Want a plain answer about Aldactone? It’s the brand name for spironolactone, a potassium-sparing diuretic that lowers fluid and reduces the hormone aldosterone. Doctors prescribe it for high blood pressure, heart failure, fluid buildup (edema), primary hyperaldosteronism, and off-label for acne or unwanted hair in women. Know why you’re taking it and what to check—small steps keep treatment safe and effective.
Dosing depends on the condition. Typical ranges you might see: 25–100 mg daily for high blood pressure, 12.5–50 mg daily for heart failure maintenance, and 50–200 mg daily when used for acne or hirsutism. Your doctor will start low and adjust based on response and lab tests. Don’t copy someone else’s dose—your kidney function, other meds, and goals matter.
Take Aldactone at the same time each day. If it makes you dizzy, take it at night. If you miss a dose, take it when you remember unless it’s almost time for the next one—then skip the missed dose. Don’t double up without checking a prescriber.
The main risk is high potassium (hyperkalemia). Symptoms can be subtle—weakness, numbness, or irregular heartbeat. Your provider will check potassium and kidney tests before starting, then again after a few days to weeks and periodically after that. If you have diabetes or kidney disease, checks happen more often.
Other common issues: breast tenderness or enlargement in men (gynecomastia), irregular periods or breast changes in women, dizziness from low blood pressure, and stomach upset. If you notice muscle weakness, palpitations, or fainting, get medical help fast.
Drug interactions matter. Avoid taking potassium supplements or salt substitutes with potassium unless your doctor approves. Combining Aldactone with ACE inhibitors, ARBs, certain NSAIDs, or some blood pressure drugs raises potassium risk. Tell your prescriber about all meds and supplements.
Pregnancy and breastfeeding: spironolactone can affect hormones. If you’re pregnant, planning pregnancy, or breastfeeding, talk to your doctor—there are safer options in many cases.
Practical tips: keep a list of medicines, carry one with you, and check labs on schedule. Measure your blood pressure at home if possible and report big drops or persistent dizziness. Don’t stop Aldactone suddenly without medical advice—your condition may worsen.
If you have questions about switching drugs, buying prescriptions, or how Aldactone compares with other blood pressure medicines, our resource center has guides on blood pressure meds and safe online pharmacies. If anything feels off while taking Aldactone, reach out to your healthcare team right away—quick checks prevent most problems.
This article dives into five alternatives to Hydrochlorothiazide, a common diuretic used for managing high blood pressure. From Aldactone's potassium-sparing benefits to the potential side effects of each option, you'll discover various treatments that might better suit your needs. Understanding these alternatives can aid in more informed discussions with your healthcare provider.
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