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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should My Elderly Father Stop Taking Urimax And Dytor Due To Excessive Urination And Lack Of Control During Winter?

Hello Dr, my father, 86 yrs old has undergone a CABG in 2019 and has been advised to take Urimax and Dytor to address edema on his feet. During winter days, he is over urinating and has absolutely no control on urination. Should he stop the medications
posted on Tue, 1 Aug 2023
Twitter Sun, 19 Oct 2025 Answered on
Twitter Fri, 31 Oct 2025 Last reviewed on
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General & Family Physician 's  Response
Hello,

That’s a very relevant concern, especially in an elderly post-CABG patient. Both Urimax (tamsulosin) and Dytor (torsemide) can increase urine output — Dytor being a diuretic is the main reason for excessive urination, and Urimax relaxes bladder muscles, which can worsen leakage or poor control.

Do not stop them abruptly on your own though. Stopping Dytor suddenly may cause fluid retention, breathlessness, or leg swelling, especially with a heart history. Instead, talk to his cardiologist about temporarily reducing the Dytor dose or spacing it out (morning only) and checking if he still needs it daily. Sometimes during cold weather, body fluid loss decreases, so the same dose can act stronger.

Also, have his electrolytes, kidney function, and urine test done — excess urination can also happen from sugar changes or infection.

For now:
• Give Dytor early morning (never after evening).
• Keep him hydrated but avoid too much evening fluids.
• Observe swelling or breathing difficulty — if these worsen, don’t reduce dose yourself.
• Discuss with his treating doctor if a milder diuretic or alternate-day use suits him better.

He shouldn’t stop medicines without his cardiologist’s advice, but yes, this side effect is common and the dose may need winter adjustment.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Usaid Yousuf, General & Family Physician
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Should My Elderly Father Stop Taking Urimax And Dytor Due To Excessive Urination And Lack Of Control During Winter?

Hello, That’s a very relevant concern, especially in an elderly post-CABG patient. Both Urimax (tamsulosin) and Dytor (torsemide) can increase urine output — Dytor being a diuretic is the main reason for excessive urination, and Urimax relaxes bladder muscles, which can worsen leakage or poor control. Do not stop them abruptly on your own though. Stopping Dytor suddenly may cause fluid retention, breathlessness, or leg swelling, especially with a heart history. Instead, talk to his cardiologist about temporarily reducing the Dytor dose or spacing it out (morning only) and checking if he still needs it daily. Sometimes during cold weather, body fluid loss decreases, so the same dose can act stronger. Also, have his electrolytes, kidney function, and urine test done — excess urination can also happen from sugar changes or infection. For now: • Give Dytor early morning (never after evening). • Keep him hydrated but avoid too much evening fluids. • Observe swelling or breathing difficulty — if these worsen, don’t reduce dose yourself. • Discuss with his treating doctor if a milder diuretic or alternate-day use suits him better. He shouldn’t stop medicines without his cardiologist’s advice, but yes, this side effect is common and the dose may need winter adjustment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Usaid Yousuf, General & Family Physician