WARNING

Furoscix is a subcutaneous infusion of furosemide, a diuretic used to manage fluid overload in patients with heart failure. While it offers convenience compared to traditional intravenous administration, there are still risks associated with its use:

• Infection: Any time a catheter is inserted into the body, there’s a risk of infection at the insertion site.
• Skin Irritation: Continuous infusion can cause skin irritation or breakdown at the infusion site.
• Fluid and Electrolyte Imbalance: Furosemide is a potent diuretic that can lead to electrolyte imbalances, particularly low levels of potassium, sodium, and magnesium, which can have serious health consequences.
• Hypotension: Excessive fluid loss can lead to low blood pressure, which may result in dizziness, fainting, or falls.
• Kidney Dysfunction: Furosemide can impair kidney function, particularly in patients with pre-existing kidney disease or dehydration.
• Allergic Reactions: Although rare, allergic reactions to furosemide can occur, ranging from mild rashes to severe anaphylaxis.
• Drug Interactions: Furosemide can interact with other medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and certain antibiotics, potentially leading to adverse effects or reduced efficacy of either drug.

It’s essential for healthcare providers to carefully monitor patients receiving Furoscix for these potential risks and to adjust treatment as needed to minimize adverse effects.

Why is this medication prescribed?

Furoscix is a prescription medication primarily used for the treatment of fluid retention (edema) in patients with congestive heart failure (CHF). It is a subcutaneous infusion of furosemide, a loop diuretic, which helps the body eliminate excess fluid by increasing urine production. Furoscix is typically prescribed when oral diuretics are not effective or when a patient is unable to take oral medications.

The main advantage of Furoscix is that it allows for outpatient treatment of fluid overload, potentially reducing the need for hospitalizations due to CHF exacerbations.

How should this medicine be used?

Furoscix should be used according to the following general guidelines:

• Administration: Furoscix is administered as a subcutaneous infusion, meaning it is delivered under the skin using a small, wearable pump. The pump is typically attached to the patient’s abdomen, thigh, or upper arm.
• Preparation: Before starting Furoscix therapy, healthcare providers will assess the patient’s condition and determine the appropriate dosage and duration of treatment. They will also provide instructions on how to set up and use the Furoscix pump.
• Placement of the Pump: The pump should be placed in a comfortable and convenient location on the body, as instructed by the healthcare provider. The infusion site should be clean and dry, and the pump should be securely attached to the skin using the provided adhesive.
• Programming: The pump is pre-programmed to deliver a continuous infusion of furosemide over a 24-hour period. Healthcare providers will set the pump to the prescribed dosage and infusion rate based on the patient’s needs.
• Monitoring: Patients using Furoscix should monitor their weight, fluid intake, and symptoms regularly as directed by their healthcare provider. They should also keep track of any changes in their condition and report them to their healthcare provider promptly.
• Care of the Pump: Patients should follow the manufacturer’s instructions for caring for the Furoscix pump, including proper cleaning and maintenance. They should also be aware of how to recognize and respond to any pump-related issues or alarms.
• Discontinuation: Furoscix therapy should only be discontinued under the guidance of a healthcare provider. Patients should not stop using the medication or remove the pump without consulting their healthcare provider first.

It’s essential for patients using Furoscix to follow their healthcare provider’s instructions carefully and to communicate any concerns or difficulties with the treatment. Additionally, patients should receive thorough training on how to use the Furoscix pump and should feel comfortable asking questions or seeking assistance if needed.

Other uses for this medicine

Other uses for Furoscix beyond its primary indication for treating fluid retention in congestive heart failure are limited. Its use is generally focused on managing fluid overload in CHF patients who are unresponsive to oral diuretics or who have difficulty taking oral medications. Off-label use of Furoscix may be considered in certain situations under the guidance of a healthcare provider, but it’s essential to discuss any alternative uses with a qualified medical professional.

What special precautions should I follow?

Special precautions should be followed when using Furoscix:

• Monitoring: Regular monitoring of electrolyte levels (especially potassium, sodium, and magnesium), kidney function, blood pressure, and fluid status is crucial to ensure the safe and effective use of Furoscix.
• Dosage Adjustment: Dosage adjustments may be necessary for patients with impaired kidney function, as they may be more susceptible to electrolyte imbalances and other adverse effects.
• Fluid and Electrolyte Balance: Patients should be advised to maintain adequate fluid intake and to avoid excessive consumption of foods high in potassium or sodium, as these can affect electrolyte balance.
• Drug Interactions: Patients should inform their healthcare provider about all medications, supplements, and herbal remedies they are taking, as certain drugs may interact with furosemide, leading to potential adverse effects or reduced efficacy.
• Allergic Reactions: Patients should be aware of signs of allergic reactions, such as rash, itching, swelling, or difficulty breathing, and seek medical attention if they occur.
• Pregnancy and Breastfeeding: Furosemide should be used with caution during pregnancy and breastfeeding, as it may pass into breast milk and could potentially harm the fetus or nursing infant. The potential risks and benefits should be carefully weighed with the healthcare provider.
• Elderly Patients: Elderly patients may be more susceptible to the effects of diuretic therapy, including electrolyte imbalances and dehydration. Close monitoring and dosage adjustments may be necessary.

It’s important for patients to adhere to their healthcare provider’s recommendations and to report any concerns or side effects experienced while taking Furoscix.

What special dietary instructions should I follow?

• Potassium and Sodium Intake: Depending on your specific medical condition and individual needs, your healthcare provider may recommend limiting or monitoring your intake of foods high in potassium or sodium to help maintain electrolyte balance.

What should I do if I forget a dose?

• Take it as soon as you remember: If it’s close to the time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule.
• Do not double up: Do not take a double dose to make up for a missed one, as this can increase the risk of side effects and complications.
• Notify your healthcare provider: If you frequently forget doses or have difficulty adhering to the prescribed schedule, discuss this with your healthcare provider for further guidance. They may provide strategies to help you remember your medication.

What side effects can this medication cause?

Furoscix, like any medication, can cause side effects. Common side effects may include:

• Electrolyte Imbalance: Furosemide, the active ingredient in Furoscix, is a potent diuretic that can lead to electrolyte imbalances, such as low levels of potassium, sodium, and magnesium. Symptoms of electrolyte imbalance may include muscle cramps, weakness, irregular heartbeat, and fatigue.
• Dehydration: Excessive fluid loss due to diuresis can lead to dehydration, which may manifest as increased thirst, dry mouth, dark urine, and dizziness.
• Hypotension: Furoscix can cause low blood pressure, leading to symptoms such as dizziness, lightheadedness, fainting, or feeling weak.
• Kidney Dysfunction: Furosemide can impair kidney function, particularly in patients with pre-existing kidney disease or dehydration.
• Skin Irritation: Continuous infusion of Furoscix may cause skin irritation or breakdown at the infusion site.
• Allergic Reactions: Although rare, allergic reactions to furosemide can occur, presenting as rash, itching, swelling, or difficulty breathing. Severe allergic reactions such as anaphylaxis require immediate medical attention.
• Gastrointestinal Issues: Some patients may experience gastrointestinal side effects such as nausea, vomiting, diarrhea, or abdominal pain.
• Hypokalemia: Low potassium levels (hypokalemia) can occur with Furoscix use, leading to symptoms such as muscle weakness, cramps, or irregular heartbeat.
• Ototoxicity: In rare cases, furosemide can cause ototoxicity, which may manifest as ringing in the ears (tinnitus) or hearing loss.

It’s important to report any side effects experienced while taking Furoscix to your healthcare provider. They can assess the severity of the side effects and provide guidance on managing them effectively. Additionally, some side effects may require medical attention or adjustments to your treatment regimen.

What should I know about storage and disposal of this medication?

Regarding storage and disposal of Furoscix, here’s what you should know:

• Storage: Store Furoscix infusion systems at room temperature (between 20-25°C or 68-77°F). Avoid exposure to excessive heat or direct sunlight. Do not freeze. Keep the medication out of reach of children and pets.
• Disposal: Dispose of used Furoscix infusion systems properly according to local regulations. Follow specific instructions provided by your healthcare provider or pharmacist. Do not reuse infusion systems.

In case of emergency/overdose

In case of emergency or overdose, seek immediate medical attention or contact your local poison control center. Symptoms of overdose may include severe dehydration, electrolyte imbalances, hypotension, and kidney dysfunction. Do not attempt to treat an overdose on your own.

What other information should I know?

• Inform all healthcare providers involved in your care that you are using Furoscix, as it may interact with other medications or treatments.
• Attend all scheduled follow-up appointments with your healthcare provider for monitoring of your condition and response to treatment.
• Carry identification indicating that you are receiving subcutaneous furosemide infusion in case of emergency situations.
• Be aware of the signs and symptoms of electrolyte imbalances, dehydration, and other potential side effects, and report any concerns to your healthcare provider promptly.
• Follow the instructions provided by your healthcare provider for using the infusion pump and changing infusion sites.
• Keep a record of your daily fluid intake, weight, and symptoms to monitor your response to treatment.

It’s essential to follow these guidelines carefully to ensure the safe and effective use of Furoscix and to minimize the risk of adverse effects or complications. If you have any questions or concerns about your medication, don’t hesitate to discuss them with your healthcare provider or pharmacist.