Edecrin

Do not use this medication if you are unable to urinate, or if you have recently had severe watery diarrhea.

Before using ethacrynic acid, tell your doctor if you have:

• kidney disease;

• liver disease; or

• gout.

If you have any of these conditions, you may not be able to use ethacrynic acid, or you may need a dosage adjustment or special tests during treatment.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether ethacrynic acid passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor.

Your doctor may occasionally change your dose to make sure you get the best results from this medication.

Ethacrynic acid will make you urinate more often and you may get dehydrated easily. Follow your doctor’s instructions about using potassium supplements or getting enough salt and potassium in your diet.

To be sure this medication is not causing harmful effects, your blood and your weight will need to be checked on a regular basis. Your kidney or liver function may also need to be tested. It is important that you not miss any scheduled visits to your doctor.

Store this medication at room temperature away from heat, light, and moisture.

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

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

Stop using ethacrynic acid and call your doctor at once if you have any of these serious side effects:

• dry mouth, thirst, nausea, vomiting;

• feeling weak, drowsy, restless, or light-headed;

• fast or uneven heartbeat;

• muscle pain or weakness;

• easy bruising or bleeding, unusual weakness;

• fever, chills, body aches, flu symptoms;

• severe or watery diarrhea;

• rapid weight loss;

• hearing loss, feeling of fullness in the ear; or

• nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Continue taking ethacrynic acid and talk with your doctor if you have any of these less serious side effects:

• mild diarrhea, stomach pain, trouble swallowing;

• headache; or

• dizziness.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

Do not use this medication if you are unable to urinate, or if you have recently had severe watery diarrhea.

Before using this medication, tell your doctor if you have kidney disease, liver disease, or gout.

To be sure this medication is not causing harmful effects, your blood and your weight will need to be checked on a regular basis. Your kidney or liver function may also need to be tested. It is important that you not miss any scheduled visits to your doctor.

Ethacrynic acid will make you urinate more often and you may get dehydrated easily. Follow your doctor’s instructions about using potassium supplements or getting enough salt and potassium in your diet.

Avoid becoming dehydrated. Follow your doctor’s instructions about the type and amount of liquids you should drink while you are taking ethacrynic acid.

There are many other medicines that can interact with ethacrynic acid. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

Avoid becoming dehydrated. Follow your doctor’s instructions about the type and amount of liquids you should drink while you are taking ethacrynic acid.

Before taking this medication, tell your doctor if you are using any of the following drugs:

• lithium;

• digoxin (Lanoxin);

• a blood thinner such as warfarin (Coumadin);

• other diuretics, especially furosemide (Lasix) or torsemide (Demadex);

• blood pressure medicines;

• steroids (prednisone and others);

• cancer medicine such as cisplatin (Platinol), carboplatin (Paraplatin), or oxiplatin (Eloxatin);

• a cephalosporin antibiotic such as Ceclor, Ceftin, Duricef, Keflex, Omnicef, Spectracef, and others;

• salicylates such as aspirin, Disalcid, Doan’s Pills, Dolobid, Salflex, Tricosal, and others;

• NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), diclofenac (Voltaren), indomethacin, naproxen (Aleve, Naprosyn), piroxicam (Feldene), nabumetone (Relafen), etodolac (Lodine), and others; or

• amikacin (Amikin), gentamicin (Garamycin), netilmicin (Netromycin), streptomycin, tobramycin (Nebcin, Tobi).

If you are using any of these drugs, you may not be able to use ethacrynic acid, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect ethacrynic acid. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Seek emergency medical attention if you think you have used too much of this medicine. Symptoms of an ethacrynic acid overdose may include ringing in your ears, loss of appetite, weakness, dizziness, confusion, feeling light-headed, or fainting.