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"what is the role of spironolactone in the treatment of hypertension?"

by Lula Kilback Sr. Published 2 years ago Updated 2 years ago

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What is the role of spironolactone in the treatment of resistant hypertension?

The outcomes of above-mentioned clinical studies are reflected in current guidelines in which spironolactone has an indisputable role in the treatment of resistant hypertension, primary hyperaldosteronism, and heart failure with reduced ejection fraction.

What is spironolactone used for?

Spironolactone for the treatment of high blood pressure. Spironolactone is a medication that has been used to treat high blood pressure since the 1960s.

What is the role of spironolactone in the treatment of acute myocardial infarction?

Hayashi M, Tsutamoto T, Wada A, et al. Immediate administration of mineralocorticoid receptor antagonist spironolactone prevents post-infarct left ventricular remodeling associated with suppression of a marker of myocardial collagen synthesis in patients with first anterior acute myocardial infarction.

Does spironolactone affect blood pressure (SBP) levels?

One cross-over study found that spironolactone 25 mg/day did not statistically significantly change SBP or DBP compared to placebo, SBP: -9.9 (95%CI:-21.15,1.35); DBP -2.34 (95%CI:-7.92,3.06). Batterink J, Stabler SN, Tejani AM, Fowkes CT.

How does spironolactone treat hypertension?

Spironolactone is commonly known as a potassium-sparing diuretic, which means in exchange for relieving the body of sodium and water, it makes the body retain potassium. This is how spironolactone works to protect the heart, lower blood pressure, and help with any leg swelling that a weak heart can cause.

What is the mechanism of action spironolactone?

Mechanism of action: Aldactone (spironolactone) is a specific pharmacologic antagonist of aldosterone, acting primarily through competitive binding of receptors at the aldosterone-dependent sodium-potassium exchange site in the distal convoluted renal tubule.

When should you take spironolactone for hypertension?

Spironolactone is recommended in patients with resistant hypertension which is defined as uncontrolled blood pressure despite three antihyperternsive drug combination including a diuretic. Spironolactone is a mineralocorticoid receptor antagonist and causes anti-androgenic side effects.

Can spironolactone be used alone for hypertension?

In the present study, for the first time, we showed efficacy for a low dose (25 mg daily) of spironolactone as a monotherapy. This treatment reduced systolic blood pressure significantly in patients with stage one essential hypertension (mean reduction was 6.45 mmHg).

What does spironolactone do to potassium?

Spironolactone is a potassium-sparing diuretic (water pill). It prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. This medicine is also used to treat or prevent hypokalemia (low potassium levels in the blood).

Can you take amlodipine and spironolactone at the same time?

The risk or severity of adverse effects can be increased when Amlodipine is combined with Spironolactone. Spironolactone may increase the excretion rate of Ammonium chloride which could result in a lower serum level and potentially a reduction in efficacy.

What are the most common side effects of spironolactone?

The more common side effects that can occur with spironolactone include:diarrhea and abdominal cramping.nausea and vomiting.high potassium levels.leg cramps.headache.dizziness.drowsiness.itching.More items...

How many points does spironolactone lower BP?

This meta-analysis shows that spironolactone reduces systolic/diastolic blood pressure by approximately 20/7 mm Hg compared to placebo.

Before Taking This Medicine

You should not use spironolactone if you are allergic to it, or if you have: 1. Addison's disease (an adrenal gland disorder); 2. high levels of po...

How Should I Take Spironolactone?

Take spironolactone exactly as prescribed by your doctor. Follow all directions on your prescription label. Your doctor may occasionally change you...

What Happens If I Miss A Dose?

Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to...

What Should I Avoid While Taking Spironolactone?

Drinking alcohol can increase certain side effects of spironolactone.See also: Spironolactone and alcohol (in more detail)Do not use salt substitut...

Spironolactone Side Effects

Get emergency medical help if you have signs of an allergic reaction to spironolactone: hives; difficulty breathing; swelling of your face, lips, t...

Spironolactone Dosing Information

Usual Adult Dose for Edema:25 to 200 mg orally per day in single or divided dosesDuration of therapy: When given as the sole diuretic, continue the...

What Other Drugs Will Affect Spironolactone?

Taking this medicine with other drugs that make you dizzy or lower your blood pressure can worsen these effects. Ask your doctor before taking a sl...

What is spironolactone used for?

Spironolactone is an aldosterone antagonist, considered fourth line therapy for hypertension in patients already treated with multiple medications. Objectives: Primary: to determine the effect of spironolactone on patient mortality, morbidity, and to quantify the magnitude of blood pressure lowering effect of spironolactone monotherapy. ...

Does 25 mg of a systolic med lower blood pressure?

A dose of 25 mg/day did not statistically significantly reduce systolic or diastolic blood pressure, compared to placebo. Given the lack of a dose-response, coupled with a possible increased risk in adverse events with higher doses, doses of 25 to 100 mg/day are reasonable.

Does spironolactone lower blood pressure?

Spironolactone is a medication that has been used to treat high blood pressure since the 1960s. While there is some belief spironolactone reduces blood pressure, there are concerns due to the potential for this drug to cause adverse effects. The aim of this review was to determine the extent to which spironolactone reduces blood pressure, the nature of spironolactone’s adverse effect profile, and to determine the clinical impact of its use for hypertension. The search revealed 5 cross-over trials with a total of 137 patients that received both spironolactone followed by placebo or vice verse, in a random order. One other trial was found that randomly gave 42 patients either spironolactone (22 patients) or placebo (20 patients). The daily doses of spironolactone used in these studies ranged from 25-500 mg daily. Studies followed patients for 4 to 8 weeks of therapy. None of the studies reported on the clinical impact of spironolactone (i.e. whether spironolactone reduced heart attacks or strokes compared to placebo). Overall reporting of adverse effects was poor so no conclusions can be drawn about the adverse effect profile. This meta-analysis shows that spironolactone reduces systolic/diastolic blood pressure by approximately 20/7 mm Hg compared to placebo.

What is a spironolactone?

Spironolactone is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low . Spironolactone is used to treat heart failure, high blood pressure (hypertension), or hypokalemia ( low potassium levels in the blood). Spironolactone also treats fluid retention ...

What are the side effects of spironolactone?

Spironolactone side effects. Get emergency medical help if you have signs of an allergic reaction to spironolactone: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Call your doctor at once if you have: a light-headed feeling, like you might pass out; little or no urination;

How long does a diuretic last?

Duration of therapy: When given as the sole diuretic, continue the initial dose for at least 5 days, after which the initial dose may be adjusted to an optimal maintenance dose.Comments:-A second diuretic that acts more proximally at the renal tubule may be added if adequate diuresis has not been achieved after 5 days.

Is spironolactone safe for pregnant women?

To make sure spironolactone is safe for you, tell your doctor if you have: an electrolyte imbalance (such as low levels of calcium, magnesium, or sodium in your blood); kidney disease; liver disease; or. heart disease. Tell your doctor if you are pregnant or plan to become pregnant.

Can you take spironolactone if you are allergic to it?

You should not use spironolactone if you are allergic to it, or if you have: if you are also taking eplerenone. To make sure spironolactone is safe for you, tell your doctor if you have: an electrolyte imbalance (such as low levels of calcium, magnesium, or sodium in your blood);

Can you take eplerenone with spironolactone?

You should use spironolactone with caution if you have kidney problems, high levels of potassium in your blood, Addison's disease, if you are unable to urinate, or if you are also taking eplerenone . Spironolactone has caused tumors in animals but it is not known whether this could occur in people.

Can you breastfeed while taking spironolactone?

Your doctor should decide whether you take spironolactone if you are pregnant. It may not be safe to breastfeed while using spironolactone.

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