Spironolactone is a nonselective aldosterone receptor antagonist that is metabolized extensively in the liver to its active metabolites (the table ). Aldosterone is a hormone that helps regulate sodium and potassium in the kidneys, which in turn affects fluid retention and blood flow and pressure. Aldosterone antagonists, selectivealdosterone antagonists compete with aldosterone receptor sites, reducing blood pressure and sodium reabsorption.eplerenone (inspra)eplerenone selectively blocks.
Myocardial Effects of Aldosterone Antagonism in Heart
View list of generic drugs that are therapeutically classified under aldosterone antagonists.
The net effect of these drugs is to reduce sodium and water retention but increase retention of potassium.
Customize your medscape account with the health plans you. Dosing, uses, side effects, interactions, patient handouts, pricing and more from medscape reference. The first study that indicated a potential role of an aldosterone antagonist in patients with systolic heart failure was from the rales or randomized aldactone evaluation study (pitt et al 1999). Aldactone causes increased amounts of sodium and water to be excreted, while potassium is retained.
If the pressure in the.
In some rare cases, aldosterone receptor antagonists can cause breast enlargement or tenderness, especially in men. Patients with cirrhosis develop a secondary hyperaldosteronism. Choose from our complete list of over 1800 insurance plans across all 50 us states. The diamond data marker represents the overall odds ratio and 95% ci for the outcome of interest.
An antimineralocorticoid, also known as a mineralocorticoid receptor antagonist ( mcra) or aldosterone antagonist, is a diuretic drug which antagonizes the action of aldosterone at mineralocorticoid receptors.
Spironolactone (aldactone®) eplerenone (inspra®) combination products (aldactide®, lasilactone®) return to heart failure medicines Taking your medication with food might help. Mortality comparing aldosterone antagonist (aa) therapy vs control. Spironolactone (aldactone ®) reference (s)
There are currently two aldosterone antagonists commercially available in the united states, spironolactone and eplerenone.
Spironolactone, the most widely used antimineralocorticoid. Find related prescribing information and price details for each drug listed under it. For you news & perspective drugs & diseases cme & education. Aldosterone antagonists are used to treat:
The newer drugs don’t have this effect.
Try chewing gum or sucking on hard candies. The generic versions, spironolactone, and eplerenone, are priced at about $18 and $140 respectively for the same supply. Drugs used in cardiovascular disease; Spironolactone is a nonselective aldosterone antagonist, and eplerenone.
Swelling and tenderness of the breasts (in men and.
Spironolactone is an aldosterone antagonist which acts in the cortical collecting duct. Congestive heart failure high blood pressure ascites ( abdomen swelling caused by fluid accumulation) due to cirrhosis and portal hypertension (increase in pressure. The clinical benefits, adverse effects, pharmacokinetics, and recommendations for the appropriate use of the aldosterone antagonists spironolactone and eplerenone in patients with heart failure are reviewed. Treatment of hypertension (may be used alone or in combination with other antihypertensive agents);
It is important not to drink more fluids.
Square data markers represent odds ratios;
