Structural Biochemistry/Furosemide

Food and Drug interactions

Structure of Furosemide

3D Structure of Furosemide

Furosemide is loop diuretic. Patients who take this medication may experience increased frequency of uriantion and urine volume. As a result, patients may have constipation and elevated serum sodium levels; as well as excrete excess potassium, calcium, phosphorus and magnesium.

Diet for patients taking Furosemide

Patients who take this medication should decrease sodium intake to avoid fluid retention and may need to increase intake of potassium, phosphorus, calcium and magnesium.

1. Diet to increase potassium intake:

For grains, recommended foods are bran cereal or muffins, and granola.

For vegetables, recommended foods are artichokes, broccoli, brussels sprouts, greens, kale, kohlrabi, parsnips, rutabagas, mushrooms, white and sweet potato, spinach, chard, winter squash, fresh or canned tomatoes, tomato or vegetable juice, zucchini.

For fruit, recommended foods are Apricots, avocados, bananas, cantaloupe, dates, figs, grapefruit juice, kiwi, orange juice, melons, mangos, nectarines, papaya, pear, pomegranate, prunes and prune juice, raisins.

For milk, recommended foods are nonfat, low fat, whole, chocolate and buttermilk, plain or fruited yogurt, soy milk.

For meat and beans, recommended foods are canned, dried, fresh or frozen beans and lentils, roast or ground beef, chicken, clams, crab and fresh, frozen or canned fish, nuts and nut butters, pork, and turkey, soy.

Others, recommended foods are chocolate, molasses, potato chips, wheat germ.

For the foods mentioned above do not have foods to avoid for increasing potassium.

2. Diet to increase calcium intake:

For grains, recommended foods are all foods.

For vegetables, recommended foods are all foods, especially spinach and okra.

For fruit, recommended foods are all foods.

For milk, recommended foods are milk, yogurt, cheese.

For meat and beans, recommended foods are all foods, especially soy beans.

For the foods mentioned above do not have foods to avoid for increasing calcium.

3. Diet to increase phosphorus intake:

For grains, recommended foods are all foods, especially oatmeal and wheat germ.

For vegetables, recommended foods are all foods, especially baked potato with skin.

For fruit, recommended foods are all foods.

For milk, recommended foods are all foods, especially cheese, skimmed, low fat or regular milk.

For meat and beans, recommended foods are all, especially meat, dried beans, nuts, soy and tofu.

For the foods mentioned above do not have foods to avoid for increasing phosphorus.

4. Diet to increase magnesium intake:

For grains, recommended foods are bran cereal, bran muffins, oatmeal, brown rice, whole wheat pasta and spaghetti.

For vegetables, recommended foods are artichoke, avocado, greens, okra, baked potato with skin, spinach, swiss chard.

For fruit, recommended foods are unknown.

For milk, recommended foods are eggnog, chocolate milk, soy milk.

For meat and beans, recommended foods are dried beans (black, white, kidney, lima and pole beans) and peas, fish(halibut, yellowfin), soy beans.

For others, recommended foods are nuts (almonds, cashews, walnuts, hazelnuts, chestnuts, mixed, peanuts) and peanut butter, pumpkin or squash seeds, tofu, wheat germ.

For the foods mentioned above do not have foods to avoid for increasing magnesium.

Reference

"Nutrition care manual" <http://nutritioncaremanual.org/content.cfm?ncm_content_id=93007>