Loop diuretic
Torasemide
Brand names: Torem
Adult dose
Dose: HF: 5–20mg PO OD (max 40mg/day). HTN: 2.5–5mg OD
Route: PO/IV
Frequency: OD
Clinical pearls
- HFrEF (TRANSFORM-HF — non-inferior to furosemide); HTN; oedema
- Equivalent dose: torasemide 10mg ≈ furosemide 40mg
Contraindications
- Anuria
- Severe hypotension
- Severe hepatic impairment
- Hypersensitivity to sulfonamides
- Hypovolaemia
Side effects
- Hypokalaemia
- Hyponatraemia
- Dehydration
- Hyperuricaemia
- Renal impairment
- Ototoxicity (less than furosemide)
Interactions
- NSAIDs
- Lithium
- Aminoglycosides
- Digoxin (if hypokalaemia)
Monitoring
- U&E
- Weight
- BP
Reference: BNF; ESC HF; https://bnf.nice.org.uk/drugs/torasemide/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines