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Therapeutic actionIndicationsForms and strengths, route of administrationDoseDurationContra-indications, adverse effects, precautions
1 May 2026Injectable drugs

Furosemide Injectable: Dosing and Precautions

Injectable furosemide guidance for emergency oedema management, hypertensive crisis, and pulmonary oedema.

Also searched as

Furosemide
Prescription under medical supervision

Source reviewed

source date listed on the source page

Guide category

Injectable drugs

Safety boundary

Prescription medicine information for clinician-guided use.

Kenza Health Hub presents this medicine page as structured health education. Check dose, route, interactions, pregnancy or breast-feeding considerations, and local protocol with a qualified clinician or pharmacist. Read our medical editorial policy.

This guide page is for structured reference only and does not replace a clinician, pharmacist, or emergency review. Dose choice, route choice, interactions, and safety decisions still need professional judgment.

Therapeutic action

Diuretic.

Indications

  • Emergency treatment of oedema caused by renal, hepatic, or congestive heart failure.
  • Hypertensive crisis, except that of pregnancy.
  • Pulmonary oedema.

Forms and strengths, route of administration

  • 20 mg in 2 ml ampoule, 10 mg/ml, for IM or slow IV injection.

Dose

Repeat after 2 hours if necessary. For pulmonary oedema, if an initial IV injection of 40 mg does not produce a satisfactory response within one hour, the dose may be increased to 80 mg by slow IV injection.

  • Child: 0.5 to 1 mg/kg per injection.
  • Adult: 20 to 40 mg per injection.

Duration

According to clinical response. If prolonged use is required, change to oral treatment 3 hours after the last injection.

Contra-indications, adverse effects, precautions

  • Do not administer in other types of oedema, especially those due to kwashiorkor.
  • Do not administer in case of hepatic encephalopathy.
  • May cause hypokalaemia, especially in cases of cirrhosis, denutrition, and congestive heart failure.
  • Closely monitor combination with digoxin.
  • Pregnancy: contraindicated to treat hypertension in pregnancy.
  • Breast-feeding: avoid.
  • If doses greater than 50 mg are required, it is recommended that they be given by IV infusion.

Source

MSF Essential drugs practical guidelines (January 2026)

This page combines source-derived medicine reference sections with Kenza editorial context, while leaving out the Storage and Remarks sections from the source batch.

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