Soaanz

Soaanz is a loop diuretic (water pill) that treats fluid retention (edema) in people with heart failure, liver disease, or kidney disease.

Soaanz is also used to treat high blood pressure (hypertension). Lowering blood pressure may reduce your risk of a stroke or heart attack.

Soaanz may also be used for reasons not mentioned in this medication guide.

Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may change your dose from time to time. Use the medicine exactly as instructed.

Soaanz oral is taken by mouth.

Soaanz injection is given as an infusion into a vein. A healthcare provider may show you how to use the medication yourself. This injection can be given either as a slow infusion over 2 minutes or as a continuous (around the clock) infusion.

If you have cirrhosis or other liver problems, you may receive your first injection in a hospital or clinic to quickly manage any serious side effects.

Read and carefully follow any Instructions for Use that come with your medicine. Ask your doctor or pharmacist if you do not understand any instructions.

Prepare an injection only when you are ready to give it. Do not use if the medicine has changed colors or has particles in it. Call your pharmacist for a replacement.

You may take Soaanz with or without food.

Your blood pressure will need to be checked regularly, and you may need other medical tests. Your blood and urine may both be tested if you have been vomiting or are dehydrated.

Some things can cause your blood pressure to become too low. This includes vomiting, diarrhea, or heavy sweating. Call your doctor if you are sick with vomiting or diarrhea.

Your condition may be treated with a combination of medications. Use all medications as directed by your doctor. Do not change your doses or medication schedule without your doctor's advice.

If you have high blood pressure, keep taking Soaanz oral even if you feel fine. High blood pressure often does not have symptoms. You may need to use blood pressure medicine for the rest of your life.

Store at room temperature away from moisture and heat.

You should not use Soaanz if you are allergic to sulfa drugs or if you cannot urinate.

You should not use Soaanz if you are allergic to it, or if:

• you are unable to urinate; or
• you are allergic to an oral diabetes medicine.

Tell your doctor if you have ever had:

• heart disease;
• kidney problems (unless you are taking Soaanz for edema related to kidney disease);
• liver problems such as cirrhosis or hepatitis (unless you are taking Soaanz for edema related to liver disease);
• gout;
• an allergy to povidone (sometimes found in iodine, Betadine); or
• if you are on a low-salt diet.

If you need to have any type of x-ray or CT scan using a dye that is injected into your veins, tell your caregivers that you currently take Soaanz.

Tell your doctor if you are pregnant or plan to become pregnant. It is not known whether Soaanz will harm an unborn baby. However, having high blood pressure during pregnancy may cause complications such as diabetes or eclampsia (dangerously high blood pressure that can lead to medical problems for both mother and baby). The benefit of treating hypertension may outweigh any risks to the baby.

It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.

Soaanz is not approved for use by anyone younger than 18 years old.

Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor right away if you have:

• a light-headed feeling, like you might pass out;
• ringing in your ears, sudden hearing loss;
• kidney problems--little or no urination, painful or difficult urination, swelling in your feet or ankles, feeling tired or short of breath;
• low magnesium level--dizziness, irregular heartbeats, feeling jittery, muscle cramps, muscle spasms, cough or choking feeling;
• low potassium level--leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination, numbness or tingling, muscle weakness or limp feeling; or
• low sodium level--headache, confusion, slurred speech, severe weakness, vomiting, loss of coordination, feeling unsteady.

Common side effects of Soaanz may include:

• increased urination; or
• headache.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Take the medicine as soon as you can, but skip the missed dose if it is nearly time for your next dose. Do not take two doses at the same time.

Call your doctor for instructions if you miss a dose of Soaanz injection.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include dehydration, an electrolyte imbalance (such as low levels of potassium, magnesium, or sodium in your blood), or low blood pressure and fainting.

Avoid becoming overheated or dehydrated during exercise, in hot weather, or by not drinking enough fluids. Follow your doctor's instructions about the type and amount of liquids you should drink. In some cases, drinking too much liquid can be as unsafe as not drinking enough.

Tell your doctor about all your current medicines. Many drugs can affect Soaanz, especially:

• any other diuretic medicine;
• cholestyramine, lithium, phenytoin, probenecid, rifampin, warfarin (Coumadin, Jantoven);
• an intravenous (IV) antibiotic medicine;
• antifungal medicine--fluconazole, miconazole;
• heart or blood pressure medicine--amiodarone, dronedarone, enalapril, irbesartan, lisinopril, losartan, olmesartan, valsartan, and others;
• NSAIDs (nonsteroidal anti-inflammatory drugs)--ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others;
• salicylates--aspirin, Nuprin Backache Caplet, Kaopectate, KneeRelief, Pamprin Cramp Formula, Pepto-Bismol, Tricosal, Trilisate, and others; or
• steroid medicine--dexamethasone, oxandrolone, prednisone, and others.

This list is not complete and many other drugs may affect Soaanz. This includes prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.

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