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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Santoshini Reddy G , M Pharmacy
Last Updated Oct 9, 2024 | 12:37 PM IST
Torfree-AL Tablet is a combination medicine used in the treatment of Oedema (swelling) and hypertension (high blood pressure). This medicine contains amiloride and torsemide, which works by reducing the excess fluid levels in the body and thus reduces swelling. Common side effects include dehydration, electrolyte disturbances (calcium, magnesium, and sodium), headache, nausea, or dizziness
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Prescription drug

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Prescription drug
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Manufacturer/Marketer

Oswin Pharmaceuticals

Consume Type

ORAL

Return Policy

Not Returnable

Expires on or after

Apr-26

for this medicine

About Torfree-AL Tablet

Torfree-AL Tablet belongs to a class of medicine called 'diuretics (water pills) primarily used to remove excess water from the body. It also keeps the potassium level in the bloodstream stable and prevents hypertension (high blood pressure caused by oedema/fluid retention). Oedema, also known as fluid overload, occurs due to the build-up of fluid in spaces between the cells. Shortness of breath, chest pain (angina), abnormal heart rhythms (arrhythmia), and swelling in hands or abdominal areas are the symptoms of oedema.

Torfree-AL Tablet is a combination that includes Amiloride and Torsemide. Amiloride and Torsemide are both diuretics that are used to treat resistant oedema (fluid overload) caused by pulmonary hypertension (high blood pressure in the lungs), heart failure, and hepatic cirrhosis (chronic liver damage). Torfree-AL Tablet works by increasing the amount of urine excreted by the kidneys. It effectively treats oedema (swelling) caused by heart, liver, kidney, or lung disease by reducing excess fluid levels in the body. This reduces the workload on the heart and makes it more efficient at pumping blood throughout the body. As a result, it also helps lower high blood pressure, lowering the chances of a future heart attack, stroke, or angina (chest pain).

You can take Torfree-AL Tablet with or without food. Take it preferably during the day to avoid frequent urination at night. Swallow it as a whole with water. It should not be chewed, crushed, or broken. Based on your medical condition, your doctor will advise on how frequently you should take Torfree-AL Tablet . In some cases, you may experience dehydration, electrolyte disturbances (potassium and sodium), headache, nausea, or dizziness. Most of the side effects do not necessitate medical attention and fade away over time. However, if the side effects persist, consult your doctor.

Inform your doctor if you have kidney, liver, or heart disease. Please notify your doctor if you are pregnant or breastfeeding. Inform your doctor if you are taking any other medications or if you are allergic to Torfree-AL Tablet . Torfree-AL Tablet is not recommended for children below 12 years of age. Torfree-AL Tablet may cause drowsiness, so drive with caution. Avoid alcohol intake as it might cause increased drowsiness. Keep your doctor informed about your health condition and medications to rule out any interactions.

Uses of Torfree-AL Tablet

Treatment of Oedema (fluid overload)

Medicinal Benefits

Torfree-AL Tablet is a combination that includes Amiloride and Torsemide. Amiloride and Torsemide are both diuretics that are used to treat resistant oedema (fluid overload) caused by pulmonary hypertension (high blood pressure in the lungs), heart failure, and hepatic cirrhosis (chronic liver damage). Torfree-AL Tablet works by increasing the amount of urine excreted by the kidneys. It effectively treats oedema (swelling) caused by heart, liver, kidney, or lung disease by reducing excess fluid levels in the body. This reduces the workload on the heart and makes it more efficient at pumping blood throughout the body. As a result, it also helps lower high blood pressure, lowering the chances of a future heart attack, stroke, or angina (chest pain).

Directions for Use

Torfree-AL Tablet can be taken orally with or without food, or as directed by a physician. To avoid having to get up to urinate, avoid taking this medication within 4 hours of going to bed. Swallow the tablet as a whole with water; do not crush or chew the tablet. Dosage is determined by your medical condition, age, and treatment response.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Torfree-AL Tablet

  • Dehydration
  • Electrolyte disturbances (potassium and sodium)
  • Increased blood uric acid
  • Headache
  • Nausea
  • Dizziness

Drug Warnings

People who are allergic to Torfree-AL Tablet , have low blood pressure (less than 90 mm of Hg), have had a heart attack, kidney disease (with creatinine clearance less than 30 mL/min), liver disease, should not take Torfree-AL Tablet . Furthermore, it is contraindicated in patients with low blood pressure (hypotension), cardiogenic shock (sudden cessation of blood flow to the heart), and aortic stenosis (heart valve problem). Talk to your doctor before taking Torfree-AL Tablet if you are pregnant or breastfeeding. Before using Torfree-AL Tablet , any electrolyte dehydration and acid-base disturbances must be corrected. Take no additional potassium supplements or potassium-rich foods like bananas and broccoli with Torfree-AL Tablet , as this may result in an excessive increase in blood potassium levels (hyperkalemia). Please take Torfree-AL Tablet at least 4 hours before going to bed to avoid night-time urination.

Drug Interactions

Drug-Drug Interactions: Torfree-AL Tablet may interact with pain killers (e.g. aspirin), osmotic laxatives (e.g. polyethylene glycol), anti-hypertensives (e.g. metoprolol, esomeprazole), and anti-diabetic (e.g. insulin glargine).

Drug-Food Interactions: To avoid unpleasant side effects, it is advised not to consume alcohol while taking Torfree-AL Tablet .

Drug-Disease Interactions: Torfree-AL Tablet may have interaction with disease conditions such as acidosis, ototoxicity (hearing problems), anuria, diabetes, electrolytes/fluid disturbances, hyperkalemia (high levels of potassium), liver disease, and renal dysfunction.

Drug-Drug Interactions Checker List

  • ASPIRIN
  • POLYETHYLENE GLYCOL
  • METOPROLOL
  • ESOMEPRAZOLE
  • INSULIN GLARGINE

Habit Forming

No

Diet & Lifestyle Advise

  • Choose a diet high in whole grains, fruits and vegetables, and low-fat dairy products.
  • Limit your daily sodium chloride (table salt) intake to 2300 mg per day or less than 1500 mg for most adults.
  • If you drink alcohol, limit yourself to one serving for women and two servings for men.
  • Quitting smoking is the most effective way to reduce your risk of heart disease.
  • Include heart-healthy omega 3 fatty acid-containing foods and beverages in your daily diet. To lower your blood pressure, you can also use low-fat cooking oils such as olive oil, soybean oil, canola oil, and coconut oil.

Special Advise

  • Treatment with Torfree-AL Tablet requires regular monitoring of serum potassium, sodium, and creatinine level.
  • If you have diabetes, Torsemide in Torfree-AL Tablet may rarely affect your blood sugar. Check your blood sugar regularly as directed and share the results with your doctor. Your doctor may need to adjust your diabetes medication, exercise program or diet.

Disease/Condition Glossary

Oedema: Oedema, also known as fluid overload, occurs due to the build-up of fluid in spaces between the cells. Shortness of breath, chest pain (angina), abnormal heart rhythms (arrhythmia), and swelling in hands or abdominal areas are the symptoms of oedema.

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Alcohol

Caution

You are recommended not to consume alcohol along with Torfree-AL Tablet to avoid unpleasant side effects.

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Pregnancy

Unsafe

Torfree-AL Tablet must not be taken during pregnancy. Please consult your doctor if you have any concerns.

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Breast Feeding

Unsafe

Breast-feeding must be avoided during treatment with Torfree-AL Tablet . Please consult your doctor if you have any concerns.

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Driving

Caution

It is not recommended to drive after taking Torfree-AL Tablet as it may occasionally cause drowsiness due to orthostatic hypotension (sudden drop in blood pressure on standing from lying position).

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Liver

Caution

Torfree-AL Tablet should be used with caution, particularly if you have a history of liver diseases/conditions. Depending on your current kidney condition, your doctor may adjust your dose.

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Kidney

Caution

Torfree-AL Tablet should be used with caution, particularly if you have a history of kidney diseases/conditions. Depending on your current kidney condition, your doctor may adjust your dose.

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Children

Unsafe

Torfree-AL Tablet is not recommended for children below 12 years of age.

Country of origin

India

Manufacturer/Marketer address

Plot No. 110, B-Wing, 3Rd Floor, Balbir Bhavan, Sector-1, Andheri East, Mumbai - 400069, India
Other Info - TOR0639

Author Details

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FAQs

Torfree-AL Tablet belongs to a class of medicine called 'diuretics (water pills) primarily used to remove excess water from the body. It also keeps the potassium level in the bloodstream stable and prevents hypertension (high blood pressure caused by oedema/fluid retention).
Torfree-AL Tablet works by increasing the amount of urine excreted by the kidneys. It effectively treats oedema (swelling) caused by heart, liver, kidney, or lung disease by reducing excess fluid levels in the body.
Fluid retention or overload is a medical term. Oedema causes swelling in the legs, hands, and other body parts, which raises blood pressure. If it does not go away, please see your doctor right away.
The main side effect of Torfree-AL Tablet is that you pee (urinate) more frequently than usual. Most people need to pee within 30 minutes of taking Torfree-AL Tablet , and then again within a few hours. If you take Torfree-AL Tablet before going to bed, you may have to wake up several times during the night to urinate. To avoid this, take it preferably during the day to avoid frequent urination at night.
Yes, Torfree-AL Tablet has been linked to dehydration (excessive loss of fluids). Dry mouth, decreased urine output, excessive thirst, and hypotension may occur in the patient (decreased blood pressure). As a result, please increase your fluid intake to avoid dehydration.
Yes, Torfree-AL Tablet can cause hyperkalemia (high potassium levels), especially in patients with kidney problems or if you are taking potassium supplements in addition to Torfree-AL Tablet . Please keep an eye on your electrolyte levels regularly to avoid an increase in blood potassium levels.
Torfree-AL Tablet has the potential to cause orthostatic hypotension. This is low blood pressure, which causes dizziness or lightheadedness when you stand up after sitting or lying down. This could be more common when you first start taking this medication. You can avoid this by slowly rising. Consult your doctor if the symptoms persist.

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