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treatment of edema associated with
heart failure or kidney disease
√ Slow drug release
√ No excessive urination
• Low co-pay • Covered by most insurance plans • Fixed monthly cost
Get a free 30-day supply from our mail order pharmacy
Specially formulated for patients whose bladder symptoms get worse with the use of a loop diuretic; or have
symptoms of worsening heart failure
problem of excessive urination
Duration of action 6-8 hours
May help with incidences of hypokalemia
May reduce excessive urination
Benefits of SOAANZ
Highlights Of Prescribing Information
These highlights do not include all the information needed to use SOAANZ® safely and effectively. See full prescribing information for SOAANZ.
SOAANZ (torsemide) tablets, for oral use
INDICATIONS AND USAGE
SOAANZ is a loop diuretic indicated in adults for the treatment of edema associated with heart failure or renal disease. (1)
DOSAGE AND ADMINISTRATION
The recommended initial dose is 20 mg orally once daily. Titrate dose by approximately doubling until desired diuretic response is obtained. Doses above 200 mg have not been studied.(2)
DOSAGE FORMS AND STRENGTHS
Tablets: 20 mg, 40 mg and 60 mg (3)
Hypersensitivity to SOAANZ, anuria, and hepatic coma. (4)
WARNINGS AND PRECAUTIONS
Hypotension and worsening renal function: monitor volume status and renal function periodically (5.1)
Electrolyte and metabolic abnormalities: monitor serum electrolytes and blood glucose periodically. (5.2)
Ototoxicity (5.3, 7.6)
Discontinuation of therapy due to adverse reactions occurred in 6% of patients treated with SOAANZ (6.1).
To report SUSPECTED ADVERSE REACTIONS, contact Sarfez Pharmaceuticals Inc. at 1-703-627-1934 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Non-steroidal anti-inflammatory drugs (NSAIDs): Reduced diuretic, natriuretic, and antihypertensive effects; risk of renal impairment. (7.1)
CYP2C9: Concomitant use with CYP2C9 inhibitors can decrease torsemide clearance. Torsemide may affect the efficacy and safety of sensitive CYP2C9 substrates or of substrates with a narrow therapeutic range, such as warfarin or phenytoin. (7.2)
Cholestyramine: Decreased exposure of SOAANZ. (7.3)
Organic anion drugs: may decrease diuretic activity of SOAANZ. (7.4)
Lithium: Risk of lithium toxicity. (7.5)
Renin-angiotensin inhibitors: Increased risk of hypotension and renal impairment. (7.7)
Radiocontrast agents: Increased risk of renal toxicity. (7.8)
Corticosteroids and ACTH: Increased risk of hypokalemia. (7.9)
PATIENT COUNSELING INFORMATION
Symptomatic Hypotension: Advise patients receiving SOAANZ that lightheadedness can occur, especially during the first days of therapy, and that it should be reported to the prescribing physician. Patients should be told that if syncope occurs, SOAANZ should be discontinued until the physician has been consulted.
All patients should be cautioned that inadequate fluid intake, excessive perspiration, diarrhea, or vomiting can lead to an excessive fall in blood pressure, with the same consequences of lightheadedness and possible syncope [see Warnings and Precautions (5.1)].
Non-Steroidal Anti-inflammatory Drugs (NSAID): Advise patients to discuss with their physician before taking NSAID medications concomitantly [see Drug Interactions (7.1)].
SARFEZ and SOAANZ are registered trademarks of Sarfez. Any other trademarks are the property of their respective owners.
Sarfez Pharmaceuticals Inc.
Vienna, VA 22182
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