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What is Bumex?

Bumex (bumetanide) is used to treat edema (fluid retention; excess fluid held in body tissues) caused by various medical problems, including heart, kidney, and liver disease. Bumetanide is in a class of medications called diuretics ('water pills'). It works by causing the kidneys to get rid of unneeded water and salt from the body into the urine.

Bumetanide comes as a tablet to take by mouth. It usually is taken once a day. When used to treat edema, a second or third dose may be given every 4 to 5 hours depending on the amount of swelling. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take bumetanide exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Bumetanide controls edema but does not cure it. Continue to take bumetanide even if you feel well. Do not stop taking bumetanide without talking to your doctor.

Bumetanide is also sometimes used to treat high blood pressure. Talk to your doctor about the risks of using this medication for your condition.

This medicine is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

• Tell your doctor and pharmacist if you are allergic to bumetanide, sulfonamide medications, any other medications, or any ingredients in bumetanide tablets. Ask your pharmacist or check the patient information for a list of the ingredients.
• Tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: medications for high blood pressure; aminoglycoside antibiotics such as amikacin, gentamicin (Garamycin), or tobramycin (Bethkis, Tobi); corticosteroids (e.g., prednisone), digoxin (Lanoxin); indomethacin (Indocin, Tivorbex); lithium (Lithobid), and probenecid (Probalan, Probenemid). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• Tell your doctor if you have kidney disease. Your doctor may tell you not to take bumetanide.
• Tell your doctor if you have or have ever had diabetes, or heart, or liver disease.
• Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. Do not breast-feed while taking this medicine. If you become pregnant while taking bumetanide, call your doctor.
• If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking bumetanide

Tell your doctor if any of these symptoms are severe or do not go away:

• frequent urination
• dizziness
• upset stomach
• diarrhea

Some side effects can be serious. If you have any of these symptoms call your doctor immediately or get emergency medical treatment::

• ringing in ears
• loss of hearing
• unusual bleeding or bruising
• severe rash with peeling skin
• difficulty breathing or swallowing
• hives

What special dietary instructions should I follow?

If your doctor prescribes a low-salt or low-sodium diet, or to eat or drink increased amounts of potassium-rich foods (e.g., bananas, prunes, raisins, and orange juice) in your diet, follow these instructions carefully.

What should I do if I forget a dose?

Take the missed dose as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.