Isemid chewable dog 2mg 11,5-23kg 90 tablets | torasemide for dogs

Isemid 2 mg are chewable tablets of torsemide, a loop diuretic, for dogs over 11,5 and up to 23 kg. The box contains 90 tablets (9 blisters of 10) and is used to treat the clinical signs of congestive heart failure, including pulmonary edema.

What is it for

Torsemide is a loop diuretic of the pyridine-3-sulfonylurea class, also known as a high-ceiling diuretic. It is administered orally to dogs with congestive heart failure. It is a veterinary prescription product manufactured by CEVA Animal Health.

How it is used

Once daily, by mouth. Initial and maintenance dose: 0,13 to 0,25 mg of torsemide per kg per day. In moderate or severe pulmonary edema, the dose may be increased, if necessary, to 0,4 mg/kg per day, also in a single dose. Doses of 0,26 mg/kg or higher should only be given for a maximum of 5 days. Number of tablets according to weight (starting dose / high dose):

• 1 mg tablet, 2,5 to 4 kg: ½ / 1
• Over 4 to 6 kg: 1 / 1½
• Over 6 to 8 kg: 1 to 1 / 2 to 2
• Over 8 to 11 kg: 1 to 2 / 2 to 3
• 2 mg tablet, over 11,5 to 15 kg: 1 to 1 / 2
• Over 15 to 23 kg: 1 to 2 / 2 to 3
• 4 mg tablet, over 23 to 30 kg: 1 to 1 / 2
• Over 30 to 40 kg: 1 to 2 / 2 to 3
• Over 40 to 50 kg: 1 to 2 / 3 to 4

Composition and presentation

• Isemid 1 mg (2,5-11,5 kg): torasemide 1 mg per tablet
• Isemid 2 mg (over 11,5 to 23 kg): torsemide 2 mg per tablet
• Isemid 4 mg (over 23 to 60 kg): torsemide 4 mg per tablet
• Each format: box with 9 blisters of 10 tablets
• The remaining portion of a tablet is stored in the blister pack and used in the next dose.

Side Effects and Precautions

It should not be used in cases of renal insufficiency, dehydration, hypovolemia, or hypotension, nor in conjunction with other loop diuretics, or if there is hypersensitivity to the active substance or any of the excipients. It has not been evaluated in dogs weighing less than 2,5 kg. Renal function, hydration, and electrolytes should be monitored before and during treatment at very regular intervals. Use with caution in dogs with diabetes mellitus. Torasemide increases thirst, so the dog should have free access to water. When used with NSAIDs, it may decrease the diuretic response, antagonize oral hypoglycemic agents, increase the risk of sulfonamide allergy, and reduce renal excretion of salicylates. If the dog has acute pulmonary edema requiring emergency care, injectable treatment should be considered before starting oral therapy. Consult your veterinarian before combining this product with any other.

FAQ

How many Isemid 2 mg tablets does my dog ​​need based on his weight?

For children weighing over 11,5 to 15 kg, use 1 to 15 tablets as a starting dose and 2 tablets as a high dose. For children weighing over 1 to 23 kg, use 1 to 2 tablets as a starting dose and 2 to 3 tablets as a high dose. The tablets can be split.

How often is it given and what is the maximum dose allowed?

Once a day. The usual range is 0,13 to 0,25 mg/kg and, in moderate or severe pulmonary edema, it can reach 0,4 mg/kg. From 0,26 mg/kg onwards, the manufacturer limits the regimen to a maximum of 5 days.

What if my dog ​​weighs less than 11,5 kg or more than 23 kg?

There are two other formulations of the same product: Isemid 1 mg for dogs weighing 2,5 to 11,5 kg and Isemid 4 mg for dogs weighing over 23 kg up to 60 kg. Safety and efficacy have not been evaluated in dogs weighing less than 2,5 kg.

What side effects can it have?

Very common: kidney failure, elevated renal function tests, hemoconcentration, and electrolyte imbalances. Common: vomiting and diarrhea, dehydration, polyuria, polydipsia, urinary incontinence, anorexia, weight loss, and lethargy.

Can it be given alongside anti-inflammatories or other heart treatments?

Use with caution. NSAIDs, aminoglycosides, and cephalosporins can increase the risk of kidney and ear problems. Antihypertensive drugs, especially ACE inhibitors, may have a potentiated effect. With digoxin, the drop in potassium levels can promote arrhythmias.

Why is my dog ​​drinking and urinating more while on Isemid?

Torsemide increases thirst and urine production; polyuria and polydipsia are common side effects. Therefore, the dog should always have free access to water, and its hydration should be monitored during treatment.