Evaluation of Underlying Cause

• Identify the root cause of swelling (e.g., heart, kidney, liver issues) before changing treatment.

Alternative Diuretics

• Consider furosemide or spironolactone as alternatives. Combination therapy may also be an option.

Adjunctive Treatments

• Implement non-medication approaches like leg elevation, compression stockings, and dietary sodium restriction.

Monitoring and Specialist Referral

• Ensure close monitoring of symptoms and consider referral to a cardiologist, nephrologist, or endocrinologist.

Safety and Side Effects

• Be aware of potential side effects and ensure medical supervision when switching medications.