• Maximum Strength Diuretic: Features 20mg Torsemide for intensive fluid removal in resistant edema cases.
• Smart Electrolyte Protection: 50mg Spironolactone helps prevent the dangerous loss of potassium common with high-dose diuretics.
• Comprehensive Fluid Control: Effectively reduces swelling in the legs, abdomen (ascites), and congestion in the lungs.
• Potent Blood Pressure Management: Targeted therapy for resistant hypertension associated with fluid volume overload.
• Premium Manufacturing: Produced by Cipla, ensuring clinical-grade quality for complex cardiovascular and hepatic care.

Intensive Fluid Management with Dytor Plus 20
Dytor Plus 20 is a high-potency, dual-action prescription medication designed for the management of severe fluid retention (edema). When lower-strength diuretics are insufficient, Dytor Plus 20 provides the necessary strength to flush out excess water and salt that has accumulated in the body’s tissues. This buildup is often a result of serious underlying conditions such as advanced congestive heart failure, liver cirrhosis, or kidney dysfunction. By facilitating the removal of this excess fluid, Dytor Plus 20 helps alleviate painful swelling, heavy limbs, and the distressing shortness of breath that accompanies fluid congestion in the lungs.

Advanced Synergistic Mechanism
The power of Dytor Plus 20 lies in the precise ratio of its two active components, which work at different sites within the kidney to maximize efficiency while minimizing metabolic risks:

Torsemide (20mg): This is a high-strength loop diuretic. It acts on the thick ascending limb of the loop of Henle, inhibiting the reabsorption of sodium and chloride. This results in a significant increase in urine output, providing rapid relief for patients with significant fluid overload.

Spironolactone (50mg): Because high-dose Torsemide can cause the body to lose too much potassium (hypokalemia), Spironolactone is added as a "potassium-sparing" agent. It blocks the action of aldosterone, a hormone that causes salt retention and potassium loss. This ensures that while the "bad" fluid is removed, the "good" essential minerals are better preserved.

Support for Critical Organs
For patients with Congestive Heart Failure (CHF), Dytor Plus 20 reduces the "preload"—the volume of blood returning to the heart. This allows a weakened heart muscle to pump more efficiently with less strain. In patients with liver cirrhosis, it is a primary treatment for ascites, helping to drain the fluid that accumulates in the abdominal cavity. Furthermore, by reducing total blood volume, it serves as a potent tool for treating hypertension that does not respond to standard single-drug therapies.

Active Ingredients:

• Torsemide: 20 mg.
• Spironolactone: 50 mg.

Excipients:

• Q.S. (Includes Lactose monohydrate, maize starch, and povidone).

• Prescription Mandatory: This is a high-strength medication and must only be taken under the strict supervision of a specialist.
• Morning Administration: To avoid waking up multiple times at night to urinate, take your dose in the morning, ideally after a meal.
• Correct Usage: Swallow the tablet whole with water. Do not crush, break, or chew the tablet.
• Daily Monitoring: It is common practice to weigh yourself at the same time every morning. Report any sudden weight gain (1–2 kg in a day) to your doctor immediately.
• Adherence: Do not stop taking the medication abruptly, as this can cause a rapid, dangerous return of fluid (rebound edema).

• Contraindications: Do not use if you suffer from anuria (no urine production), severe kidney failure, or have high potassium levels (hyperkalemia).
• Electrolyte Checks: Regular blood tests are mandatory to monitor sodium, potassium, and kidney function (creatinine levels).
• Salt Substitutes: Be cautious with "low-sodium" salts, as these often contain high amounts of potassium which can be dangerous when combined with Spironolactone.
• Pregnancy & Breastfeeding: Not recommended unless deemed life-saving by a physician.
• Storage: Store at room temperature away from moisture and direct sunlight. Keep the blister strip intact until use.

Manufacturer: Cipla Ltd.

Pack Size: 150 Tablets (10 Strips of 15).

Drug Class: Loop Diuretic + Potassium-Sparing Diuretic.

Q1: Is Dytor Plus 20 stronger than Dytor Plus 10?
Yes, it contains 20mg of Torsemide, which provides a much more powerful diuretic effect for patients with severe fluid retention.

Q2: How quickly will I lose weight on this?
Weight loss from fluid removal can happen within 24–48 hours. This is water weight, not fat loss.

Q3: Can I take this if I have a sulfa allergy?
Torsemide is a sulfonamide derivative. If you have a severe sulfa allergy, consult your doctor before taking it.

Q4: Why do I feel dizzy when I stand up?
This is likely "orthostatic hypotension," where your blood pressure drops because of decreased fluid volume. Rise from bed or chairs very slowly.

Q5: What should I do if I miss a dose?
Take it as soon as you remember, but skip it if it is late in the evening to avoid night-time urination.

Q6: Does Dytor Plus 20 affect my kidneys?
While it helps the kidneys remove fluid, your doctor must monitor your kidney function to ensure they aren't being over-strained.

Q7: Is it okay to eat bananas while taking this?
Bananas are high in potassium. Since this medicine is potassium-sparing, eat them in moderation and follow your doctor's dietary advice.

Q8: Can I take this medicine with Ibuprofen?
NSAIDs like Ibuprofen can decrease the effect of Dytor Plus and may be harmful to your kidneys. Always ask your doctor first.

Q9: Will this medicine cure my heart failure?
It does not cure the underlying condition, but it manages the symptoms and prevents complications by controlling fluid levels.

Q10: What are the signs of high potassium (Hyperkalemia)?
Symptoms include muscle weakness, tingling sensations, or an irregular/pounding heartbeat. Seek medical attention if these occur.

Name: Cipla Ltd.

Address: Cipla House, Peninsula Business Park, Ganpatrao Kadam Marg, Lower Parel, Mumbai-400013.