Furosemide Accord

Furosemide Accord helps your body get rid of extra water, which can relieve swelling and other symptoms caused by too much fluid.

Form
injektio-/infuusioneste, liuos
Strength
10 mg/ml
Active Ingredient
Furosemide
Manufacturer
Accord Healthcare B.V.

How to Use

Dosage

For adults, the usual starting dose is 20-40 mg. For children, it's 0.5-1 mg per kg of body weight per day. For older adults, the starting dose is 20 mg per day. Your doctor will decide your exact dose based on your age, weight, and condition.

Method

Furosemide Accord is given as a slow injection into a vein (intravenously) or, in special cases, into a muscle (intramuscularly). The injection speed should not be more than 4 mg per minute. It should never be mixed with other medicines in the same syringe.

Important

The maximum daily dose for adults is 1500 mg. For children, the maximum daily dose is 20 mg.

Possible Side Effects

COMMON
  • Increased thirst, headache, dizziness, fainting, confusion, muscle or joint pain, muscle weakness, cramps, stomach problems, irregular heartbeat. These can be signs of dehydration or changes in body chemicals, which could lead to thicker blood or blood clots.
  • Worsening liver disease in people with existing liver problems, with symptoms like memory loss, seizures, mood changes, and coma.
  • Gout caused by high uric acid in the blood, leading to painful joint inflammation.
  • Increased urination (peeing more than usual), typically 1-2 hours after taking the medicine.
RARE
  • Skin reactions like rashes, itching, blistering, peeling skin, or being extra sensitive to sunlight.
  • Hearing problems, including ringing in the ears (tinnitus) or deafness, which can sometimes be permanent.
  • Tingling or numbness in the skin.
  • Nausea, vomiting, or diarrhea.
  • Fever or feeling generally unwell.
  • Changes in blood counts, which can lead to easy bruising, more infections, pale skin, or feeling weak and tired (anemia).
  • Severe stomach or back pain (could be pancreas inflammation).
  • Allergic reactions like trouble breathing, swelling, dizziness, cold sweat, pale skin, fast heartbeat, or fainting.
  • Blood vessel inflammation (vasculitis), with symptoms like loss of appetite, weight loss, aches, and pain.
  • Kidney issues: kidney inflammation with blood in urine, fever, side pain, trouble passing urine, too much calcium in kidneys, or kidney stones.
  • Very serious skin reactions: widespread rash with high fever, swollen lymph nodes, or severe blisters and peeling skin (like Stevens-Johnson syndrome).
  • Blood clots: sudden shortness of breath, chest pain, swollen or painful arms/legs, redness, or sudden vision changes.
  • Muscle problems: weakness, tenderness, or pain, feeling unwell, high fever (a serious muscle condition called rhabdomyolysis).
  • Pain at the injection site.
  • Worsening of a disease called Systemic Lupus Erythematosus (SLE).
  • Liver issues: difficulty controlling blood sugar for people with diabetes, blocked bile flow (jaundice, dark urine), or increased liver enzymes.

Important Warnings

  • Do not use if you are allergic to furosemide, sulfonamide antibiotics, or any other ingredients.
  • Do not use if you are severely dehydrated or cannot produce urine due to kidney failure.
  • Do not use if you have very low potassium or sodium levels in your blood.
  • Do not use if you are breastfeeding or in a coma due to liver problems.
  • Tell your doctor if you have difficulty urinating, diabetes, low blood pressure, gout, or specific kidney or liver diseases.
Show 2 more warnings
  • Avoid driving or operating machinery as this medicine may make you less alert.
  • If you are pregnant, use only if your doctor says it is absolutely necessary.

Use in Elderly Patients

Category A

Suitable for older adults. Consider possibility of orthostatic hypotension and electrolyte disturbances. (updated 19.5.2025)