely.105, 107
Dilution
For IV infusion, dilute in 5% dextrose, 0.9% sodium chloride, or lactated Ringer's injection and adjust pH
to >5.5.150, e
Whenever possible, use vials instead of ampuls to prepare large doses to prevent large quantities of glass
particles from entering the solutions.e If ampuls must be used, consider filtering through a sterile
membrane filter before use to remove any particles that may be present.e
Rate of Administration
For direct IV injection, administer slowly over a period of 1-2 minutes.150 e
If high-dose parenteral furosemide therapy is necessary, the manufacturer recommends that the drug be
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Dosage
Individualize dosage according to patient's requirements and response; titrate dosage to gain maximum
therapeutic effect while using the lowest possible effective dosage.e (See Boxed Warning.)
Pediatric Patients
Edema
Oral: 2 mg/kg administered as a single dose.103, 104, 105, 107, 108, 133 If necessary, increase in increments
of 1 or 2 mg/kg every 6-8 hours103, 104, 105, 107, 108 to a maximum of 6 mg/kg.103, 133 Generally not
necessary to exceed individual doses of 4 mg/kg or a dosing frequency of once or twice daily.104 Use
minimum effective dosage for maintenance therapy.133
>IV or IM
1 mg/kg administered as a single IM or IV injection.103, 104, 105, 106, 107, 108, 150 If necessary for
resistant forms of edema, the initial dose may be increased by 1 mg/kg103, 104, 105, 108 no more often
than every 2 hours until the desired effect has been obtained or up to a maximum dosage of 6 mg/kg.103
Adequate response usually is obtained with individual parenteral doses of 1 mg/kg.104, 105, 107, 108
Hypertension
Oral: Initially, 0.5-2 mg/kg given once or twice daily.149 Increase as necessary up to a maximum of 6
mg/kg daily.149
Adults
Edema
Oral: 20-80 mg given as a single dose, preferably in the morning.133, e If needed, repeat same dose 6-8
hours later or increase dose by 20- to 40-mg increments and give no sooner than 6-8 hours after last dose
until desired diuretic response (including weight loss) is obtained.133, e May titrate carefully up to 600
mg daily in severe cases.133
The effective dose may be given once or twice daily thereafter, or, in some cases, by intermittent
administration on 2-4 consecutive days each week.133, e Dosage may be reduced for maintenance
therapy.e
>IV or IM
20-40 mg given as a single IM or IV injection.150, e If needed, repeat same dose 2 hours later or increase
dose by 20-mg increments and give no sooner than every 2 hours until the desired diuretic response is
obtained.150 Effective dosages may then be given once or twice daily.150
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IV: 40 mg given as a single IV injection.150 If needed, an 80-mg dose may be given 1 hour after the
initial dose.150
Hypertension
Oral: 40 mg twice daily.133 If desired BP not attained, consider adding other antihypertensive agents.133
Usual dosage recommended by JNC 7: 10-40 mg twice daily.127, 144
Prescribing Limits
Pediatric Patients
Edema
Oral: Maximum of 6 mg/kg.103, 133
>IV or IM
Maximum of 6 mg/kg in infants and children; do not exceed 1 mg/kg daily in premature infants.150
Hypertension
Oral: Maximum 6 mg/kg daily.149
Adults
Edema
Oral: Maximum of 600 mg daily.133
Special Populations
Renal Impairment
Higher doses may be required for patients with acute or chronic renal failure.e
Hypertension
Higher doses may be required for patients with acute or chronic renal failure.e
Oral: Use of ≥3 antihypertensive agents usually is required to achieve a target BP <130/80 mm Hg.144
Cautions
Contraindications
• Anuria.133
• Known hypersensitivity to furosemide or any ingredient in the formulation.133
Warnings/Precautions
Warnings
Hepatic Effects
Sudden alterations of electrolyte balance in patients with cirrhosis may precipitate hepatic coma; use with
caution in patients with hepatic cirrhosis and ascites.133
Do not initiate therapy in patients with hepatic coma or electrolyte depletion until the basic condition is
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improved.133 Therapy in such patients is best initiated in the hospital with careful monitoring of clinical
status and electrolyte balance.133
Renal Effects
If increasing azotemia and oliguria occur during treatment of severe progressive renal disease,
discontinue the drug.133, 150
Sensitivity Reactions
Anaphylaxis
Anaphylaxis (e.g., urticaria, angioedema, hypotension) within 5 minutes after IV administration
reported.102
Sulfonamide Sensitivity
Patients sensitive to sulfonamides may show allergic reactions to furosemide.e
Photosensitivity
Photosensitivity may occur.133
Major Toxicities
Ototoxicity
Risk of tinnitus, reversible or permanent hearing impairment increased following IV or IM
administration, especially at high dosages,133, e after too-rapid administration,133 in patients with
severely impaired renal function, and/or in patients receiving other ototoxic drugs (e.g.,
aminoglycosides).133, e (See Specific Drugs under Interactions.)
If high-dose IV therapy is indicated, administer by slow IV infusion (e.g., at a rate not exceeding 4
mg/minute in adults).133, 150
General Precautions
Fluid, Electrolyte, and Cardiovascular Effects
Excessive diuresis may cause dehydration and blood volume reduction with circulatory collapse and
possibly vascular thrombosis and embolism, particularly in elderly patients.133 (See Boxed Warning.)
Risk of orthostatic hypotension, especially with brisk diuresis.133, 150, 151 May be aggravated by
concomitant use with alcohol, barbiturates, or narcotics.133, 151, e
Risk of hypokalemia, especially with brisk diuresis, inadequate oral electrolyte intake, when cirrhosis is
present, or during concomitant use of corticosteroids or ACTH.133, 150 Concomitant therapy with
digitalis may exaggerate metabolic effects of hypokalemia, especially myocardial effects.133, 150
Observe carefully for manifestations of fluid and electrolyte depletion (e.g., dryness of mouth, thirst,
weakness, lethargy, drowsiness, restlessness, muscle pains or cramps, muscular fatigue, hypotension,
oliguria, tachycardia, arrhythmia, nausea, vomiting).133
Endocrine Effects
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Possible increased blood glucose and alterations in glucose tolerance tests (with abnormalities of the
fasting and 2-hour postprandial sugar); precipitation of diabetes mellitus rarely reported.133, 150 Monitor
urine and blood glucose concentrations periodically in patients with diabetes and those suspected of latent
diabetes.e
Possible hyperuricemia and precipitation of gout;133, 150 use with caution in patients with a history of
gout or elevated serum uric acid concentrations.e
Patient Monitoring
Monitor regularly for the possible occurrence of blood dyscrasias, liver or kidney damage, or other
idiosyncratic reactions.133, 150
Serum electrolytes (particularly potassium), CO2, creatinine and BUN should be determined frequently
during the first few months of therapy and periodically thereafter.133, 150
Elective Surgery
Discontinue therapy 1 week (oral furosemide) or 2 days (parenteral furosemide) before elective surgery.e
Specific Populations
Pregnancy
Category C.133
Lactation
Distributed into milk.133 Use with caution.133
Pediatric Use
Risk of persistent patent ductus arteriosus (PDA) may be increased in premature neonates with
respiratory distress syndrome (RDS) who receive furosemide during the first weeks of life.103, e
Do not exceed dosage of 1 mg/kg per 24 hours in premature neonates with <31 weeks' postconception
age (gestational age at birth plus postnatal age); risk of potentially toxic furosemide plasma
concentrations with higher dosages.150
Renal calcification reported in severely premature infants treated with IV furosemide for edema due to
PDA and hyaline membrane disease; concomitant chlorothiazide therapy may decrease hypercalciuria
and dissolve some calculi.150
Hearing loss reported in neonates; possibly secondary to renal immaturity.103, 125, 126, 150
Oral solutions contain sorbitol; high dosages may cause diarrhea in children.e
Hepatic Impairment
Use with caution.133, e
Renal Impairment
Use with caution.133, e
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Interactions
Specific Drugs
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Pharmacokinetics
Absorption
Bioavailability
Mean oral bioavailability of furosemide from commercially available tablets and oral solution is 64% and
60%, respectively.133
Onset
Following oral administration, onset of diuresis occurs within 30 minutes to 1 hour; maximal effect after
1-2 hours.133, e
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Following IV administration, diuresis occurs within 5 minutes and peaks within 20-60 minutes.150, e
Onset of diuresis after IM administration occurs somewhat later than after IV administration.150
Maximum hypotensive effect may not be apparent until after several days of therapy.e
Duration
Diuretic effect persists 6-8 hours following oral administration and approximately 2 hours following IV
administration.133, 150, e
Food
Food does not appear to affect diuretic effect.e
Special Populations
In patients with severely impaired renal function, the diuretic response may be prolonged.e
Distribution
Extent
Crosses the placenta and is distributed into milk.e
Elimination
Metabolism
Metabolized in the liver to the defurfurylated derivative, 4-chloro-5-sulfamoylanthranilic acid.e
Elimination Route
Rapidly excreted in urine by glomerular filtration and by secretion from the proximal tubule.e
Approximately 50% of an oral dose and 80% of an IV or IM dose are excreted in urine within 24 hours;
69-97% of these amounts is excreted in the first 4 hours.150, e The remainder of the drug is eliminated by
nonrenal mechanisms including degradation in the liver and excretion of unchanged drug in the feces.e
Half-life
Biphasic;e terminal half-life is approximately 2 hours.133
Special Populations
Hepatic or renal impairment prolongs the elimination half-life of the drug.e
In patients with marked renal impairment without liver disease, nonrenal clearance is increased to the
extent that up to 98% of the drug is cleared within 24 hours.e
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Stability
Storage
Oral
Solution or Tablets
Tight, light resistant containers at 15-30°C.133, 151
Parenteral
Injection
15-30°C; protect from light.150 Discard unused portion.150
Compatibility
For information on systemic interactions resulting from concomitant use, see Interactions.
Parenteral
Do not mix with strongly acidic solutions (i.e., pH < 5.5), such as those containing ascorbic acid,
amrinone, ciprofloxacin, labetalol, tetracycline, milrinone, epinephrine, or norepinephrine, because
furosemide may be precipitated.150, e
Solution Compatibilitya
Compatible
Alcohol 5% and dextrose 5%
Amino acids 4.25%, dextrose 25%
Dextrose 5% in Ringer's injection, lactated
Dextrose 5% in sodium chloride 0.9%
Dextrose 5, 10, or 20% in water
Invert sugar 10% in Electrolyte #1
Mannitol 20%
Ringer's injection, lactated
Sodium chloride 0.9%
Sodium lactate (1/6) M
Incompatible
Fructose 10% in water
Invert sugar 10% in Electrolyte #2
Drug Compatibility
>Admixture Compatibilitya
Compatible
Amikacin sulfate
Aminophylline
Ampicillin sodium
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Atropine sulfate
Bumetanide
Calcium gluconate
Cefuroxime sodium
Cimetidine HCl
Dexamethasone sodium phosphate
Diamorphine HCl
Digoxin
Epinephrine HCl
Heparin sodium
Hydrocortisone sodium succinate
Isosorbide dinitrate
Kanamycin sulfate
Lidocaine HCl
Midazolam HCl
Meropenem
Morphine sulfate
Nitroglycerin
Penicillin G
Potassium chloride
Ranitidine HCl
Scopolamine butylbromide
Sodium bicarbonate
Sulphadimidine
Theophylline
Tobramycin sulfate
Incompatible
Buprenorphine HCl
Chlorpromazine HCl
Diazepam
Dobutamine HCl
Erythromycin lactobionate
Isoproterenol HCl
Meperidine HCl
Metoclopramide HCl
Papaveretum
Prochlorperazine edisylate
Promethazine HCl
Variable
Amiodarone HCl
Gentamicin sulfate
Hydrocortisone sodium succinate
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Verapamil HCl
>Y-Site Compatibilitya
Compatible
Allopurinol sodium
Amifostine
Amikacin sulfate
Amphotericin B cholesteryl sulfate complex
Aztreonam
Bivalirudin
Bleomycin sulfate
Cefepime HCl
Ceftazidime
Cisplatin
Cladribine
Cyclophosphamide
Cytarabine
Dexmedetomidine HCl
Docetaxel
Doxorubicin HCl liposome injection
Epinephrine HCl
Etoposide phosphate
Fentanyl citrate
Fludarabine phosphate
Fluorouracil
Foscarnet sodium
Granisetron HCl
Heparin sodium
Hetastarch in lactated electrolyte injection (Hextend)
Hydrocortisone sodium succinate
Hydromorphone HCl
Indomethacin sodium trihydrate
Kanamycin sulfate
Leucovorin calcium
Linezolid
Lorazepam
Melphalan HCl
Meropenem
Methotrexate sodium
Mitomycin
Nitroglycerin
Norepinephrine bitartrate
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Paclitaxel
Piperacillin sodium-tazobactam sodium
Potassium chloride
Propofol
Ranitidine HCl
Remifentanil HCl
Sargramostim
Sodium nitroprusside
Tacrolimus
Tirofiban HCl
Teniposide
Thiotepa
Tirofiban
Tobramycin sulfate
Vitamin B complex with C
Incompatible
Amsacrine
Azithromycin
Chlorpromazine HCl
Ciprofloxacin
Clarithromycin
Diltiazem HCl
Droperidol
Esmolol HCl
Fenoldopam mesylate
Filgrastim
Fluconazole
Gatifloxacin
Gemcitabine HCl
Gentamicin sulfate
Hydralazine HCl
Idarubicin HCl
Levofloxacin
Metoclopramide HCl
Midazolam HCl
Milrinone lactate
Nicardipine HCl
Ondansetron HCl
Quinidine gluconate
Thiopental sodium
Vecuronium bromide
Vinblastine sulfate
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Vincristine sulfate
Vinorelbine tartrate
Variable
Amiodarone HCl
Dobutamine HCl
Dopamine HCl
Doxorubicin HCl
Famotidine
Labetalol HCl
Meperidine HCl
Morphine sulfate
Actions
• Inhibits primarily the absorption of sodium and chloride not only in the proximal and distal tubules but
also in the ascending limb of the loop of Henle.133, e Does not inhibit carbonic anhydrase and is not an
aldosterone antagonist.e
• Mechanism of hypotensive effect not definitively determined but presumed to result from decreased
plasma volume.e
• Induces greater diuresis and electrolyte loss than with thiazides or most other diuretics except ethacrynic
acid.e
• Possesses some renal vasodilator effect; renal vascular resistance decreases and renal blood flow
increases following administration.e
Advice to Patients
Preparations
Excipients in commercially available drug preparations may have clinically important effects in some
individuals; consult specific product labeling for details.
Furosemide
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Dosage
Routes Strengths Brand Names Manufacturer
Forms
40 mg/5 Furosemide Solution (with
Oral Solution Roxane
mL* alcohol 0.2% and sorbitol)
10
Furosemide Solution Morton Grove, Roxane
mg/mL*
IVAX, Mylan, Qualitest, Roxane,
Tablets 20 mg* Furosemide Tablets
Sandoz, UDL
Lasix® Sanofi-Aventis
IVAX, Mylan, Qualitest, Roxane,
40 mg* Furosemide Tablets
Sandoz, UDL
Lasix® (scored) Sanofi-Aventis
Mylan, Qualitest, Roxane, Sandoz,
80 mg* Furosemide Tablets
UDL
Lasix® Sanofi-Aventis
10 American Pharmaceutical Partners,
Parenteral Injection Furosemide Injection
mg/mL* American Regent, Hospira, IMS
* available from one or more manufacturer, distributor, and/or repackager by generic (nonproprietary)
name
Comparative Pricing
This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing
information was updated 03/2011. For the most current and up-to-date pricing information, please visit
www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-
order locations and health insurance copays.
Use is not currently included in the labeling approved by the US Food and Drug Administration.
References
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Only references cited for selected revisions after 1984 are available electronically.
100. Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The
1984 report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood
Pressure. Arch Intern Med. 1984; 144:1045-57. [IDIS 184763] [PubMed 6143542]
101. Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The
1980 report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood
Pressure. Arch Intern Med. 1980; 140:1280-5. [IDIS 375724] [PubMed 6775608]
102. Hansbrough JR, Wedner HJ, Chaplin DD et al. Anaphylaxis to intravenous furosemide. J Allergy
Clin Immunol. 1987; 80:538-41. [IDIS 235418] [PubMed 3668117]
103. Hoechst-Roussel. Lasix® (furosemide) injection, oral solution, and tablets prescribing information
(dated 1994 Oct). In: Physicians' desk reference. 50th ed. Montvale NJ: Medical Economics
Company Inc; 1996:1240-2.
104. Engle MA, Lewy JE, Lewy PR et al. The use of furosemide in the treatment of edema in infants
and children. Pediatrics. 1978; 62:811-8. [IDIS 118470] [PubMed 724325]
105. Baliga R, Lewy JE. Pathogenesis and treatment of edema. Pediatr Clin North Am. 1987; 34:639-
48. [PubMed 3588044]
106. Repetto HA, Lewy JE, Braudo JL et al. The renal functional response to furosemide in children
with acute glomerulonephritis. J Pediatr. 1972; 80:660-6. [PubMed 5015080]
108. Lewy JE, Moel DI. Pathogenesis and management of edema in the newborn. Clin Perinatol.
1975; 2:117-23. [PubMed 1102212]
109. 1988 Joint National Committee. The 1988 report of the Joint National Committee on Detection,
Evaluation, and Treatment of High Blood Pressure. Arch Intern Med. 1988; 148:1023-38. [IDIS
242588] [PubMed 3365073]
110. Lardinois CK, Neuman SL. The effects of antihypertensive agents on serum lipids and
lipoproteins. Arch Intern Med. 1988; 148:1280-8. [IDIS 242671] [PubMed 2897834]
111. Holland OB, Pool PE. Metabolic changes with antihypertensive therapy of the salt-sensitive
patient. Am J Cardiol. 1988; 61:53-9H.
112. Weinberger MH. Diuretics and their side effects: dilemma in the treatment of hypertension.
Hypertension. 1988; 11(Suppl II):II-16-20.
113. Ames R. Effects of diuretic drugs on the lipid profile. Drugs. 1988; 36(Suppl 2):33-40. [IDIS
248276] [PubMed 3063504]
114. Lasser NL, Grandits G, Caggiula AW et al. Effects of antihypertensive therapy on plasma lipids
and lipoproteins in the Multiple Risk Factor Intervention Trial. Am J Med. 1984; 76(Suppl 2A):52-
66. [IDIS 182290] [PubMed 6367451]
mk:@MSITStore:D:\KULIAH\SEM%206\Pr.%20Farkin\Dafpus\AHFS%202011.chm::/tz6... 5/7/2023
AHFS DI® Essentials™ Page 17 of 19
115. Bloomgarden ZT, Ginsberg-Fellner F, Rayfield EJ et al. Elevated hemoglobin A1c and low-
density lipoprotein cholesterol levels in thiazide-treated diabetic patients. Am J Med. 1984; 77:823-
7. [IDIS 192589] [PubMed 6496535]
116. Gluck Z, Baumgartner G, Weidmann P et al. Increased ratio between serum beta- and alpha-
lipoproteins during diuretic therapy: an adverse effect? Clin Sci Mol Med Suppl. 1978; 4:325-8s.
117. Ames RP, Hill P. Antihypertensive therapy and the risk of coronary heart disease. J Cardiovasc
Pharmacol. 1982; 4(Suppl 2):S206-12. [PubMed 6177958]
118. Ames RP, Hill P. Improvement of glucose tolerance and lowering of glycohemoglobin and serum
lipid concentrations after discontinuance of antihypertensive drug treatment. Circulation. 1982;
65:899-904. [IDIS 150695] [PubMed 7042109]
119. Perola P, Lehto H, Lammintausta R et al. Metabolic effects of furosemide and the combination of
furosemide and triamterene. Curr Ther Res. 1985; 37:545-53.
120. Weinberger MH. Antihypertensive therapy and lipids: evidence, mechanisms, and implications.
Arch Intern Med. 1985; 145:1102-5. [IDIS 200606] [PubMed 2860883]
121. Gerlag PGG, van Meijel JJM. High-dose furosemide in the treatment of refractory congestive
heart failure. Arch Intern Med. 1988; 148:286-91. [IDIS 238227] [PubMed 3341836]
122. Weidmann P, Gerber A. Effects of treatment with diuretics on serum proteins. J Cardiovasc
Pharmacol. 1984; 6(Suppl 1):S260-8. [PubMed 6204152]
124. Joint National Committee on Detection, Evaluation, and Treatment of High Blood Pressure. The
fifth report of the Joint National Committee on Detection, Evaluation, and Treatment of High Blood
Pressure (JNC V). Arch Intern Med. 1993; 153:154-83. [IDIS 309043] [PubMed 8422206]
125. Tuck S, Morselli P, Broquaire M et al. Plasma and urinary kinetics of furosemide in newborn
infants. J Pediatr. 1983; 103:481-5. [IDIS 175138] [PubMed 6886918]
126. Mirochnick MH, Miceli JJ, Kramer PA et al. Furosemide pharmacokinetics in very low birth
weight infants. J Pediatr. 1988; 112:653-7. [IDIS 250936] [PubMed 3351693]
127. National Heart, Lung, and Blood Institute National High Blood Pressure Education Program. The
sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of
High Blood Pressure (JNC VI). Bethesda, MD: National Institutes of Health. (NIH publication No.
98-4080.)
128. Kaplan NM. Choice of initial therapy for hypertension. JAMA. 1996; 275:1577-80. [IDIS 365188]
[PubMed 8622249]
129. Psaty BM, Smith NL, Siscovich DS et al. Health outcomes associated with antihypertensive
therapies used as first-line agents: a systematic review and meta-analysis. JAMA. 1997; 277:739-45.
[IDIS 380501] [PubMed 9042847]
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AHFS DI® Essentials™ Page 18 of 19
130. Whelton PK, Appel LJ, Espeland MA et al. for the TONE Collaborative Research Group. Sodium
reduction and weight loss in the treatment of hypertension in older persons: a randomized controlled
trial of nonpharmacologic interventions in the elderly (TONE). JAMA. 1998; 279:839-46. [PubMed
9515998]
131. Anon. Consensus recommendations for the management of chronic heart failure. On behalf of the
membership of the advisory council to improve outcomes nationwide in heart failure. Part II.
Management of heart failure: approaches to the prevention of heart failure. Am J Cardiol. 1999;
83:9-38A.
132. The Captopril-Digoxin Multicenter Research Group. Comparative effects of therapy with
captopril and digoxin in patients with mild to moderate heart failure. JAMA. 1988; 259:539-44.
[IDIS 237362] [PubMed 2447297]
133. Aventis Pharmaceuticals. Lasix® (furosemide) tablets prescribing information. Bridgewater, NJ;
2004 Jan.
134. Sherman LG, Liang CS, Baumgardner S et al. Piretanide, a potent diuretic with potassium-sparing
properties, for the treatment of congestive heart failure. Clin Pharmacol Ther. 1986; 40:587-94.
[IDIS 224725] [PubMed 3533372]
135. Patterson JH, Adams KF Jr, Applefeld MM et al. Oral torsemide in patients with chronic
congestive heart failure: effects on body weight, edema, and electrolyte excretion.
Pharmacotherapy. 1994; 14:514-21. [IDIS 336083] [PubMed 7997385]
136. Wilson JR, Reichek N, Dunkman WB et al. Effect of diuresis on the performance of the failing
left ventricle in man. Am J Med. 1981;70:234-9.
137. Parker JO. The effects of oral ibopamine in patients with mild heart failure—a double blind
placebo controlled comparison to furosemide. Int J Cardiol. 1993; 40:221-7. [PubMed 8225657]
138. Izzo JL, Levy D, Black HR. Importance of systolic blood pressure in older Americans.
Hypertension. 2000; 35:1021-4. [PubMed 10818056]
139. Frohlich ED. Recognition of systolic hypertension for hypertension. Hypertension. 2000;
35:1019-20. [PubMed 10818055]
140. Bakris GL, Williams M, Dworkin L et al. Preserving renal function in adults with hypertension
and diabetes: a consensus approach. Am J Kidney Dis. 2000; 36:646-61. [IDIS 452007] [PubMed
10977801]
141. Associated Press (American Diabetes Association). Diabetics urged: drop blood pressure.
Chicago, IL; 2000 Aug 29. Press Release from web site. [Web]
142. Appel LJ. The verdict from ALLHAT—thiazide diuretics are the preferred initial therapy for
hypertension. JAMA. 2002; 288:3039-42. [IDIS 490723] [PubMed 12479770]
143. The ALLHAT Officers and Coordinators for the ALLHAT Collaborative Research Group. Major
outcomes in high-risk hypertensive patients randomized to angiotensin-converting enzyme inhibitor
or calcium channel blocker vs diuretic: the Antihypertensive and Lipid-Lowering Treatment to
Prevent Heart Attack Trial (ALLHAT). JAMA. 2002; 288:2981-97. [IDIS 490721] [PubMed
mk:@MSITStore:D:\KULIAH\SEM%206\Pr.%20Farkin\Dafpus\AHFS%202011.chm::/tz6... 5/7/2023
AHFS DI® Essentials™ Page 19 of 19
12479763]
144. National Heart, Lung, and Blood Institute National High Blood Pressure Education Program. The
seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment
of High Blood Pressure (JNC VII) Express. Bethesda, MD: May 14 2003. From NIH website. (Also
published in JAMA. 2003; 289. [Web]
146. The Guidelines Subcommittee of the WHO/ISH Mild Hypertension Liaison Committee. 1999
guidelines for the management of hypertension. J Hypertension. 1999; 17:392-403.
147. Hunt SA, Baker DW, Chin MH, et al. ACC/AHA guidelines for the evaluation and management
of chronic heart failure in the adult. J Am Coll Cardiol. 2001;38:2101-2113.
148. The Guidelines Subcommittee of the WHO/ISH Mild Hypertension Liaison Committee. 1999
guidelines for the management of hypertension. J Hypertension. 1999; 17:392-403.
149. National High Blood Pressure Education Program Working Group on Hypertension Control in
Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high
blood pressure in children and adolescents. Pediatrics. 2004; 114(Suppl 2):555-76. [PubMed
15286277]
150. American Pharmaceutical Partners, Inc. Furosemide Injection, USP prescribing information.
Schaumburg, IL; 2002 Apr.
151. Roxane Laboratories, Inc. Furosemide tablets and oral solution prescribing information.
Columbus, OH; 2003 Aug.
a. Trissel LA. Handbook on injectable drugs. 12th ed. Bethesda, MD: American Society of Health-
System Pharmacists; 2003:175-80.
e. AHFS Drug Information 2004. McEvoy GK, ed. Furosemide. American Society of Health-System
Pharmacists; 2004: 2260-4.
mk:@MSITStore:D:\KULIAH\SEM%206\Pr.%20Farkin\Dafpus\AHFS%202011.chm::/tz6... 5/7/2023