• Vesix Special indications
• Uses of Vesix Special in details
• Vesix Special description
• Vesix Special dosage
• Vesix Special interactions
• Vesix Special side effects
• Vesix Special contraindications

What is Vesix Special?

Vesix Special belongs to a group of medicines called loop diuretics (also known as water pills). Vesix Special is given to help treat fluid retention (edema) and swelling that is caused by congestive heart failure, liver disease, kidney disease, or other medical conditions. It works by acting on the kidneys to increase the flow of urine.

Vesix Special is also used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Vesix Special is available only with your doctor's prescription.

Vesix Special indications

Parenteral therapy should be reserved for patients unable to take oral medication or for patients in emergency clinical situations.

Edema: Vesix Special is indicated in adults and pediatric patients for the treatment of edema associated with congestive heart failure, cirrhosis of the liver, and renal disease, including the nephrotic syndrome. Vesix Special is particularly useful when an agent with greater diuretic potential is desired.

Vesix Special is indicated as adjunctive therapy in acute pulmonary edema. The intravenous administration of Vesix Special is indicated when a rapid onset of diuresis is desired, e.g., in acute pulmonary edema.

If gastrointestinal absorption is impaired or oral medication is not practical for any reason, Vesix Special is indicated by the intravenous or intramuscular route.

Parenteral use should be replaced with oral Vesix Special as soon as practical.

How should I use Vesix Special?

Use Vesix Special solution as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Vesix Special solution by mouth with or without food.
• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
• If you take cholestyramine, colestipol, or sucralfate, ask your doctor or pharmacist how to take them with Vesix Special solution.
• Vesix Special solution may increase the amount of urine or cause you to urinate more often when you first start taking it. To keep this from disturbing your sleep, try to take your dose before 6 pm.
• If you miss a dose of Vesix Special solution, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Vesix Special solution.

Uses of Vesix Special in details

Vesix Special is used to reduce extra fluid in the body (edema) caused by conditions such as heart failure, liver disease, and kidney disease. This can lessen symptoms such as shortness of breath and swelling in your arms, legs, and abdomen.

This drug is also used to treat high blood pressure. Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems.

Vesix Special is a "water pill" (diuretic) that causes you to make more urine. This helps your body get rid of extra water and salt.

OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by your health care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.

This medication may also be used to decrease a high level of calcium in the blood (hypercalcemia).

How to use Vesix Special

Read the Patient Information Leaflet if available from your pharmacist before you start taking Vesix Special and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth as directed by your doctor, with or without food, usually once or twice daily. It is best to avoid taking this medication within 4 hours of your bedtime to prevent having to get up to urinate.

Dosage is based on your medical condition, age, and response to treatment. For children, the dose is also based on weight. Older adults usually start with a lower dose to decrease the risk of side effects. Do not increase your dose or take it more often than directed.

Take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) of the day as directed. It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick.

Sucralfate, cholestyramine, and colestipol can decrease the absorption of Vesix Special. If you are taking any of these drugs, separate the timing of each dose from Vesix Special by at least 2 hours.

Tell your doctor if your condition does not improve or if it worsens (for example, your blood pressure readings remain high or increase).

Vesix Special description

A topical anti-infective agent effective against gram-negative and gram-positive bacteria. It is used for superficial wounds, burns, ulcers, and skin infections. Vesix Special has also been administered orally in the treatment of trypanosomiasis.

Vesix Special dosage

Vesix Special Dosage

Generic name: Vesix Special 20mg

Dosage form: tablet

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

Edema

Therapy should be individualized according to patient response to gain maximal therapeutic response and to determine the minimal dose needed to maintain that response.

Adults -- The usual initial dose of Vesix Special is 20 to 80 mg given as a single dose. Ordinarily a prompt diuresis ensues. If needed, the same dose can be administered 6 to 8 hours later or the dose may be increased. The dose may be raised by 20 or 40 mg and given not sooner than 6 to 8 hours after the previous dose until the desired diuretic effect has been obtained. The individually determined single dose should then be given once or twice daily (eg, at 8 am and 2 pm). The dose of Vesix Special may be carefully titrated up to 600 mg/day in patients with clinically severe edematous states.

Edema may be most efficiently and safely mobilized by giving Vesix Special on 2 to 4 consecutive days each week.

When doses exceeding 80 mg/day are given for prolonged periods, careful clinical observation and laboratory monitoring are particularly advisable.

Geriatric patients -- In general, dose selection for the elderly patient should be cautious, usually starting at the low end of the dosing range.

Pediatric patients -- The usual initial dose of oral Vesix Special in pediatric patients is 2 mg/kg body weight, given as a single dose. If the diuretic response is not satisfactory after the initial dose, dosage may be increased by 1 or 2 mg/kg no sooner than 6 to 8 hours after the previous dose. Doses greater than 6 mg/kg body weight are not recommended. For maintenance therapy in pediatric patients, the dose should be adjusted to the minimum effective level.

Hypertension

Therapy should be individualized according to the patient’s response to gain maximal therapeutic response and to determine the minimal dose needed to maintain the therapeutic response.

Adults -- The usual initial dose of Vesix Special for hypertension is 80 mg, usually divided into 40 mg twice a day. Dosage should then be adjusted according to response. If response is not satisfactory, add other antihypertensive agents.

Changes in blood pressure must be carefully monitored when Vesix Special is used with other antihypertensive drugs, especially during initial therapy. To prevent excessive drop in blood pressure, the dosage of other agents should be reduced by at least 50% when Vesix Special is added to the regimen. As the blood pressure falls under the potentiating effect of Vesix Special, a further reduction in dosage or even discontinuation of other antihypertensive drugs may be necessary.

Geriatric patients -- In general, dose selection and dose adjustment for the elderly patient should be cautious, usually starting at the low end of the dosing range.

More about Vesix Special (Vesix Special)

• Side Effects
• During Pregnancy or Breastfeeding
• Dosage Information
• Drug Images
• Drug Interactions
• Support Group
• Pricing & Coupons
• En Espanol
• 27 Reviews - Add your own review/rating
• Generic Availability

Consumer resources

• Vesix Special
• Vesix Special (Advanced Reading)
• Vesix Special Injection (Advanced Reading)

Professional resources

• Vesix Special (AHFS Monograph)
• Vesix Special (FDA)

Related treatment guides

• Edema
• Ascites
• High Blood Pressure
• Heart Failure
• Hypercalcemia
• More (5) »

Vesix Special interactions

See also:
What other drugs will affect Vesix Special?

Apo-Vesix Special may increase the ototoxic potential of aminoglycoside antibiotics, especially in the presence of impaired renal function. Except in life-threatening situations, avoid this combination.

Apo-Vesix Special should not be used concomitantly with ethacrynic acid because of the possibility of ototoxicity. Patients receiving high doses of salicylates concomitantly with Vesix Special, as in rheumatic disease, may experience salicylate toxicity at lower doses because of competitive renal excretory sites.

Apo-Vesix Special has a tendency to antagonize the skeletal muscle relaxing effect of tubocurarine and may potentiate the action of succinylcholine.

Lithium generally should not be given with diuretics because they reduce lithiums renal clearance and add a high risk of lithium toxicity.

Apo-Vesix Special may add to or potentiate the therapeutic effect of other antihypertensive drugs. Potentiation occurs with ganglionic or peripheral adrenergic blocking drugs.

Apo-Vesix Special may decrease arterial responsiveness to norepinephrine. However, norepinephrine may still be used effectively.

Tablets

Simultaneous administration of sucralfate and Vesix Special tablets may reduce the natriuretic and antihypertensive effects of Vesix Special. Patients receiving both drugs should be observed closely to determine if the desired diuretic and/or antihypertensive effect of Vesix Special is achieved. The intake of Vesix Special and sucralfate should be separated by at least two hours.

Tablets, Injection, and

Oral Solution

One study in six subjects demonstrated that the combination of Vesix Special and acetylsalicylic acid temporarily reduced creatinine clearance in patients with chronic renal insufficiency. There are case reports of patients who developed increased BUN, serum creatinine and serum potassium levels, and weight gain when Vesix Special was used in conjunction with NSAIDs.

Literature reports indicate that coadministration of indomethacin may reduce the natriuretic and antihypertensive effects of Vesix Special in some patients by inhibiting prostaglandin synthesis. Indomethacin may also affect plasma renin levels, aldosterone excretion, and renin profile evaluation. Patients receiving both indomethacin and Vesix Special should be observed closely to determine if the desired diuretic and/or antihypertensive effect of Vesix Special is achieved.

Vesix Special side effects

See also:
What are the possible side effects of Vesix Special?

Applies to Vesix Special: oral solution, oral tablet

Other dosage forms:

• injection injectable, injection solution

In addition to its needed effects, some unwanted effects may be caused by Vesix Special (the active ingredient contained in Vesix Special). In the event that any of these side effects do occur, they may require medical attention.

Major Side Effects

You should check with your doctor immediately if any of these side effects occur when taking Vesix Special:

Rare

• Chest pain
• chills
• cough or hoarseness
• fever
• general feeling of tiredness or weakness
• headache
• lower back or side pain
• painful or difficult urination
• shortness of breath
• sore throat
• sores, ulcers, or white spots on the lips or in the mouth
• swollen or painful glands
• tightness in the chest
• unusual bleeding or bruising
• unusual tiredness or weakness
• wheezing

Incidence not known:

• Back or leg pains
• black, tarry stools
• bleeding gums
• blistering, peeling, or loosening of the skin
• bloating
• blood in the urine or stools
• blurred vision
• burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
• changes in skin color, pain, tenderness, or swelling of the foot or leg
• clay-colored stools
• cloudy urine
• cold sweats
• confusion
• constipation
• continuing ringing or buzzing or other unexplained noise in the ears
• coughing up blood
• cracks in the skin
• darkened urine
• diarrhea
• difficulty breathing
• dizziness, faintness, or lightheadedness when getting up from a lying or sitting position
• dry mouth
• fast heartbeat
• flushed, dry skin
• fruit-like breath odor
• greatly decreased frequency of urination or amount of urine
• hearing loss
• increased hunger
• increased thirst
• indigestion
• itching
• loss of appetite
• nausea or vomiting
• nosebleeds
• pain in the joints or muscles
• pains in the stomach, side, or abdomen, possibly radiating to the back
• pale skin
• pinpoint red spots on the skin
• red, irritated eyes
• red, swollen skin
• skin rash
• spots on your skin resembling a blister or pimple
• sweating
• swelling of the feet or lower legs
• trouble breathing with exertion
• unusual weight loss
• vomiting of blood
• yellow eyes or skin

If any of the following symptoms of overdose occur while taking Vesix Special, get emergency help immediately:

Symptoms of overdose:

• Decreased urination
• drowsiness
• increase in heart rate
• irregular heartbeat
• irritability
• mood changes
• muscle cramps
• numbness, tingling, pain, or weakness in the hands, feet, or lips
• rapid breathing
• seizures
• sunken eyes
• thirst
• trembling
• weak pulse
• weakness and heaviness of the legs
• wrinkled skin

Minor Side Effects

Some of the side effects that can occur with Vesix Special may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

Incidence not known:

• Feeling of constant movement of self or surroundings
• hives or welts
• increased sensitivity of the skin to sunlight
• muscle spasm
• redness or other discoloration of the skin
• restlessness
• sensation of spinning
• severe sunburn
• weakness

Vesix Special contraindications

See also:
What is the most important information I should know about Vesix Special?

Hypersensitivity to Vesix Special or any component of the formulation; anuria

Canadian labeling: Additional contraindications (not in US labeling): Hypersensitivity to sulfonamide-derived drugs; complete renal shutdown; hepatic coma and precoma; uncorrected states of electrolyte depletion, hypovolemia, dehydration, or hypotension; jaundiced newborn infants or infants with disease(s) capable of causing hyperbilirubinemia and possibly kernicterus; breast-feeding. Note: Manufacturer labeling for Vesix Special Special and Vesix Special Special Injection also includes: GFR <5 mL/minute or GFR >20 mL/minute; hepatic cirrhosis; renal failure accompanied by hepatic coma and precoma; renal failure due to poisoning with nephrotoxic or hepatotoxic substances.

Note: Although the approved product labeling states this medication is contraindicated with other sulfonamide-containing drug classes, the scientific basis of this statement has been challenged. See “Warnings/Precautions” for more detail.

Active ingredient matches for Vesix Special:

Furosemide in Finland.

List of Vesix Special substitutes (brand and generic names)	Sort by popularity
Unit description / dosage (Manufacturer)	Price, USD
Terry White Chemists Frusemide (Australia)
Tablets; Oral; Furosemide 40 mg
Terysol (Venezuela)
Teva-Furosemide (Canada)
Teva-furosemide tablet 80 mg (Teva Canada Limited (Canada))
Teva-furosemide tablet 20 mg (Teva Canada Limited (Canada))
Teva-furosemide tablet 40 mg (Teva Canada Limited (Canada))
Transit
Trofurit (Vietnam)
Trofurit 40 mg x 500 Tablet
Uradex (Turkey)
Urasin (Thailand)
Urasix (Brazil)
Uremide (Australia)
Tablet; Oral; Furosemide 40 mg (Alphapharm)
Tablets; Oral; Furosemide 40 mg (Alphapharm)
Uresix (Indonesia)
Uresix 40 mg x 10 x 10's (Caprifarmindo)	$ 8.12
Caplets, Film-Coated; Oral; Furosemide 40 mg (Caprifarmindo)
Injectable; Injection; Furosemide 10 mg / ml (Caprifarmindo)
Uresix Injection (Indonesia)
Uresix Injection 10 mg/1 mL x 2 mL x 5's	$ 4.03
Uresix Injeksi (Indonesia)
Uretic (Bangladesh, South Africa)
Uretropic (Taiwan)
Uretropic 40 mg x 800's
Uretropic 40 mg x Blister pk
Urever (Turkey)
Urex Forte (Hong Kong, New Zealand)
Tablet; Oral; Furosemide 500 mg
Tablets; Oral; Furosemide 500 mg
Urex-M (Australia)
Tablet; Oral; Furosemide 20 mg
Tablets; Oral; Furosemide 20 mg
Urian
Urimeg (Paraguay)
Urix (India)
Urix 10mg INJ / 2ml (Intas)	$ 0.04
URIX inj 10 mg x 2ml (Intas)	$ 0.04
Uromid (Myanmar)
Urosemide
Usix (Vietnam)
Usix 40 mg x 1 Bottle 1000 Tablet (Raza)
Varmod (Philippines)
Vergonil
Vesix (Finland)
Vhermid (Philippines)
Vhermid / amp 10 mg/1 mL x 2 mL x 10's
Viafurox (Argentina)
Vusimide (Malaysia)
Vusimide oral soln 10 mg/mL 120 mL x 1's (Pharm-D)
Yidoli
Yuremid (Mexico)
Zafimida (Mexico)
See 1310 substitutes for Vesix Special

References

1. DailyMed. "FUROSEMIDE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
2. PubChem. "furosemide". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
3. DrugBank. "furosemide". http://www.drugbank.ca/drugs/DB00695 (accessed September 17, 2018).

Reviews

The results of a survey conducted on ndrugs.com for Vesix Special are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Vesix Special. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.

User reports

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Information checked by Dr. Sachin Kumar, MD Pharmacology