About Lasix ONYU

What is Lasix ONYU?

Lasix ONYU is a prescription drug-device combination that treats edema caused by fluid build-up for adult patients with chronic heart failure. It is designed for subcutaneous administration and intended as an at-home treatment option for eligible patients.

Why Lasix ONYU?

Lasix ONYU was designed to address challenges in managing  edema outside of the hospital. In patients with edema, gastrointestinal edema can impair the absorption of oral diuretics, reducing bioavailability and limiting therapeutic response. Lasix ONYU delivers a high-concentration formulation of furosemide via subcutaneous infusion, achieving 112% absolute bioavailability relative to intravenous administration¹.

Subcutaneous administration enables effective outpatient diuresis without the need for IV access. 

Lasix ONYU is available through emergency departments, outpatient clinics, and leading distributors, to ensure wide access. While it may be prescribed and dispensed in the ED or outpatient setting, treatment is intended to begin at home.

This delivery model supports flexible clinical workflows by enabling patients who do not require hospital admission to receive timely treatment at home. It also facilitates transitions of care and aligns with current efforts to expand outpatient management of heart failure.

hp-hero

¹ Osmanska J, Brooksbank K, Docherty KF, et al. A novel, small‑volume subcutaneous furosemide formulation delivered by an abdominal patch infusor device in patients with heart failure: results of two phase I studies. European Heart Journal ‑ Cardiovascular Pharmacotherapy. 2024;10(1):35‑44. doi:10.1093/ehjcvp/pvad073

The following information is for informational purposes only and is not intended to replace the Instructions for Use.

Read the full Instructions For Use and Prescribing Information prior to taking Lasix ONYU.

How Lasix ONYU Works

Drug Formulation

Lasix ONYU contains furosemide, a well-established loop diuretic, in a novel, pH-neutral formulation concentrated at 30 mg/mL. Each prefilled cartridge contains 80 mg of furosemide in 2.67 mL. The formulation includes betadex sulfobutyl ether sodium and other excipients to enable subcutaneous administration and is formulated to reduce the potential for discomfort at the infusion site.

The Infusor Delivery System

Lasix ONYU is administered using a wearable, on-body Infusor composed of two components:

  • A Disposable Unit (DU) that is sterile, single-use component that houses the drug cartridge, needle, and adhesive patch

  • A Reusable Unit (RU) that powers and controls the infusion process and can be used for up to 48 treatments

Once the Infusor is applied to the abdomen and activated, it delivers 80 mg of furosemide over 5 hours. The pre-programmed delivery profile—30 mg in the first hour followed by 12.5 mg/hour for the next 4 hours—is designed to provide gradual, sustained diuresis over several hours.

Parts-of-Infusor3-1024x488

Treatment Profile

By enabling subcutaneous administration in an outpatient setting, Lasix ONYU offers an alternative for patients who require diuretic therapy but may not require hospital admission. The delivery profile is designed to help reduce the intensity of diuresis associated with rapid intravenous infusion, while still achieving the desired therapeutic outcome.

Lasix ONYU may help eligible patients manage fluid overload while remaining at home, under the guidance of a healthcare provider.

Clinical Data

In an open-label, randomized crossover study, Lasix ONYU produced completed bioavailability (112%) when compared to same dose of intravenous (IV) bolus furosemide. 

In the same study, diuretic response was comparable between the two treatment groups. At 8 hours, mean urine output was approximately 2.80 liters with Lasix ONYU, versus 2.35 liters with intravenous (IV) bolus administration. At 24 hours, urine output was 3.65 liters with Lasix ONYU, compared to 3.09 liters with IV bolus.

Comprehensive pharmacokinetic results from this study are available in Section 12.3 of the Prescribing Information

Furosemide

About the Name: Lasix ONYU

Lasix® was first introduced in 1964 as the brand name for prescription products containing furosemide. It has been used in the United States and other countries over several decades. In 1982, furosemide became available as a generic medication in the U.S., and as with many medications, the generic name became more commonly used in clinical practice over time. 

Despite this, the Lasix® brand name has remained recognizable in many settings. Lasix® ONYU reflects a new drug-device combination product containing furosemide for subcutaneous use. The term “ONYU” is used as a modifier to differentiate this formulation from other forms of furosemide, such as oral or intravenous. The name is intended to help healthcare professionals distinguish this product for its specific route and setting of administration.

Novel Furosemide Formulation

Furosemide

The trademark LASIX® is registered for Validus Pharmaceuticals L.L.C. in the United States and used by SQ Innovation under license.

Read the full Instructions for Use prior to taking Lasix ONYU

What is Lasix® ONYU (furosemide injection) for subcutaneous use?

Lasix ONYU is a prescription drug-device combination that treats edema caused by fluid build-up in a person with heart failure. Lasix ONYU comes with a special device that delivers the medicine under the skin. Follow the instructions provided by your healthcare provider when using Lasix ONYU.

IMPORTANT SAFETY INFORMATION

Before using Lasix ONYU, read the Instructions for Use and tell your healthcare provider about all your medical conditions, including if you are allergic to furosemide or any of the ingredients in Lasix ONYU, have trouble urinating, or if you are allergic to medical adhesives.

Tell your healthcare provider about all of the medicines you take, including prescription and over-the-counter medicines.

Warning: Only use the Lasix ONYU Prefilled Cartridge with the Lasix ONYU Infusor. Do not use insulin cartridges or other medicine cartridges in the Lasix ONYU Infusor. Doing so could cause severe injury.

What are the possible side effects of Lasix ONYU?

Dehydration: Lasix ONYU is a diuretic that can make you lose a lot of fluid and with it electrolytes. You may get a dry mouth, have increased thirst, get muscle pains or cramps, have reduced urine output or your urine may be more yellow than normal, you may get a headache, get dry skin, or have nausea or vomiting. Your healthcare provider may check your electrolytes while receiving Lasix ONYU.

Low Blood Pressure: Lasix ONYU may lower your blood pressure temporarily. You may feel lightheaded or dizzy. This usually happens when you stand. Getting up slowly may help.

High Blood Sugar: Lasix ONYU may increase blood sugar (glucose) levels if you have diabetes mellitus.

Loss of Hearing: Lasix ONYU can cause ringing in your ears. If so tell your healthcare provider.

Risk of Sunburn: Your skin may be more sensitive to sunlight while taking Lasix ONYU.

Infusion Site Reactions: Lasix ONYU can cause infusion site pain, bruising, and temporary swelling or redness at the site of the Infusor.

Incomplete Dosing: Make sure the Infusor does not get wet during use. Also limit your physical activities.  Some movements or when it gets wet may stop the infusion and you may not get all the medication.

These are not all the possible side effects of Lasix ONYU. For more information, ask your healthcare provider or pharmacist.

Call your healthcare provider for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Please see Lasix® ONYU full Prescribing Information and Instructions for Use.

INDICATION & LIMITATION OF USE

Lasix® ONYU is a prescription drug-device combination that treats edema in adult patients with chronic heart failure.  It enables treatment outside the healthcare setting as instructed by a healthcare provider.

INDICATION AND USAGE

Lasix ONYU is indicated for the treatment of edema in adult patients with chronic heart failure.

Contraindications

  • Lasix ONYU is contraindicated in patients with anuria.
  • Lasix ONYU is contraindicated in patients with a history of hypersensitivity to furosemide or medical adhesives.
  • Lasix ONYU is contraindicated in patients with hepatic cirrhosis.

 

Warnings and Precautions

  • Fluid, Electrolyte, and Metabolic Abnormalities: Monitor serum electrolytes, CO2, BUN, creatinine, glucose, and uric acid.
  • Worsening Renal Function: Monitor for dehydration and azotemia.
  • Ototoxicity: Avoid higher than recommended doses.
  • Acute Urinary Retention: Monitor patients with symptoms of urinary retention.
  • Incomplete Dosing: Fluid contact and certain patient movements during treatment may cause the On-body Infusor to prematurely terminate infusion. Ensure patients can detect and respond to alarms.

Adverse Reactions

The most common adverse reactions during treatment with the Lasix ONYU Infusor were administration site and skin reactions: erythema, bruising, edema, and infusion site pain.

Drug Interactions

  • Aminoglycoside antibiotics: Increased potential ototoxicity of the antibiotics. Avoid combination.
  • Ethacrynic acid: Risk of ototoxicity. Avoid combination.
  • Salicylates: Risk of salicylate toxicity.
  • Cisplatin and nephrotoxic drugs: Risk of ototoxicity and nephrotoxicity.
  • Lithium: Risk of lithium toxicity.
  • Renin-angiotensin inhibitors: Increased risk of hypotension and renal failure.
  • Adrenergic blocking drugs: Risk of potentiation.
  • Drugs undergoing renal tubular secretion: Risk of toxicity potentiation.

Please see Lasix® ONYU full Prescribing Information and Instructions for Use.