Intravenous Furosemide for Acute Decompensated Congestive Heart Failure: What Is the Evidence?

Clinical Pharmacology and Therapeutics
D R J OwenR Sofat

Abstract

Use of intravenous furosemide rather than oral administration in acute decompensated congestive cardiac failure is universally recommended in international guidelines. We argue that this recommendation is not supported by the existing evidence, and suggest that trials should be performed to determine whether larger doses of oral furosemide should be prescribed prior to an IV switch. This could reduce length of hospital admissions and allow for more patients to be managed in the primary care setting.

References

Mar 1, 1985·Annals of Internal Medicine·M R VaskoD C Brater
Aug 1, 1982·Kidney International·D C BraterP Chennavasin
Jul 25, 2000·British Journal of Clinical Pharmacology·P S JhundA P Davie
Jul 9, 2010·Journal of Cardiac Failure·UNKNOWN Heart Failure Society of AmericaMary N Walsh
Mar 4, 2011·The New England Journal of Medicine·G Michael FelkerUNKNOWN NHLBI Heart Failure Clinical Research Network
Jun 7, 2013·Circulation·UNKNOWN WRITING COMMITTEE MEMBERSUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines

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