Loop diuretics

Compare the named medicines in this source-linked class directory.

Membership describes a named action or a component of a combination. A medicine may appear in several families. Medicines in one family are not automatically interchangeable; this is a study directory, not a prescribing guide.

Furosemide
Torsemide
Bumetanide

Generic names and pronunciation

Furosemide · fyoo-ROE-se-mide
Torsemide · TORE-se-mide
Bumetanide · byoo-MET-a-nide

Pronunciation is shown for the US English generic name.

Body system and related classes

Body system: Cardiovascular

How each medicine works

Furosemide — Inhibits sodium and chloride reabsorption in the loop of Henle and the proximal and distal tubules.
Torsemide — Animal micropuncture studies show inhibition of the Na+/K+/2Cl− carrier from the lumen of the thick ascending loop of Henle, producing diuresis.
Bumetanide — Loop diuretic; inhibits sodium and chloride reabsorption in the ascending limb of the loop of Henle.

Each summary is the mechanism line from the medicine’s study card.

What each medicine is used for

Furosemide — Edema associated with congestive heart failure, hepatic cirrhosis or renal disease in adults and children; Hypertension in adults, alone or with other antihypertensive medicines
Torsemide — Edema (heart failure, renal or hepatic disease); Hypertension
Bumetanide — Edema associated with congestive heart failure in adults; Edema associated with hepatic disease in adults; Edema associated with renal disease, including nephrotic syndrome, in adults

Each list is the uses line from the medicine’s study card.

Telling these medicines apart

Medicines in this class: 3

Listed on more than one card in this class

Common side effects

Nausea · 2/3: Furosemide, Bumetanide

Dizziness · 2/3: Furosemide, Bumetanide

Hypotension · 2/3: Torsemide, Bumetanide

Warnings

Ototoxicity · 2/3: Furosemide, Torsemide

Interactions

Lithium · 2/3: Furosemide, Torsemide

Boxed warning

1/3: Bumetanide

Listed on only one card in this class

Furosemide: Common side effects — Anorexia; Photosensitivity · Warnings — Fluid and electrolyte depletion; Hepatic coma in cirrhosis · Interactions — Aminoglycosides (ototoxicity); High-dose salicylates

Torsemide: Common side effects — Excessive urination; Electrolyte abnormalities · Warnings — Hypotension / worsening renal function; Electrolyte and metabolic abnormalities · Interactions — NSAIDs; CYP2C9 substrates (warfarin, phenytoin)

Bumetanide: Common side effects — Muscle cramps; Headache · Warnings — Contraindicated in anuria; Hepatic coma, severe electrolyte depletion; Serious skin reactions (SJS/TEN)

An item counts as shared only when both cards use the same wording. If a card does not list an item, that is not a statement that the effect never occurs.