Generic Name: Aldara
What is Aldara?
Tachycarida, yellowish discoloration of the body and constipation are not expected side effects of the spironolactone. Upon checking the laboratory result of the client taking prescribed with spironolactone Aldactonewhich data would be a potential concern. Answer: A - Spironolactone Aldactoe is a potassium-sparing diuretic so clients should be closely monitor for increase plasma level or hyperkalemia.
Normal serum potassium level is 3. Since the medication is diuretic, edema and weight gain should not occur. Excitability is not associated with this medication, rather drowsiness may occur.
What is the pharmacologic mechanism of action of Spironolactone Aldactone. Answer: C - Spironolactone Aldactone belongs to a classification of drugs known as potassium-sparing diuretic. It promotes discharge of salt and water through the urine while retaining potassium.
In patients receiving digoxin and spironolactone the digoxin response should be monitored by means other than serum digoxin concentrations, unless the digoxin assay used has been proven not to be affected by spironolactone therapy. If it proves necessary to adjust the dose of digoxin patients should be carefully monitored for evidence of enhanced or reduced digoxin effect.
Potentiation of the effect of antihypertensive drugs occurs and their dosage may need to be reduced when Aldactone is added to the treatment regime and then adjusted as necessary. Since ACE inhibitors decrease aldosterone production they should not routinely be used with Aldactone, particularly in patients with marked renal impairment. As carbenoxolone may cause sodium retention and thus decrease the effectiveness of Aldactone concurrent use should be avoided.
Non-steroidal anti-inflammatory drugs such as aspirin, indomethacin, and mefenamic acid may attenuate the natriuretic efficacy of diuretics due to inhibition of intrarenal synthesis of prostaglandins and have been shown to attenuate the diuretic effect of spironolactone. Spironolactone reduces vascular responsiveness to noradrenaline. Caution should be exercised in the management of patients subjected to regional or general anaesthesia while they are being treated with Aldactone.
In fluorimetric assays, spironolactone may interfere with the estimation of compounds with similar fluorescence characteristics. Spironolactone has been shown to increase the half-life of digoxin.
Spironolactone enhances the metabolism of antipyrine. Spironolactone can interfere with assays for plasma digoxin concentrations.
How should I take Aldara?
Blocking the action of aldosterone causes the kidneys to increase the amount of salts such as sodium that they filter out of the blood and into the urine. When these salts are filtered out of the blood by the kidneys, water is also drawn alongside. Spironolactone therefore increases the amount of water that is drawn out of the blood and into the urine. This helps excess fluid to be removed from the body. There are many conditions that can lead to an accumulation of fluid in the body oedema. These include heart failure where the fluid may build up in the lungs, causing breathlessness, or the ankles, causing swollen anklesliver cirrhosis where fluid may build up in the abdominal cavity, causing a swollen abdomen and certain types of kidney disease.
Spironolactone is used to remove excess fluid associated with these conditions and thus relieve the related symptoms.
What should I avoid while taking Aldara?
HOW TO USE: Take this medication by mouth, as directed by your doctor. If stomach upset occurs, take it with food or milk. It is best to take your dose early in the day before 6 p. Take this medication regularly in order to get the most benefit from it. Remember to use it at the same time s each day as directed.
It is important to continue taking this medication even if you feel well. Most people with high blood pressure do not feel sick.
Aldara side effects
Potassium supplement and salt substitute should not be given to which classification medications. Answer: D - Potassium - sparing diuretic is a medication that promotes excretion of sodium and water but retain potassium. Potassium supplement and salt substitute should not be given in this type of medication due to the risk of developing hyperkalemia which can have a lethal effect.
Option A, B, and C types of medication can be given with potassium supplements because they are excrete sodium and water as well as potassium. A 54-year old client diagnosed with heart failure is allergic to sulfate-based medication. Which type of diuretic should the client avoid. Answer: B - thiazide and thiazide-like diuretics are sulfonamide derivatives, so use of this medication should be avoided in clients that has allergy to sulfa-based medications.
Common Aldara ide effects may include:
In addition to this, it may be used either on its own or as part of a combination treatment plan with other drugs for treating hypertension high blood pressure.
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Therefore, the use of ALDACTONE in pregnant women requires that the anticipated benefit be weighed against the possible hazards to the fetus.
This medication may not be safe for all patients.
Warning signs or symptoms of fluid and electrolyte imbalance, irrespective of cause, include dryness of the mouth, thirst, weakness, lethargy, drowsiness, restlessness, muscle pains or cramps, muscular fatigue, hypotension, oliguria, tachycardia, and gastrointestinal disturbances such as nausea and vomiting. Hyperkalemia may occur in patients with impaired renal function or excessive potassium intake and can cause cardiac irregularities, which may be fatal.
Consequently, no potassium supplement should ordinarily be given with ALDACTONE. If hyperkalemia is suspected warning signs include paresthesia, muscle weakness, fatigue, flaccid paralysis of the extremities, bradycardia, and shockan electrocardiogram ECG should be obtained.
However, it is important to monitor serum potassium levels because mild hyperkalemia may not be associated with ECG changes.
Where can I get more information?
There was also a statistically significant, but not dose-related, increase in benign uterine endometrial stromal polyps in females.
Sodium restriction may be continued to reduce fluid volume overload.