ravi udawat MBBS , General Physician

No, Torvel does not cause kidney damage, in fact, it helps in managing edema resulting from kidney disease, heart disease, and lung disease. In comparison to furosemide, Torvel has a longer duration of action and doesn't get accumulated in the renal failure.  

Dr. Ashish Mishra MBBS , Pathology

Yes, an overdose of Torvel is associated with hypokalemia. It is a condition in which the blood potassium levels are too low. Symptoms are muscle fatigue, muscle cramps and feeling weak. Low potassium levels can lead to a heart problem. Therefore, if you are taking a loop diuretic, talk to your doctor about preventing hypokalemia. In addition, follow the dosing schedule prescribed by your doctor. 

Dr. Uday Nath Sahoo MBBS , Internal Medicine

Yes, Torvel can be used with lasix (furosemide). Both are loop diuretics, however, furosemide has a shorter half-life than Torvel. The long-acting Torvel, when added to lasix, can produce better clinical outcomes. It is also advisable to pair Torvel with a potassium-sparing diuretic like spironolactone because while Torvel may lead to potassium loss, spironolactone will retain potassium in the body. 

Dr. Bharat MBBS , General Physician

Rarely, Torvel might cause gout. It is an uncommon side effect of this drug. Torvel increase the concentration of uric acid in the blood by increasing its absorption from the kidneys that causes gout. However, if you are experiencing severe gout after taking medicine then inform your doctor they might change your medication or alter the dose of this drug.

Dr. Sameer Awadhiya MBBS , Pediatrics

No, Torvel is not potassium sparing. Rather, it is a loop diuretic that removes excess of water and electrolytes like potassium from the body. One may need to eat potassium-rich foods or a potassium supplement while one uses Torvel. Spironolactone is a potassium-sparing diuretic which prevents the loss of potassium from the body.