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bumetanide
generic
Black Box Warnings .
Fluid and Electrolyte Depletion
potent diuretic in excessive amts can cause profound diuresis w/ water/electrolyte depletion; individualize dose and schedule w/ medical supervision
Adult Dosing .
Dosage forms: TAB: 0.5 mg, 1 mg, 2 mg; INJ: various
edema
- [PO route]
- Dose: 0.5-10 mg/day PO divided qd-bid; Start: 0.5-2 mg PO qd, repeat q4-5h until response obtained; Max: 10 mg/day; Info: for pts w/ CHF, hepatic dz or renal dz; maint. doses may be given intermittently
- [IM/IV route]
- Dose: 0.5-10 mg/day IM/IV divided qd-bid; Start: 0.5-1 mg IM/IV over 2min, repeat q2-3h until response obtained; Max: 10 mg/day; Info: for pts w/ CHF, hepatic dz or renal dz
hypercalcemia (off-label)
- [1-2 mg IV q1-4h]
- Info: give w/ saline to maintain urine output of 200-250 mL/h
HTN (off-label)
- [0.5-2 mg/day PO divided qd-bid]
- Start: 0.5 mg PO qd; Max: 4 mg/day
renal dosing
- [see below]
- anuria: contraindicated
- HD/PD: no adjustment; no supplement
hepatic dosing
- [see below]
- cirrhosis/ascites: not defined, caution advised; hepatic coma: contraindicated
Peds Dosing .
- Dosage forms: TAB: 0.5 mg, 1 mg, 2 mg; INJ: various
edema (off-label)
- [0-6 mo]
- Dose: 0.01-0.05 mg/kg/dose PO/IM/IV q24-48h; Info: for pts w/ CHF
- [>6 mo]
- Dose: 0.015-0.1 mg/kg/dose PO/IM/IV q24-48h; Max: 10 mg/day; Info: for pts w/ CHF
renal dosing
- [see below]
- anuria: contraindicated
- HD: not defined; PD: no adjustment; no supplement
hepatic dosing
- [not defined]
- hepatic impairment: consider adult hepatic dosing for guidance