Taking bumetanide with other medicines and herbal supplements

Cautions with other medicines

Some medicines can affect the way bumetanide works.

Tell your doctor if you're taking any of these medicines before starting bumetanide:

• medicines which treat or might give you an irregular heartbeat, including amiodarone, digoxin, disopyramide, flecainide or sotalol
• medicines that change the level of potassium in your blood, such as steroids or other diuretics
• medicines to treat mental health problems, such as amisulpride, lithium, pimozide or risperidone
• non-steroidal anti-inflammatory drugs (NSAIDs), including diclofenac, ibuprofen or naproxen
• medicines to treat high blood pressure, or those that have a side effect of low blood pressure

Taking bumetanide with everyday painkillers

Some painkillers contain a lot of sodium, which is found in salt. Too much salt can stop bumetanide working properly.

Medicines that contain a lot of salt include:

• soluble paracetamol
• soluble co-codamol

Speak to a pharmacist or doctor to see if these medicines are safe for you to take alongside bumetanide.

Mixing bumetanide with herbal remedies and supplements

Tell your doctor if you are taking any:

• potassium supplements – these change the levels of potassium in your blood and can affect the way bumetanide works
• remedies for heartburn and indigestion – some of these contain a lot of sodium, which is found in salt – too much salt can stop bumetanide working properly

There's not enough information to say that other herbal remedies and complementary medicines are safe to take with bumetanide. They're not tested in the same way as pharmacy and prescription medicines. They're generally not tested for the effect they have on other medicines.