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Is Vitamin C (Ascorbic Acid) Safe with Furosemide?

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Furosemide Vitamin C (Ascorbic Acid)
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Free · No account · based on published sources including NIH ODS, FDA drug labels, and peer-reviewed literature

WHAT YOU NEED TO KNOW

Consider ensuring adequate dietary vitamin C intake (75–90 mg/day minimum) or a modest supplement of 250–500 mg daily. This is especially relevant in elderly patients or those with heart failure on long-term furosemide therapy.

Why this interaction occurs

Loop diuretic-induced oxidative stress and increased urinary excretion of water-soluble vitamins including ascorbic acid have been documented. Studies in heart failure patients on furosemide show reduced plasma vitamin C levels, which may worsen endothelial dysfunction and oxidative damage. Vitamin C also plays a role in vascular protection relevant to cardiovascular patients.

Evidence

Evidence level: moderate.

Reported safety data

The FDA’s adverse event reporting system (FAERS) has received 274,011 reports mentioning Furosemide. This reflects reported cases involving the medication in general — not confirmed causation, and not specific to the Furosemide + supplement combination on this page.

FAERS reports are voluntary and cannot prove that a drug caused an event. Do not use report counts to assess the safety of this specific drug-supplement pair.

Frequently asked questions

Can I take Vitamin C (Ascorbic Acid) with Furosemide?
Consider ensuring adequate dietary vitamin C intake (75–90 mg/day minimum) or a modest supplement of 250–500 mg daily. This is especially relevant in elderly patients or those with heart failure on long-term furosemide therapy.

Related interactions

All Vitamin C (Ascorbic Acid) interactions →  ·  All Furosemide interactions →

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Educational only — not medical advice.
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