Dyloop Plus 20 Tablet: Comprehensive Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe dizziness or fainting
- Irregular heartbeat or palpitations
- Muscle weakness or cramps
- Decreased urine output
- Severe abdominal pain
- Signs of allergic reaction (rash, swelling, difficulty breathing)
If experiencing severe symptoms, call emergency services immediately.
What is davaindia spironolactone+torasemide 50mg/20mg tablet used for?
This medicine is a combination diuretic containing spironolactone and torasemide. It is used to treat fluid retention and heart failure by increasing urine output and balancing potassium levels.
- Generic Name: Spironolactone (50mg) + Torasemide (20mg)
- Manufacturer: Davaindia Generic Pharmacy
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 davaindia spironolactone+torasemide 50mg/20mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा स्पाइरोनोलैक्टोन और टोरासेमाइड का संयोजन है, जिसका उपयोग शरीर में अतिरिक्त तरल पदार्थ को निकालने के लिए किया जाता है। इसका उपयोग हृदय विफलता, लीवर सिरोसिस के कारण सूजन, नेफ्रोटिक सिंड्रोम और उच्च रक्तचाप के इलाज में किया जाता है। यह दवा पेशाब की मात्रा बढ़ाती है और पोटेशियम के स्तर को संतुलित रखने में मदद करती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में बार-बार पेशाब आना, चक्कर आना, सिरदर्द, थकान, मतली और पेट खराब होना शामिल हैं। स्पाइरोनोलैक्टोन के कारण स्तनों में कोमलता या पुरुषों में स्तन वृद्धि हो सकती है। गंभीर दुष्प्रभावों में इलेक्ट्रोलाइट असंतुलन, गुर्दे की समस्या और एलर्जी प्रतिक्रिया शामिल हैं।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। पोटेशियम सप्लीमेंट या नमक के विकल्प बिना डॉक्टर की सलाह के न लें। पर्याप्त पानी पिएं लेकिन ज्यादा नहीं। शराब से बचें। नियमित रूप से रक्त परीक्षण कराएं। अचानक दवा बंद न करें।
💊 davaindia spironolactone+torasemide 50mg/20mg tablet Uses & Benefits
[{"condition":"Congestive heart failure","description":"Reduces fluid overload, improves symptoms, and may reduce hospitalizations.","evidence":"Well-established"},{"condition":"Edema due to liver cirrhosis","description":"Helps mobilize ascites and peripheral edema, often combined with other diuretics.","evidence":"Well-established"},{"condition":"Nephrotic syndrome","description":"Used to manage fluid retention when other diuretics are insufficient.","evidence":"Moderate"},{"condition":"Resistant hypertension","description":"Added to other antihypertensives to control blood pressure when standard therapy fails.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Polycystic ovary syndrome (PCOS)","description":"Spironolactone component may be used off-label for hyperandrogenism, but combination with torasemide is not standard.","evidence":"Limited"},{"condition":"Acne and hirsutism","description":"Spironolactone alone is sometimes used off-label; torasemide is not indicated for these conditions.","evidence":"Limited"}]
Primary treatment for: Congestive heart failure
Also treats: Edema due to liver cirrhosis, Nephrotic syndrome, Resistant hypertension
📋 Drug Information
| Generic Name(s) | Spironolactone (50mg) + Torasemide (20mg) |
| Brand Name | davaindia spironolactone+torasemide 50mg/20mg tablet |
| Manufacturer | Davaindia Generic Pharmacy |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | CARDIAC |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two diuretics with different mechanisms. Spironolactone is a competitive aldosterone receptor antagonist in the distal tubule, reducing sodium reabsorption and potassium excretion. Torasemide inhibits the Na+/K+/2Cl- symporter in the thick ascending limb of the loop of Henle, leading to increased excretion of sodium, chloride, and water. The combination produces a synergistic diuretic effect while spironolactone helps conserve potassium that torasemide would otherwise waste.
Mechanism Steps
💡 How to Take davaindia spironolactone+torasemide 50mg/20mg tablet
Strength: Tablet containing Spironolactone 50 mg and Torasemide 20 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet once daily, but the exact dose and frequency must be individualized by a qualified clinician based on the indication, severity of fluid retention, blood pressure, renal function, and electrolyte levels. Some patients may require twice-daily dosing. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients are more sensitive to diuretic effects and electrolyte imbalances. Start with a lower dose and monitor closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in renal impairment. Dose reduction may be necessary. Contraindicated in anuria and severe renal failure. Monitor renal function regularly. |
| Hepatic Impairment | Use with caution in hepatic impairment. May precipitate hepatic coma in patients with cirrhosis. Dose must be individualized by a qualified clinician. |
| Maximum Daily Dose | The maximum daily dose should not exceed the prescribed amount. Typically, spironolactone 50 mg and torasemide 20 mg once daily, but may be increased under medical supervision. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of davaindia spironolactone+torasemide 50mg/20mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Moderate | |
| ACE inhibitors | Major | |
| NSAIDs | Major | |
| Lithium | Major | |
| Digoxin | Moderate | |
| Corticosteroids | Moderate | |
| Potassium supplements | Major | |
| Antidiabetics | Moderate | |
| Cholestyramine | Minor | |
| Antacids | Minor |
🚨 Major Interactions
- Potassium supplements or potassium-sparing diuretics
- ACE inhibitors or ARBs
- Lithium
- NSAIDs
⚡ Moderate Interactions
- Digoxin
- Corticosteroids
- Antidiabetic drugs
🍷 Alcohol Interaction
Alcohol can enhance the blood pressure-lowering and dehydrating effects of this medicine, leading to dizziness, fainting, and electrolyte imbalances. It is advisable to avoid alcohol or limit intake significantly while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to spironolactone, torasemide, or sulfonamides","Anuria (no urine output)","Acute renal failure","Severe hyperkalemia","Addison's disease","Severe hyponatremia","Hepatic coma or pre-coma","Pregnancy and breastfeeding (unless clearly indicated)"]
⚠️ Warnings & Precautions
["Regular monitoring of electrolytes and renal function is required.","Avoid potassium supplements and potassium-rich salt substitutes.","Use with caution in elderly patients and those with diabetes or gout.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Do not stop abruptly without medical advice.","Inform your doctor if you have diarrhea or vomiting, as this can worsen electrolyte imbalance."]
🤱 Lactation Safety
Spironolactone and its metabolites are excreted in breast milk. Torasemide may also pass into breast milk. Breastfeeding is not recommended while taking this medicine unless advised by a doctor.
💊 Overdose Management
Overdose can cause severe dehydration, electrolyte imbalances, and hypotension. Treatment is supportive and symptomatic. Monitor vital signs, electrolytes, and renal function. There is no specific antidote. Contact a poison control center or emergency services immediately.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not adjust the dose without medical advice. Avoid potassium supplements and potassium-rich salt substitutes unless your doctor approves. Drink adequate fluids but do not overhydrate. Stand up slowly to avoid dizziness. Avoid alcohol as it can worsen dehydration and low blood pressure. Inform your doctor if you have diabetes, gout, or kidney problems. Regular blood tests are essential to monitor potassium, sodium, and kidney function. Do not stop this medicine abruptly, as fluid can build up again.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of electrolyte imbalances, dehydration, and falls due to dizziness. Start with lower doses and monitor closely.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy or when planning pregnancy. Consult your doctor for alternative treatments. Use effective contraception while taking this medicine.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before surgery. It may need to be stopped temporarily to avoid electrolyte imbalances during surgery.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. It may cause dry mouth or dizziness. Maintain good oral hygiene.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise in hot weather as it can worsen dehydration and electrolyte imbalance. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or frequent urination, which can affect work and daily activities. Plan your dose timing to minimize disruption. Avoid driving if you feel dizzy.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. Stopping abruptly can cause fluid retention and worsening of heart failure. Your doctor may adjust or discontinue based on your condition.
📅 Long-Term Use Effects
Long-term use requires regular monitoring of kidney function, electrolytes, and blood pressure. It may cause gynecomastia in men and menstrual irregularities in women. Periodic dose adjustments may be needed. Do not stop without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Reduces fluid retention and complements diuretic therapy.
Evidence: Well-establishedHelps reduce peripheral edema.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. However, consult your doctor before receiving any live vaccines while on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Keep enough supply for the entire trip. Declare it at customs if required.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Diuretic effect starts within 1-2 hours, but full benefits may take days to weeks.
A: Yes, take with food to reduce stomach upset.
A: Take it as soon as you remember, but skip if it's almost time for the next dose. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for davaindia spironolactone+torasemide 50mg/20mg tablet
View AllAlternative brands with exact same active ingredient:
-
torlactone 20mg tabletSun Pharmaceutical Industries Ltd ₹27.71 20.8% CHEAPER
-
torsinex forte tabletMicro Labs Ltd ₹45.00 28.6% COSTLIER
-
StayHappi Spironolactone+Torasemide 50mg/20mg TabletSarvagunaushdhi Pvt Ltd ₹45.00 28.6% COSTLIER
-
tor plus 50mg/20mg tabletIntas Pharmaceuticals Ltd ₹62.67 79.1% COSTLIER
-
urosa plus 50mg/20mg tabletAllbrids Lifescience Pvt. Ltd. ₹62.81 79.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken without monitoring.
Fact: Regular blood tests are essential to monitor potassium and kidney function. - Myth: It is safe to take potassium supplements with this medicine.
Fact: Potassium supplements can cause dangerous hyperkalemia and should be avoided unless prescribed.
🔄 Alternative Options
Generic Alternatives
- Spironolactone 50 mg + Torasemide 20 mg tablet