ethacrynic acid
Generic Name: ethacrynic acid (eh tha KRIN ik AS sid)
Brand Names: Edecrin
What is ethacrynic acid?
Ethacrynic acid is a loop diuretic (water pill) that prevents your body from absorbing too
much salt, allowing the salt to instead be passed in your urine.
Ethacrynic acid treats fluid retention (edema) in people with congestive heart failure, liver
disease, or a kidney disorder such as nephrotic syndrome.
Ethacrynic acid may also be used for purposes other than those listed in this medication
guide.
What is the most important information I should know about ethacrynic
acid?
Do not use this medication if you are unable to urinate, or if you have recently had
severe watery diarrhea.
Before using this medication, tell your doctor if you have kidney disease, liver disease, or
gout.
To be sure this medication is not causing harmful effects, your blood and your weight will
need to be checked on a regular basis. Your kidney or liver function may also need to be tested.
It is important that you not miss any scheduled visits to your doctor.
Ethacrynic acid will make you urinate more often and you may get dehydrated easily.
Follow your doctor's instructions about using potassium supplements or getting enough salt and
potassium in your diet.
Avoid becoming dehydrated. Follow your doctor's instructions about the type and
amount of liquids you should drink while you are taking ethacrynic acid.
There are many other medicines that can interact with ethacrynic acid. Tell your doctor
about all the prescription and over-the-counter medications you use. This includes vitamins,
minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new
medication without telling your doctor. Keep a list with you of all the medicines you use and
show this list to any doctor or other healthcare provider who treats you.
What should I discuss with my healthcare provider before taking ethacrynic
acid?
Do not use this medication if you are unable to urinate, or if you have recently had
severe watery diarrhea.
Before using ethacrynic acid, tell your doctor if you have:
-
kidney disease;
-
liver disease; or
-
gout.
If you have any of these conditions, you may not be able to use
ethacrynic acid, or you may need a dosage adjustment or special tests during treatment.
FDA pregnancy category B. This medication is not expected to be harmful to an
unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.
It is not known whether ethacrynic acid passes into breast milk or if it could harm a
nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a
baby.
How should I take ethacrynic acid?
Take this medication exactly as it was prescribed for you. Do not take the medication in
larger amounts, or take it for longer than recommended by your doctor.
Your doctor may occasionally change your dose to make sure you get the best results from
this medication.
Ethacrynic acid will make you urinate more often and you may get dehydrated easily.
Follow your doctor's instructions about using potassium supplements or getting enough salt and
potassium in your diet.
To be sure this medication is not causing harmful effects, your blood and your weight will
need to be checked on a regular basis. Your kidney or liver function may also need to be tested.
It is important that you not miss any scheduled visits to your doctor.
Store this medication at room temperature away from heat, light, and moisture.
What happens if I miss a dose?
Take the missed dose as soon as you remember. If it is almost time for your next dose,
skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this
medicine. Symptoms of an ethacrynic acid overdose may include ringing in your ears, loss of
appetite, weakness, dizziness, confusion, feeling light-headed, or fainting.
What should I avoid while taking ethacrynic acid?
Avoid becoming dehydrated. Follow your doctor's instructions about the type and
amount of liquids you should drink while you are taking ethacrynic acid.
What are the possible side effects of ethacrynic acid
Get emergency medical help if you have any of these signs of an allergic
reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Stop using ethacrynic acid and call your doctor at once if you have any of these
serious side effects:
-
dry mouth, thirst, nausea, vomiting;
-
feeling weak, drowsy, restless, or light-headed;
-
fast or uneven heartbeat;
-
muscle pain or weakness;
-
easy bruising or bleeding, unusual weakness;
-
fever, chills, body aches, flu symptoms;
-
severe or watery diarrhea;
-
rapid weight loss;
-
hearing loss, feeling of fullness in the ear; or
-
nausea, stomach pain, low fever, loss of appetite, dark
urine, clay-colored stools, jaundice (yellowing of the skin or eyes).
Continue taking ethacrynic acid and talk with your doctor if you have
any of these less serious side effects:
Side effects other than those listed here may also occur. Talk to your
doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect ethacrynic acid?
Before taking this medication, tell your doctor if you are using any of the following drugs:
-
lithium;
-
digoxin (Lanoxin);
-
a blood thinner such as warfarin (Coumadin);
-
other diuretics, especially furosemide (Lasix) or torsemide
(Demadex);
-
blood pressure medicines;
-
steroids (prednisone and others);
-
cancer medicine such as cisplatin (Platinol), carboplatin
(Paraplatin), or oxiplatin (Eloxatin);
-
a cephalosporin antibiotic such as Ceclor, Ceftin, Duricef,
Keflex, Omnicef, Spectracef, and others;
-
salicylates such as aspirin, Disalcid, Doan's Pills, Dolobid,
Salflex, Tricosal, and others;
-
NSAIDs (non-steroidal anti-inflammatory drugs) such as
ibuprofen (Motrin, Advil), diclofenac (Voltaren), indomethacin, naproxen (Aleve, Naprosyn),
piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others; or
-
amikacin (Amikin), gentamicin (Garamycin), netilmicin
(Netromycin), streptomycin, tobramycin (Nebcin, Tobi).
If you are using any of these drugs, you may not be able to use
ethacrynic acid, or you may need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect ethacrynic acid. Tell your doctor about
all the prescription and over-the-counter medications you use. This includes vitamins, minerals,
herbal products, and drugs prescribed by other doctors. Do not start using a new medication
without telling your doctor.
Where can I get more information?
-
Your pharmacist has additional information about ethacrynic acid written for health
professionals that you may read.
What does my medication look like?
Ethacrynic acid is available with a prescription under the brand name Edecrin. Other
brand or generic formulations may also be available. Ask your pharmacist any questions you
have about this medication, especially if it is new to you.
-
Edecrin 25 mg--capsule-shaped, white, scored tablets
-
Edecrin 50 mg--capsule-shaped, green, scored tablets
-
Remember, keep this and all other medicines out of the reach of children, never share
your medicines with others, and use this medication only for the indication prescribed.
- Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate,
up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum
information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not
warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does
not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist
licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not
a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or
drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any
given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information
Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug
interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse
or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 7.01. Revision Date: 6/2/06 2:02:43 PM.
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