Spironolactone (Aldactone)

Hi all!  SPIRONACTONE ( ALDACTONE)  It's a water pill for heart!  Have any of you taken this medication? The doctor prescribed 25 mg of it along with a beta blocker for left ventricular dysfunction. It is giving me serious side effects! The doctor said to cut it in half to see if it was better but still not working for me. It gives me mental confusion, tired, weak, dizzy, chest tightness! I can't take it.  Have any of you had side effects with this medication? If so, What was prescribed in its place that worked for you?  


5 Comments

side effects

by Tracey_E - 2023-04-17 09:44:41

I've never taken that one but with any diuretic you have to be super careful about hydration and electrolytes. Low electrolytes will cause a lot of symptoms. 

Spironlactone

by piglet22 - 2023-04-17 09:51:21

Hello

The NHS (UK) certainly list some of your symptoms as common.

It's a diuretic used to treat swelling in places other than heart! Plus used to treat high blood pressure.

I can only speak from my experience and I was prescribed Bendroflumethazide decades ago at about 2.5-mg daily.

I seem to tolerate it quite well and don't get any side effects that I notice other than a glass of water in and then out quite quickly.

I would check with your GP if the symptoms carry on for more than a few days.

Spironolactone

by LeahNorthwest - 2023-04-17 15:21:41

Hi there ! 

When I first started on the medication 25mg it made me extremely dizzy and light headed. My Dr backed me to 12.5, I just cut them in half at about the 18 month mark I was able to take the full 25 MG. Good Luck ❤️ Leah 

Spironolactone

by USMC-Pacer - 2023-04-19 12:24:16

Yes, I was on it for about a month. It started giving me very painful / itchy nipples. It would have led me to gynecomastia. I told the DR., no thank you! He switched me to eplerenone = no more issues.

Spironolactone

by Selwyn - 2023-04-22 08:19:28

This is used to treat poor heart output. It is also a diuretic. The enclosed literature which you receive with your medication box tells you the incidence of side effects and what you may experience. This is based on thousands of reports. 

If you are having problems, as suggested above, maybe an alternative can be found. Spironolactone has been around for years, it is a little old fashioned. Having said that, the advantage is that most of its side effects have been documented.  For newer medicines, you do not have the benefit of those years of reporting side effects  ( Take for example Covid vaccinations where the risk of blood clotting was not known until large numbers of doses had been given).

Make sure you have your electrolytes monitored with Spironolactone as it can cause upset to your renal function.  ( advice 'Monitor electrolytes—discontinue if hyperkalaemia occurs (in severe heart failure monitor potassium and creatinine 1 week after initiation and after any dose increase, monthly for first 3 months, then every 3 months for 1 year, and then every 6 months).' Spironolactone has hormonal effects and can cause dizziness /confusion etc.

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