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Concomitant potassium supplements or potassium sparing diuretics see section 4. These and any acid-base disturbances should be corrected before furosemide is started Symptomatic hypotension leading to dizziness, fainting or loss of consciousness can occur in patients furosemide 20 mg over the counter with furosemide, particularly in the elderly, patients on other medications which can cause hypotension and patients with other medical conditions that are risks for hypotension.When immediate diuresis is needed, an initial adult dose of 320-400 mg orally daily has been suggested.

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