Doctor insights on:
Coming Off Spironolactone
Many uses: Spironolactone is a diuretic and can be used to get rid of the body's extra fluid. It's also a aldosterone blocker and can be used to block the adverse effects of aldosterone on the heart and other tissues. It's also a testosterone blocker and can be used to decrease hair growth in patients with excessive hair. ...Read more
Depends: Depends on what you are treating. The dose can go as high as 400 mg/day so it's all relative. ...Read more
See below: Spironolactone is a pottassium sparing diuretic. A diuretic is a medication which enhances fluid and salt excretion from the kidney. Spironolactone is a weak diuretic and is used because it does not require pottassium supplementation unlike other diueretics. It is also used to treat high blood pressure and heart problems. ...Read more
Your doc will tell: Hi. It is not up to you to decide, but that is the job of your doctor who prescribed the spironolactone. No pharmacy would fill your doctor's prescription without including the instructions on how to take it on the pill container. Please follow the directions your doctor gave you. Good luck! ...Read more
I'm on spironolactone 50mg tabs. I forgot to take it yesterday. Took my BP was 166/95 p67.Retook 149/94 p66. Should I be concerned? I'm 34 yrs old.
Lowest dose of Spironolactone bill is 25 mg. My BP Avge 100/65 on it. When cutting it in half, BP no more than 130/80.Do you recommend using 12.5 mg?
Need more info: Hi. We need more information. Why were you prescribed Spironolactone instead of some other BP medicine? Did you have low blood potassium and high blood pressure? If so, and it's due to the adrenal steroid, Aldosterone, if adrenal surgery is not an option, Spironolactone (or preferably Eplerenone) is the best drug. Spironolactone blocks testosterone (undesirable in guys) but Eplerinone does not. ...Read more
How long should I wait until the effect of reducing aldactone (spironolactone) from 100mg to 75mg a day has stabilized? I plan to further reduce the dose to 50mg/day.
Reducing meds: Why do you want to reduce it? Longer half life, should be at steady state in3-5 days (assuming 5 half lives). ...Read more
Terrible skin: I cannot answer that without more information. Dermatologists are the best doctors to help you with this. They are usually very busy and may have you wait a month or so before they can take you - be patient. ...Read more
Uncertain: In general, it is recommended that medications not be used after expiration date. With that said, there is a big difference between being expired for 5 days versus 5 years. Your pharmacist should be able to provide more information. ...Read more
Yes: I believe yo canGet a more detailed answer ›
No: As long as your electrolytes (especially potassium) is monitored, taking spironolactone is fine. It can lower blood pressure, improve abnormal thickening of the heart, decrease protein in the urine, and may decrease the risk of becoming diabetic. Do not take if pregnant, however, since it can lead to birth defects. ...Read more
Terrible skin: If you think your skin is "terrible" please see your doctor. He/she may be able to help you without trouble. If not, a referral to a Dermatologist would be in order. ...Read more
Gynecomastia: Onside effect of spironolactone is increased urinary frequency. Others are ataxia, drowsiness, dry skin, and rashes. It can also cause gynecomastia, testicular atrophy, and sexual dysfunction consisting of loss of libido and erectile dysfunction in males and in females it can cause menstrual irregularity. ...Read more
No: No, no effectGet a more detailed answer ›
Flushing: Highly unlikely-response to abrupt withdrawal depends in part on the dose given, indication and chronicity of treatment ...Read more
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