ALDACTONE 25MG TABS 20S

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ALDACTONE 25 mg Tablets (20 tablets)
Active Ingredient: Spironolactone 25 mg
Therapeutic Class: Potassium-Sparing Diuretic / Aldosterone Antagonist


Indications:

ALDACTONE is indicated for the treatment of:

  • Edema associated with congestive heart failure, liver cirrhosis, or nephrotic syndrome

  • Hypertension (high blood pressure), alone or in combination with other antihypertensives

  • Primary hyperaldosteronism (diagnosis and treatment)

  • Hypokalemia (low potassium), especially when other diuretics cause potassium loss

  • Heart failure (NYHA class III-IV) to reduce morbidity and mortality


Mechanism of Action:

Spironolactone is an aldosterone antagonist. It acts on the distal renal tubules to inhibit sodium reabsorption and potassium excretion, resulting in a diuretic effect while conserving potassium.


Dosage and Administration:

  • Edema/Hypertension: 25–100 mg daily in single or divided doses

  • Heart failure: Typically 25 mg once daily (may be adjusted based on serum potassium)

  • Primary hyperaldosteronism: 100–400 mg/day

  • Dose should be individualized based on clinical condition and renal function


Warnings and Precautions:

  • Monitor serum potassium and renal function regularly

  • Risk of hyperkalemia, especially in patients with kidney dysfunction or when combined with other potassium-sparing agents

  • Use cautiously in elderly or diabetic patients

  • Contraindicated in patients with anuria, acute renal insufficiency, or hyperkalemia


Side Effects:

  • Common: Hyperkalemia, gynecomastia, breast tenderness, dizziness, gastrointestinal upset

  • Rare but serious: Severe hyperkalemia, renal dysfunction, allergic reactions


Storage:

Store at room temperature (below 30°C) in a dry place. Protect from moisture and light. Keep out of reach of children.

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