ALPHA
#Cardiovascular #Drug

Spironalactone

evan April 8, 2024
Drug Class Potassium sparing diuretic
Mechanism

Aldosterone antagonist

  1. Competes for receptors in DCT cells
  2. Inhibition of Na retaining action
  3. Decreases potassium secreting effect
Typical Dose 25-50mg or 100-200mg OD
Indications
  • Oedema/ascites in liver cirrhosis
  • Nephrotic syndrome
  • CCF
  • Primary hyperaldosteronism
Contra-indications
  • Hyperkalaemia/hyponatraemia
  • Addison's disease
Side-effects
  • GI disturbance
  • Impotence
  • Gynaecomastia
  • Menstrual irregularities
  • Lethargy/headache/confusion
Interactions  
Elimination  
Additional Notes  

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