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Water pills (diuretics)

Furosemide

Also sold as: Lasix

Prescription neededWater pills (diuretics)
Comes as:TabletInjectionOral solution

Usual adult dose

Usual adult dose for swelling (oedema): 20 to 40 mg once a day in the morning, adjusted by your doctor. Higher doses are used in kidney or heart failure. Injection is given in hospital.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • passing a lot of urine
  • dizziness
  • thirst
  • muscle cramps

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • dehydration
  • very low potassium (weakness
  • irregular heartbeat)
  • hearing loss or ringing in the ears (high doses)
  • severe skin rash

Do not take it, or take care, if

  • No urine production
  • Severe dehydration or very low sodium or potassium
  • Liver failure with confusion
  • Gout or diabetes (use with caution)

Interactions

Medicines that can react with this one.

Serious3 medicinesDo not take these together unless your doctor says so.
  • Amikacin

    Together they raise the risk of permanent hearing loss and kidney damage.

  • Gentamicin

    Together they raise the risk of hearing damage and kidney damage.

  • Streptomycin

    Together they raise the risk of permanent hearing loss and kidney damage.

Moderate10 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Dapagliflozin

    Together they increase urine loss and can cause dehydration and low blood pressure.

  • Digoxin

    Low potassium from furosemide raises the risk of digoxin toxicity.

  • Empagliflozin

    Together they increase urine loss and can cause dehydration and low blood pressure.

  • Hydrocortisone

    Both can lower potassium; potassium levels may need checking.

  • Ibuprofen

    NSAIDs reduce the effect of furosemide and can harm the kidneys.

  • Indometacin

    Can weaken the effect of the water tablet and strain the kidneys.

Show 4 more
  • Lithium carbonate

    Furosemide can raise lithium levels.

  • Naproxen

    Can weaken the effect of the water tablet and strain the kidneys.

  • Prednisolone

    Both can lower potassium; potassium levels may need checking.

  • Salbutamol

    Both can lower potassium; levels should be checked with regular high doses.

Minor2 medicinesUsually not a problem, but tell your doctor.
  • Metformin

    Furosemide can change metformin levels and may affect kidney function; monitor blood sugar and kidneys.

  • Senna

    Both can lower potassium when senna is overused.

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category C

A risk to the baby cannot be ruled out. Use only if your doctor says the benefit is greater than the risk.

Generic alternatives

Similar medicines your doctor or pharmacist may offer instead.

  • Hydrochlorothiazide
  • Spironolactone
Check with my other medicines

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.