Aldactone
Nephrotic Syndrome, Ascites, Hypokalemia + 14 more
Treatment
18 FDA approvals
20 Active Studies for Aldactone
Treatment for
Nephrotic Syndrome
What is Aldactone
Spironolactone
The Generic name of this drug
Treatment Summary
Spironolactone is a medication used to treat high blood pressure, heart failure, and other conditions caused by too much aldosterone in the body. It works by preventing the body from reabsorbing too much sodium and water, while allowing the body to retain potassium. It was first developed in 1957 and approved by the FDA in 1960. Off-label uses of spironolactone include treating hirsutism, female pattern hair loss, adult acne, and aiding in medical gender transition.
Spironolactone
is the brand name
Aldactone Overview & Background
Brand Name
Generic Name
First FDA Approval
How many FDA approvals?
Spironolactone
Spironolactone
1960
288
Approved as Treatment by the FDA
Spironolactone, also known as Spironolactone, is approved by the FDA for 18 uses such as Swollen feet or ankles and Ascites .
Swollen feet or ankles
Helps manage Edema
Ascites
Helps manage Ascites
Primary Hyperaldosteronism
Helps manage Primary Hyperaldosteronism
Hypokalemia
chronic heart failure with reduced ejection fraction (NYHA Class IV)
Helps manage chronic heart failure with reduced ejection fraction (NYHA Class IV)
Cirrhosis of the Liver
Helps manage Cirrhosis of the Liver
idiopathic hyperaldosteronism
Helps manage idiopathic hyperaldosteronism
Congestive Heart Failure (CHF)
Helps manage Congestive Heart Failure (CHF)
Hypesthesia
Helps manage chronic heart failure with reduced ejection fraction (NYHA Class IV)
Edema
Helps manage Edema
Hypesthesia
Helps manage chronic heart failure with reduced ejection fraction (NYHA Class III)
Cirrhosis
Helps manage Cirrhosis of the Liver
Hyperaldosteronism
Helps manage Primary Hyperaldosteronism
Nephrotic Syndrome
Helps manage Nephrotic Syndrome
Congestive Heart Failure
Helps manage Congestive Heart Failure (CHF)
Hypertensive disease
Helps manage High Blood Pressure (Hypertension)
Ascites
Helps manage Ascites
Hyperaldosteronism
Helps manage idiopathic hyperaldosteronism
Effectiveness
How Aldactone Affects Patients
Spironolactone was originally studied for the way it helps the body get rid of water without losing too much potassium. It does this by blocking certain receptors in the kidneys that help regulate sodium, water, and potassium levels. It is similar in structure to a hormone called progesterone, and as a result has some of the same effects, such as increased progesterone levels and anti-androgenic effects.
How Aldactone works in the body
Spironolactone works by blocking sodium and potassium channels in the kidneys. This causes more sodium and water to be released from the body, which is how the drug produces its diuretic and anti-hypertension effects. Potassium is the only ion that is not affected, and instead is retained in the body.
When to interrupt dosage
The endorsed dosage of Aldactone is contingent upon the diagnosed condition, such as Hypesthesia, Congestive Heart Failure and Cirrhosis. The measure of dosage fluctuates, depending on the method of administration specified in the accompanying table.
Condition
Dosage
Administration
Nephrotic Syndrome
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Ascites
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Hypokalemia
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Acne Vulgaris
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Hyperaldosteronism
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Hyperaldosteronism
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Swollen feet or ankles
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Hypesthesia
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Hypesthesia
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Congestive Heart Failure
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Hirsutism
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Hypertensive disease
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Hyperaldosteronism
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Cirrhosis
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Edema
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Hypertension
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
inadequate response to other therapeutic measures
50.0 mg, , 100.0 mg, 25.0 mg, 25.0 mg/mL, 0.02 mg/mg, 0.05 mg/mg
, Tablet, film coated, Tablet, film coated - Oral, Oral, Tablet, Tablet - Oral, Suspension - Oral, Suspension, Gel - Topical, Topical, Gel, Tablet, coated - Oral, Tablet, coated
Warnings
Aldactone has six contra-indications. Any of the conditions given in the table below should preclude the utilization of Aldactone.
Aldactone Contraindications
Condition
Risk Level
Notes
Renal Insufficiency
Do Not Combine
Anuria
Do Not Combine
Acute Kidney Injury
Do Not Combine
Hyperkalemia
Do Not Combine
Pulse Frequency
Do Not Combine
Addison Disease
Do Not Combine
There are 20 known major drug interactions with Aldactone.
Common Aldactone Drug Interactions
Drug Name
Risk Level
Description
Amiodarone
Major
The metabolism of Amiodarone can be decreased when combined with Spironolactone.
Brigatinib
Major
The metabolism of Brigatinib can be decreased when combined with Spironolactone.
Cabazitaxel
Major
The metabolism of Cabazitaxel can be decreased when combined with Spironolactone.
Cyclosporine
Major
The risk or severity of hyperkalemia can be increased when Spironolactone is combined with Cyclosporine.
Dabrafenib
Major
The metabolism of Dabrafenib can be decreased when combined with Spironolactone.
Aldactone Toxicity & Overdose Risk
People who overdose on spironolactone may feel drowsy, confused, have a rash, feel sick to their stomach, become dizzy, or have diarrhea. Treatment for overdose includes keeping hydrated and maintaining electrolyte balance and other vital functions. The toxic dose in mice, rats, and rabbits is greater than 1g/kg. Pregnant women should avoid spironolactone, as it has been reported to cause feminization of male fetuses in animal studies. Spironolactone is present in breast milk, but its long-term effects are still unknown. Animal studies have shown that spironol
Aldactone Novel Uses: Which Conditions Have a Clinical Trial Featuring Aldactone?
165 active clinical trials are currently underway to evaluate the utility of Aldactone in managing Hypokalemia, Hirsutism and Nephrotic Syndrome.
Condition
Clinical Trials
Trial Phases
Hypesthesia
8 Actively Recruiting
Not Applicable, Phase 1
Cirrhosis
49 Actively Recruiting
Phase 1, Not Applicable, Phase 3, Phase 2, Phase 4
Ascites
2 Actively Recruiting
Not Applicable, Phase 2
Nephrotic Syndrome
6 Actively Recruiting
Phase 2, Not Applicable, Phase 3
Hypertension
0 Actively Recruiting
Congestive Heart Failure
12 Actively Recruiting
Not Applicable, Phase 1, Phase 2
Hirsutism
0 Actively Recruiting
Hypokalemia
0 Actively Recruiting
Acne Vulgaris
0 Actively Recruiting
Hyperaldosteronism
0 Actively Recruiting
inadequate response to other therapeutic measures
0 Actively Recruiting
Hyperaldosteronism
0 Actively Recruiting
Hypertensive disease
27 Actively Recruiting
Not Applicable, Phase 1, Phase 2, Phase 3
Swollen feet or ankles
4 Actively Recruiting
Phase 2, Not Applicable, Phase 4
Hypesthesia
5 Actively Recruiting
Not Applicable, Phase 1
Hyperaldosteronism
0 Actively Recruiting
Edema
0 Actively Recruiting
Aldactone Reviews: What are patients saying about Aldactone?
4.7
Patient Review
4/16/2018
Aldactone for High Blood Pressure
4.3
Patient Review
10/23/2015
Aldactone for High Blood Pressure
3.7
Patient Review
11/29/2015
Aldactone for Accumulation of Fluid caused by Cirrhosis of the Liver
2.3
Patient Review
4/7/2020
Aldactone for Accumulation of Fluid Resulting from Chronic Heart Failure
1.7
Patient Review
1/27/2014
Aldactone for Male Pattern of Hair Distribution or Hirsutism in a Woman
1.3
Patient Review
9/21/2016
Aldactone for Accumulation of Fluid Resulting from Chronic Heart Failure
Patient Q&A Section about aldactone
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is Aldactone a steroid?
"Aldactone is not a steroid, but it does have some steroid-like effects on the hormones aldosterone and testosterone. Aldactone belongs to a class of drugs known as diuretics, which are potassium-sparing."
Answered by AI
What is a Aldactone used for?
"High blood pressure is a major problem because it can lead to strokes, heart attacks, and kidney problems. However, by lowering high blood pressure, these risks can be prevented. In addition, high blood pressure can also be treated by removing excess fluid and improving symptoms such as breathing problems."
Answered by AI
What is Aldactone used for and what are the side effects?
"Aldactone is a medication used to treat heart failure, high blood pressure, or low potassium levels in the blood. It can also be used to treat fluid retention in people with congestive heart failure, cirrhosis of the liver, or a kidney disorder called nephrotic syndrome."
Answered by AI
What type of drug is Aldactone?
"Aldactone is a diuretic, meaning it helps your body get rid of water. It also helps your body retain potassium, which can raise the level of potassium in your blood to too high."
Answered by AI