Spironolactone

Dosage Forms Available

• Spironolactone can be taken orally (tablets and oral suspensions).

Age and Dose Restrictions

• Spironolactone is intended for use by adults and children who are older than 3 years.

Contraindications

• This medicine is contraindicated for patients who have Addison's disease.

• It is also not advised for those with severe kidney disease or high levels of potassium in their blood.

Other Medications to Avoid

• Spironolactone may interact with nonsteroidal anti-inflammatory medicines (such as ibuprofen), cardiac glycosides (like digoxin), bile acid sequestrants (like cholestyramine) and salicylates (like aspirin).

Overdose and Missed Dose

• An overdose of Spironolactone can lead to severe health issues such as hyperkalemia (high potassium levels), dehydration, drowsiness and confusion. Seek immediate medical attention if you suspect an overdose.

• If you miss a dose of this medicine, take it as soon as you remember. However, if it is nearly time for your next dose, skip the missed dose - do not double up on doses.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• Drinking plenty of water can help manage side effects like dizziness and headaches.

• Resting or lying down can often help with feelings of drowsiness or fatigue.

Use in Driving and Operating Machinery

• Spironolactone may cause dizziness or drowsiness, which could affect your ability to drive or operate machinery. It is advised to avoid these activities until you know how the medication affects you.

Use in Pregnancy and Lactation

• It is generally not recommended to use Spironolactone during pregnancy unless advised by your doctor.

• Though this medicine may pass into breast milk, it is unlikely to harm a nursing infant. Always consult your doctor before using this medicine while breastfeeding.

Caution in Other Conditions

• Patients with kidney or liver impairment should be cautious when taking Spironolactone and always consult their doctor for advice.

Special Dietary and Lifestyle Recommendations

• Avoid using potassium supplements or salt substitutes containing potassium without consulting your doctor, as Spironolactone can increase potassium levels in the body.