Yesterday, I saw my derm and he said that I should have seen some type of improvement by now and that my acne should not have gotten worse. This comment worried and confused me a bit, since I have been reading on the internet and on here that Spiro takes a while to kick in and that some women have an initial breakout the whole spiel of it has to get worse before it gets better.
Then my derm suggested I stop taking all of the medication and go on Accutane. Now, I made my research on Accutane and it is not something I want to try, especially since my acne is caused by hormones. Accutane would not cure my hormonal imbalance, and so after Accutane eventually my hormonal acne would return.
I told him this but he was very persistent about the Accutane. I told him that I would like to continue with the Spiro since I'm not experiencing any side-effects. Fever, urticaria, maculopapular or erythematous cutaneous eruptions, anaphylactic reactions, vasculitis. Hyperkalemia, electrolyte disturbances see Warnings and Precautions. Lethargy, mental confusion, ataxia, dizziness, headache, drowsiness.
Renal dysfunction including renal failure. Acute overdosage of Spironolactone may be manifested by drowsiness, mental confusion, maculopapular or erythematous rash, nausea, vomiting, dizziness, or diarrhea. Rarely, instances of hyponatremia, hyperkalemia, or hepatic coma may occur in patients with severe liver disease, but these are unlikely due to acute overdosage.
Hyperkalemia may occur, especially in patients with impaired renal function. Treatment Induce vomiting or evacuate the stomach by lavage. There is no specific antidote. Treatment is supportive to maintain hydration, electrolyte balance, and vital functions. Patients who have renal impairment may develop Spironolactone-induced hyperkalemia. In such cases, Spironolactone tablets should be discontinued immediately.
Spironolactone Dosage and Administration Primary hyperaldosteronism Spironolactone tablets may be employed as an initial diagnostic measure to provide presumptive evidence of primary hyperaldosteronism while patients are on normal diets.
Long test Spironolactone tablets are administered at a daily dosage of mg for three to four weeks. Correction of hypokalemia and of hypertension provides presumptive evidence for the diagnosis of primary hyperaldosteronism. Short test Spironolactone tablets are administered at a daily dosage of mg for four days. If serum potassium increases during Spironolactone administration but drops when Spironolactone tablets are discontinued, a presumptive diagnosis of primary hyperaldosteronism should be considered.
After the diagnosis of hyperaldosteronism has been established by more definitive testing procedures, Spironolactone tablets may be administered in doses of to mg daily in preparation for surgery. For patients who are considered unsuitable for surgery, Spironolactone tablets may be employed for long-term maintenance therapy at the lowest effective dosage determined for the individual patient.
Edema in adults congestive heart failure, hepatic cirrhosis, or nephrotic syndrome An initial daily dosage of mg of Spironolactone tablets administered in either single or divided doses is recommended, but may range from 25 to mg daily. When given as the sole agent for diuresis, Spironolactone tablets should be continued for at least five days at the initial dosage level, after which it may be adjusted to the optimal therapeutic or maintenance level administered in either single or divided daily doses.
If, after five days, an adequate diuretic response to Spironolactone tablets has not occurred, a second diuretic that acts more proximally in the renal tubule may be added to the regimen. Because of the additive effect of Spironolactone tablets when administered concurrently with such diuretics, an enhanced diuresis usually begins on the first day of combined treatment; combined therapy is indicated when more rapid diuresis is desired.
The dosage of Spironolactone tablets should remain unchanged when other diuretic therapy is added. Essential hypertension For adults, an initial daily dosage of 50 to mg of Spironolactone tablets administered in either single or divided doses is recommended.
Some women produce more androgen hormones than needed. Anti-androgens like Aldactone block androgen receptors in the body, preventing cells from absorbing androgen hormones. Simply, Aldactone limits specific hormonal fluctuations that can contribute to acne breakouts. Because of the way Aldactone works, only women whose acne is greatly influenced by hormonal fluctuations will see results with this medication.
But for those women who have hormonal acne, the drug can do a good job in helping to manage breakouts. Instead, it's taken orally. Limit foods high in potassium such as bananas, tomatoes, potatoes, and low-salt milk. Consult your doctor or pharmacist for more details, including recommendations. This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely.
Older adults may be more sensitive to the side effects of this drug, especially the effects on potassium see Side Effects section. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This medication passes into breast milk but is unlikely to harm a nursing infant. Consult your doctor before breast -feeding. Interactions See also Precautions section.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
Some products that may interact with this drug include: Some products have ingredients that could raise your blood pressure or worsen your swelling. This medication may interfere with certain laboratory tests including digoxin or cortisol levels , possibly causing false test results.
Make sure laboratory personnel and all your doctors know you use this drug. Does Spironolactone interact with other medications? Overdose If someone has overdosed and has serious symptoms such as passing out or trouble breathing , call Otherwise, call a poison control center right away. US residents can call their local poison control center at
These are temporary measures to be repeated as required. If you notice other effects not listed above, contact day doctor or pharmacist. In rare instances some breast day may persist when spironolactone is discontinued. Hyperkalaemia may be accompanied by paraesthesia, weakness, mild paralysis or muscle spasms and is difficult to distinguish 50mg from hypokalaemia, spironolactone 50mg a day. NDC NDC bottles of tablets The mg tablet is a white, film-coated round, biconvex, beveled edge tablet debossed with M over on one side of the tablet and scored on the other side. Spironolactone should be used with caution in patients with impaired hepatic function because minor alterations of fluid and electrolyte balance may precipitate hepatic coma, spironolactone 50mg a day. Take this medication day in order to get the most benefit from it, spironolactone 50mg a day. Talk spironolactone your pharmacist for more details. Spironolactone therapy may spironolactone a transient elevation of BUN, especially in patients with pre-existing renal impairment. Dilutional hyponatremia, manifested by dryness of the mouth, thirst, 50mg, and drowsiness, and confirmed by a low serum sodium level, spironolactone 50mg a day, may be caused or aggravated, especially when spironolactone spironolactone administered in combination with other diuretics, and dilutional hyponatremia may occur in edematous patients in hot weather; appropriate therapy is water restriction rather than administration of sodium, except in rare instances when the hyponatremia is life-threatening. Day are temporary measures to be repeated as required. Lowering high blood pressure 50mg prevent strokes, heart attacksand kidney problems. What conditions does Spironolactone treat? It is best 50mg take your dose early in the day before spironolactone p.
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