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CompositionTide Plus 20 Tablet is used to manage fluid retention (oedema) caused by conditions like heart failure, liver, and kidney disease. It also helps control high blood pressure. By promoting the elimination of excess water and sodium while preserving potassium levels, it helps maintain fluid balance in the body.
Tide Plus 20 Tablet is used for managing oedema linked to heart failure, controlling fluid retention caused by liver cirrhosis, and reducing swelling associated with kidney diseases like nephrotic syndrome. Additionally, it assists in regulating high blood pressure.
Follow these instructions while taking Tide Plus 20 Tablet:
Swallow the tablet whole with a glass of water.
Do not crush or chew the tablet.
You can take it with or without food.
Stick to the dose as directed by your doctor and do not exceed it.
If you have doubts or concerns, consult your doctor for further guidance.
Tide Plus 20 Tablet is taken orally.
Tide Plus 20 Tablet may cause side effects like hyperkalemia (higher than normal blood potassium levels), hyponatremia (low sodium levels), hypomagnesemia (low magnesium levels), hypotension (low blood pressure), dizziness, headache, nausea, vomiting, diarrhoea, and gynecomastia (enlargement of the breasts in men). Consult your doctor if these symptoms persist or worsen.
Most side effects are temporary and generally harmless, which resolve on discontinuing the use of Tide Plus 20 Tablet. However, if you experience any serious side effects or worsening of any of the symptoms, please consult your doctor.
Tide Plus 20 Tablet has two active ingredients that work together to provide effective fluid management in your body:
Torsemide (20 mg): As a loop diuretic, torsemide works on a specific section of your kidneys called the ascending loop of Henle. Here it inhibits the re-absorption of sodium, chloride, and water. This action leads to increased removal of these substances from your body through urine (a process known as diuresis), reducing fluid overload in your body.
Spironolactone (25 mg): This acts as a potassium-sparing diuretic by blocking aldosterone, a hormone that typically promotes sodium retention and potassium excretion. By inhibiting aldosterone, spironolactone helps your body get rid of excess water and sodium while preserving important levels of potassium.
Tide Plus 20 Tablet is warned against use during pregnancy. If you are pregnant or planning to conceive, make sure to discuss this with your doctor before starting this medicine.
Caution is advised while taking Tide Plus 20 Tablet if you are breastfeeding. It's best to consult your doctor to understand the potential risks and benefits.
While on this medication, consume alcohol responsibly as it may intensify dizziness and increase the risk of dehydration.
This medicine is often prescribed for patients with liver conditions. It is advisable to discuss liver-related concerns with your doctor before starting treatment with Tide Plus 20 Tablet. They will evaluate if this medicine is suitable.
Caution is advised before using Tide Plus 20 Tablet if you have a history of any kidney problems. It's a good idea to consult your doctor before taking this medicine.
This medicine may cause dizziness, affecting your ability to drive or operate machinery. Exercise caution until you know how Tide Plus 20 Tablet affects you.
If you're allergic to spironolactone, torsemide, or any other component of Tide Plus 20 Tablet, avoid using it. Discuss your allergies with your doctor before starting this medication.
Caution is advised while giving Tide Plus 20 Tablet to children under 18 years of age. Always consult your doctor before giving any medicine to a child.
Older patients should take Tide Plus 20 Tablet under medical supervision as they may be more susceptible to its side effects. Your doctor will guide you based on your health status.
Tide Plus 20 Tablet can interact with the following medicines:
Potassium Supplements and Potassium-Sparing Diuretics like potassium chloride or amiloride taken along with Tide Plus 20 Tablet can lead to high potassium levels in your blood (hyperkalaemia).
Nonsteroidal Anti-Inflammat ory Drugs (NSAIDs)such as ibuprofen or naproxen tend to reduce the effectiveness of Tide Plus 20 Tablet when it comes to removing excess fluid from your body.
CYP3A4 Inducers and Inhibitors like rifampin (inducer) and ketoconazole (inhibitor) can interact with Tide Plus 20 Tablet, affecting how well it works.
Lithium: If you're taking lithium for mood disorders, combining it with Tide Plus 20 Tablet can increase lithium levels in your body, leading to lithium toxicity.
Certain types of food can affect how Tide Plus 20 Tablet works. It's always a good idea to ask your doctor about any specific dietary restrictions or recommendations.
Tide Plus 20 Tablet interacts with the following diseases:
Renal Dysfunction: If you have kidney disease or reduced kidney function, taking Tide Plus 20 Tablet could further worsen your condition.
Addison's Disease: This medicine may not be suitable if you have Addison's disease—a disorder where your adrenal glands don't produce enough hormones—as it could potentially exacerbate symptoms.
Hyperkalemia: If you have high potassium levels in your blood, taking Tide Plus 20 Tablet could further increase these levels.
Hyponatremia: Low sodium levels in your blood can be further reduced by this medicine.
The daily dose of Tide Plus 20 Tablet needs to be taken as recommended by your doctor. The dosage may vary based on factors such as the seriousness of your condition and how you respond to the medicine. It's crucial to stick to the prescribed dosage and not exceed it without talking to your doctor.
If you accidentally take more Tide Plus 20 Tablets than prescribed, you might experience some common side effects, like feeling dizzy or nauseous. If these symptoms persist, consult with your doctor.
In case you forget to take your regular dose of Tide Plus 20 Tablet, take it as soon as you remember. If it's nearly time for your next dose, skip the one you missed and continue with your usual schedule. Never increase your dosage without a discussion with your doctor.
Store the Tide Plus 20 Tablet in a cool, dry, and dark place.
The optimal storage
Avoid storage in direct sunlight or damp areas.
Ensure the medicine is kept out of reach of children.
Always check the expiry date before use and do not consume if expired.
If you're managing heart failure with Tide Plus 20 Tablet, aim to limit your salt intake. Consuming too much salt can exacerbate fluid retention and put additional strain on your heart.
For those dealing with kidney disease, a low-protein diet might be beneficial. Consuming less protein could help slow down the progression of kidney damage. But please remember to consult your doctor before making any significant changes to your diet.
| Available Dosage Types | Tablet |
| Habit Forming | No |
| Ailment | Heart failure, liver cirrhosis, kidney diseases |
| Drug Category | Potassium-sparing diuretic |
| Therapeutic Category | Diuretic |
Tide Plus 20 Tablet is a combination medicine used to manage fluid retention in conditions like heart failure, liver disease, and kidney disease.
It increases the elimination of excess water and sodium from your body while retaining potassium, thereby managing fluid overload.
You should consume this medication with or without food as instructed by your doctor.
Common side effects can include high potassium levels, low sodium levels, low blood pressure, dizziness, headache, stomach disturbances, and gynecomastia in men.
Certain medicines may interact with Tide Plus 20 Tablet. Always consult your doctor before starting any new medication.
Individuals with an allergy to spironolactone or torsemide, those unable to produce urine, or those with certain renal conditions should not take this medicine.
Store it at room temperature (15-30°C) in a tightly closed container, protected from light and moisture.
Check out Editorial Policy
MedlinePlus. (n.d.). Spironolactone. U.S. National Library of Medicine. Retrieved 1 April 2024, from https://medlineplus.gov/druginfo/meds/a682627.html
DailyMed. (n.d.). Spironolactone tablet. U.S. National Library of Medicine. Retrieved 1 April 2024, from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8a95cbdb-0601-47a5-9b3a-0c3b0629ceb9
U.S. Food and Drug Administration. (2020). Aldactone (spironolactone) tablets for oral use. FDA. Retrieved 1 April 2024, from https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/012151s077lbl.pdf
U.S. Food and Drug Administration. (2022). Demadex (torsemide) tablets for oral use. FDA. Retrieved 1 April 2024, from https://www.accessdata.fda.gov/drugsatfda_docs/label/2022/213218s001lbl.pdf
We, at Truemeds make a diligent attempt to deliver accurate, expert- drafted and thoroughly reviewed medicine related information to our consumers. However, it should, by no means, be considered a substitute for prescription from a certified doctor or a trustworthy doctor-patient relationship. In fact we detest any form of self medication without expert advice. The sole purpose of the information on our portal is to educate our consumers, which helps improve the communication between a doctor and a patient. The information by no means is complete in its entirety and should not be used to diagnose or treat any medical condition. No amount of information can replace the experience and expertise of a doctor, therefore his/her advice always holds priority and should be followed appropriately.
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