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Spironolactone 50 mg + Furosemide 20 mg tablet is used to treat high blood pressure and swelling and may also be prescribed off-label for conditions such as kidney stones or resistant hypertension. It works by restricting the accumulation of salt in the kidneys, so more salt and water are flushed out, lowering pressure and fluid. Common side effects of Spironolactone 50 mg + Furosemide 20 mg are frequent urination, dizziness, headache, fatigue, nausea, constipation, low potassium, sun sensitivity, gout, and high blood sugar. Alcohol, NSAIDs, and lithium can interfere with the action of Spironolactone 50 mg + Furosemide 20 mg tablet while low salt diets or potassium supplements may be advised. Extra care is needed in older adults, people with diabetes, gout, or liver/kidney problems. Overdose occurs at 200 to 400 mg and can cause severe dehydration, dangerously low blood pressure, electrolyte collapse, and heart rhythm disturbances requiring urgent medical care.
| Uses | 1. To reduce swelling and fluid buildup in heart patients (edema) 2. To control high blood pressure 3. To prevent heart attacks |
| Common Side Effects | 1. Urination 2. Dizziness 3. Headache 4. Fatigue 5. Nausea 6. Constipation 7. Hypokalemia 8. Photosensitivity 9. Gout 10. Hyperglycemia |
| Additional Information | 1. Take medicine every day at the same time to maintain the drug well in the blood. 2. Do not stop the medicine usage suddenly |
| Storage | 1. The medicine should be stored at room temperature. 2. Keep away from sunlight and moisture. 3. Keep away from the reach of children |
| How to Take This Medicine | Take this medicine orally with a sip of water |
Spironolactone 50 mg + Furosemide 20 mg tablet is used to treat high blood pressure, heart attacks and control of swellings related to it.
Spironolactone 50 mg + Furosemide 20 mg tablet contains Furosemide and spironolactone. Furosemide works by removing excess salt and water from the body, which helps lower blood pressure and reduce swelling, while spironolactone helps retain potassium and prevents its excessive loss.
The safety of Spironolactone 50 mg + Furosemide 20 mg tablet in pregnancy is not established, and it can cause jaundice, low platelet counts, and diarrhea in patients. Inform your doctor if you are pregnant or planning to conceive.
Spironolactone 50 mg + Furosemide 20 mg tablet is not usually recommended during breastfeeding because there is no reliable information on whether it passes into breast milk or how it might affect a nursing infant. So, consult a doctor before using it.
Spironolactone 50 mg + Furosemide 20 mg tablet should be avoided in severe kidney or liver disease. Weak kidneys may cause dehydration and electrolyte imbalance. Severe liver problems may disturb fluid balance and trigger coma. So, consult a doctor before using it.
Avoid consuming alcohol and smoking simultaneously together, as it may affect the drug’s action and show an effect on the brain, leading to severe drowsiness, sedation, and coma in severe cases.
Avoid taking Spironolactone 50 mg + Furosemide 20 mg with the following medicines, as it may increase or decrease the desired effect, or in worse cases, it could be fatal:
Spironolactone-S-[(7R,8R,9S,10R,13S,14S,17R)-10,13-dimethyl-3,5′-dioxospiro[2,6,7,8,9,11,12,14,15,16-decahydro-1H-cyclopenta[a]phenanthrene-17,2′-oxolane]-7-yl]ethanethioate

Spironolactone-1-[[4-(3-methylanilino)-3-pyridinyl]sulfonyl]-3-propan-2-ylurea

Take Spironolactone 50 mg + Furosemide 20 mg exactly as your doctor recommends. The dose may change based on your condition and how well you respond. Do not take more than prescribed without consulting your doctor.
If you forget to take your medicine, take the medication as soon as you remember. If it’s nearly time for your next dose, skip the missed one and continue with your regular schedule. Always consult the doctor before making any changes to your dosage.
It is not recommended to take more than 200 mg of Spironolactone + Furosemide per day, as it may cause severe overdosing effects like extreme drowsiness, confusion, unconsciousness, sweating, double vision, low blood pressure, and slurred speech. Immediately seek medical attention and meet the doctor if necessary.
Spironolactone 50 mg + Furosemide 20 mg tablets are mainly used to treat high blood pressure and reduce fluid buildup (edema) caused by heart failure, kidney disease, or liver problems. They may also be used off‑label for conditions like kidney stones or resistant hypertension under medical supervision.
Spironolactone 50 mg + Furosemide 20 mg tablets can cause frequent urination, dizziness, headache, fatigue, nausea, constipation, low potassium, sun sensitivity, gout, and raised blood sugar. Less common effects include rash, muscle cramps, weakness, impotence, insomnia, and liver or pancreas problems, all of which need medical attention if severe.
Spironolactone 50 mg + Furosemide 20 mg belongs to the drug class of angiotensin receptor blockers and thiazide diuretics and can show vascular effects.
The maximum recommended dose of Spironolactone + Furosemide is 100 mg once daily, though most patients respond well at lower doses. Higher doses increase the risk of side effects like dehydration and electrolyte imbalance without adding much extra benefit.

Written By-
Siva Krishna Adithya BhumireddyMedical content writer
Bachelors in Pharmacy | 1+ Year experience

Reviewed By-
Mahak PhartyalMedical Content writer and reviewer
Bachelors in Pharmacy | 3+ Year experience
Last Updated: 05 Aug 2026
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