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Spironolactone - Summary
Spironolactone, marketed under the name Aldactone, is a medication that is traditionally used to treat high blood pressure, low potassium levels, excess fluid in the body and hyperaldosteronism. Push Health can help connect people who need to use spironolactone with medical providers in their area who can prescribe spironolactone if it is safe and appropriate to do so.
What Is Spironolactone Used For?
Spironolactone is an oral medication that is marketed under the brand names like Aldactone and Spiractin. Part of a class of medications known as potassium-sparing medications, spironolactone is an antagonist of aldosterone and causes the excretion of sodium and water and the retention of potassium. Through this mechanism, spironolactone is both a diuretic and a medication with antihypertensive effects on both the systolic and diastolic blood pressures. Spironolactone also has antiandrogenic effects and can block androgen hormones such as testosterone. Some people may have heard of other uses, such as spironolactone for weight loss, spironolactone for hair loss or spironolactone for PCOS. However, spironolactone has not been officially approved for use in such situations although some medical providers may choose to do so as an off-label use.
Spironolactone - Dosage and Cost
As an antiandrogen, spironolactone can cause effects similar to estrogen and can cause gynecomastia. Spironolactone tablets are generally available as spironolactone 25 mg, spironolactone 50 mg and spironolactone 100 mg. Spironolactone is rapidly metabolized. When taken with food, the bioavailability of spironolactone was increased. Spironolactone is not soluble in water. Generic spironolactone is relatively affordable at under $1 per pill. Different insurance plans may cover any out-of-pocket costs for spironolactone. Spironolactone pills are not available over-the-counter (OTC) and require a valid prescription from a medical provider. Spironolactone coupons are also available at times online.
Spironolactone For Acne?
Because spironolactone seems to have some effect on hormones, it is thought that spironolactone might be helpful in the management of specific conditions related to abnormal hormone levels. In particular, some reports are that spironolactone may be useful in treating some cases of acne as well as unwanted hair growth. At present, the use of spironolactone for managing these conditions would be considered off-label and based on the judgement of a medical provider as the FDA has not approved spironolactone for acne.
Can I Buy Spironolactone Online?
Spironolactone is a prescription medication in the United States. Because of this requirement, spironolactone OTC (over the counter) is not available at pharmacies in the US. Also, as a result, one cannot simply buy spironolactone online. However, Push Health can connect people who might need a spironolactone prescription with a licensed medical provider in their area who can prescribe spironolactone (e.g. 25 mg or 50 mg) tablets when appropriate to do so.
Spironolactone - Side Effects
Spironolactone use can result in side effects. Commonly, spironolactone can lead to high potassium levels, nause, vomiting, and a low libido. Other electrolyte and metabolic abnormalities are also known side effects. Hypotension, or low blood pressure, and gynecomastia can also result from spironolactone use. People with liver and kidney problems should not use spironolactone unless directed to do so by their medical provider. All questions regarding generic and branded spironolactone should be discussed with one's pharmacist and medical provider before use of the medication.
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Last updated November 15, 2019. Given the evolving nature of medicine and science, this information might not be accurate and should not be construed as medical advice or diagnosis / treatment recommendations. Please consult a licensed medical provider if you have additional questions.