Composition
Tab 50 mg: Spironolactone 50 mg, hydrochlorothi-azide 50 mg. Tab 25 mg: Spironolactone 25 mg, hydrochlorothiazide 25 mg.
Indications & Dosage
Essential hypertension, oedema and ascites of congestive cardiac failure, cirrhosis of liver, nephrotic syndrome: Adults: 1 tab to 8 tab of 25 mg or 4 tab 50 mg daily. Children: 1.5-3 mg spironolactone per kg daily in divided doses.
Contraindications
Anuria, severe or progressive renal failure, hyperkalaemia, Addisons disease.
Precautions
Hepatic or renal impairment, gout, long term use in young patients, diabetes.
Interactions
K+ supplements, K+ sparing diuretics, lithium, digitalis, carbenoxolone, anti-hypertensives, ACE inhibitors.
Pregnancy
Caution advised
Lactation
Not recommended.
Side Effects
Gynaecomastia, GI upset, drowsiness, rash, photosensitivity blood dyscrasias.