How to use Spironolactone (Aldactone - CaroSpir) - Dose, Side Effects, Safety - Doctor Explains
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- Опубликовано: 27 авг 2024
- In this video we will cover everything you need to know about Spironolactone. We will discuss how and when to use it, we will cover its side effects, dosage and much, much more.
You can find more useful videos on cardiovascular diseases and their treatments here:
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Generic name: Spironolactone.
Brand names: Aldactone or CaroSpir.
Available as a tablet or oral suspension.
How to use it?
- Tablet: Just swallow it with half a glass of water.
- Oral suspension: first shake the bottle before use. Next up, measure the correct amount using a measuring spoon or measuring cup. Take this amount and afterwards rinse the cup or spoon with water and drink this water as well.
Always take spironolactone with some food. This could decrease your chance on side effects affecting your stomach and intestines.
When to use it?
Spironolactone is a diuretic, which prevents your body from absorbing too much salt. A diuretic, also called a water pill, helps you to get rid of salt (sodium) and water. The result is an increased production of urine, which will make you pee more often. Through this effect, Spironolactone is used to treat heart failure, high blood pressure or low blood potassium levels.
It also treats fluid retention, in medical terms called edema, in people with heart failure or certain severe kidney problems.
Furthermore, Spironolactone is also used to diagnose and treat a condition where you have too much aldosterone in your body. Aldosterone is a hormone produced by your adrenal glands, which helps to regulate the salt and water balance in your body.
What is the correct dosage?
The precise dose will depend on your specific indication of use, the side effect you might experience and the severity of your symptoms. Therefore always use the precise amount and frequency your doctor prescribed you.
- However, in most use cases your doctor will prescribe a dose of 25-200 mg/day. Your doctor usually starts with a low dose, which will be increased if necessary.
What are the side-effects?
- Very common (10%): headache, poor digestion, diarrhea, fatigue, drowsiness, decreased libido, erectile dysfunction, painful breasts, breast disorders, menstrual disorders and (irreversible) lowering of the voice (women).
- Common (1-10%): nausea, vomiting, weakness, paresthesia, change in vaginal discharge and post-menopausal bleeding.
- Uncommon (0,1-1%): rash, skin reactions, muscle cramps and confusion.
- Rare (0,01-0,1%): blood cell disorders, paralysis, dehydration, eczema and hypersensitivity.
- Very rare (0,01%): acute renal failure, stomach inflammation, gastrointestinal cramps, intestinal bleeding, alopecia (hair loss), breast cancer and hepatitis.
Safety:
- You may feel a little dizzy the first few days of using this medicine. If you continue to feel dizzy, do not participate in traffic.
- Furthermore, combining spironolactone with alcohol could increase the side effects you are experiencing.
- Next, Spironolactone could have interactions with other drugs you are using. Therefore always discuss this with your personal doctor.
- Lastly, Spironolactone could be dangerous for pregnant women and women who are breastfeeding. Therefore always discuss this with your personal doctor.
- Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. -
Literature:
1: Farmacotherapeutisch Kompas. (2022). Spironolacton.
2: Apotheek.nl (2022). Spironolacton.
* The images in this video are used for educational purposes only. Most of the images and videos in this video come from www.canva.com/.
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Great explanation about the prescribed indications of this drrug.
Spiroladoctane is an amazing medication for acne I’ve been on it 5 years. Unfortunately I developed breast lumps and my doctor even performed a biopsy which was benign. Do you believe is a increase risk for breast cancer using spiro ?! I read every single article available and they said is not . I really need this medicine but of course I don’t want to get cancer. Having so much acne that I used to have is horrible, I’m so confused. I appreciate an advice , thank you.
I just got prescribed this and this is exactly what I’m worried about. I’ve been debating on filling it for a few weeks now. My acne is annoying I’m 36 and nothing helps it. But not sure if I should take this..
How much dosage have u been taking?
I m having high potassium due to this plz help me out what to do i m having acne from last 10 year i need to take this but side effect
@@poojadhanure2399 consult a doctor please
I took only 2 days 50mg and quickly I couldn’t sleep for many days! Even after 2 weeks I stopped using I’m still suffering from this sleep side effect
Does it also reduce the amount of total-free testerone in the body ?
Thank you for the great video very helpful
Great video dr. . Im on spirolactone and i was getting lately a feeling of nervouness every in early afternoon . I would take a 600 mg citrate supplement and i felt better . I don't know if i need sodium though .
I m having symptoms like diarrhea and nausea now I realize it's because of this medicine.
I am on spiro for 6 years 100 mg and I want to quit it but mu hormonal acne never be better without it. Should ı lower the dose or should ı quit because I am always so tired and my legs are week ı thought because of it.
I have the same issues as u have. I m also on 100 mg from almost a year if i lower dose my avne comes back and 100 mg makes me feel so much tired and weak
Talk to your doctor!
@@bethb7965 my doctor dont know about spiro helpful for acne either sorry here is Turkey :)
@@bihikayemvar3532 find another doctor if possible! Dosage varies for each individual based on many factors.
hello doctore, My pcp has prescribed Spri 50 mg along with Finasteride 5mg. Is it safe to take both at a time together? please guide
Can you explain about Rx frusemide 20 mg what it does ?
spri can cause joint pain, Charlie horse feelings even when levels check out though blood draw. Also Spiro can impact vision been on this stuff for 6 months now looking forward to not being on it soon! This is for HRT as a transgender woman, however.
the doctor put me on a low dose but I am stopping now since I ve getting a beginning of gyno. careful with this stuff guys
Been experiencing dizziness and hardening of male nipples. Why do people on blood pressure medication need this diuretic? Can it be replaced with non-pharmaceutical diuretics like coffee, etc.?
Coffee? The last thing anyone with high blood pressure needs is caffeine.
@@jimmorrison4ever529
Any other diuretic you know of and recommend?
Decaff coffee&tea!
How much
Been on it for 7mo for blood pressure but it lowers the t but i have aldesterone problem so the doc doesn't offer any solution other to take this i dont want to cuz its lower my t level and lower my sex drive any solution?
Hi doctor does Spiro assist transgender women to loose male distributed hair line facial hair ?
Please consult a doctor about this
Iu was pre spora as i had some fluid on my lyungs iu suffer from copd and have a stage one heart problem i am 77 i also have high b press and i ttake a 40mlg lassix tablet is this ok my ankles are no longer sligghtly swollen aand i have had no side affects😂
Do a video for transgender women uses of spironolactone.
Hi Doctor. I'm 30 / Male, I'm diagnosed with adult ADHD, my psychiatrist prescribed me to use at morning only.
*Methylphenidate - 20 mg SR
*Modafinil - 200 mg.
I also suffer from male pattern baldness ( Androgenic Alopecia) , hence my dermatologist prescribed me to use only at night.
*Dutasteride - 0.5 mg
*Spironolactone - 100 mg
Here's my 3 concerns and need ur kind intervention.
1) Does these 4 medicine interact with each other and invalidate or reduce the effectiveness of either drugs ?
2) Does the usage of Spironolactone on long term led to development of type 2 diabetes?
3) Does long term use of Spironolactone cause renal kidney impairment failure ( acute / chronic kidney disease ) ?
I'm really afraid and concerned. Please help me on this.
Thanks in advance doctor.
will it do anything to your heart.😏
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