II. Indications

III. Mechanism

IV. Dosing: Adults

  1. Background
    1. Bumetanide 1 mg is equivalent to 40 mg Furosemide
  2. Oral
    1. Start: 0.5 to 1 mg orally twice daily
    2. Maximum: 10 mg/day
    3. Onset <1 hour
    4. Half-Life 1.5 hours
    5. Duration: 4-6 hours
  3. Intravenous or Intramuscular
    1. Start: 1 mg IV/dose over 1 to 2 minutes
    2. May repeat 0.5 to 1 mg IV every 2 to 3 hours as needed
    3. Maximum: 4-8 mg/dose
    4. Onset: Within minutes if IV (within 40 minutes if IM)
    5. Duration: 3 to 6 hours
  4. Intravenous Infusion
    1. Load: 1 mg IV
    2. Rate: 0.5 to 2 mg/hour IV

V. Adverse Effects

VI. Safety

  1. Pregnancy Category C
  2. Unknown Safety in Lactation

VIII. References

  1. (2021) Presc Lett, Resource #370507, Commonly Used Diuretics
  2. (2020) Med Lett Drugs Ther 62(1598): 73-80
  3. Hamilton (2020) Tarascon Pocket Pharmacopoeia
  4. Olson (2020) Clinical Pharmacology, Medmaster Miami, p. 62-3
  5. Won Oh (2015) Electrolyte Blood Press 13(1):17-21 +PMID: 26240596 [PubMed]

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Related Studies

Cost: Medications

bumetanide (on 12/21/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
BUMETANIDE 0.5 MG TABLET Generic $0.22 each
BUMETANIDE 1 MG TABLET Generic $0.23 each
BUMETANIDE 2 MG TABLET Generic $0.42 each