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http://linked.open...gbank/description
| - A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827) (en)
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http://linked.open...y/drugbank/dosage
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http://linked.open...generalReferences
| - # Berardesca E, Gabba P, Ucci G, Borroni G, Rabbiosi G: Topical spironolactone inhibits dihydrotestosterone receptors in human sebaceous glands: an autoradiographic study in subjects with acne vulgaris. Int J Tissue React. 1988;10(2):115-9. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/2972662 # Pitt B, Zannad F, Remme WJ, Cody R, Castaigne A, Perez A, Palensky J, Wittes J: The effect of spironolactone on morbidity and mortality in patients with severe heart failure. Randomized Aldactone Evaluation Study Investigators. N Engl J Med. 1999 Sep 2;341(10):709-17. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/10471456 # Wandelt-Freerksen E: [Aldactone in the treatment of sarcoidosis of the lungs (author's transl)] Z Erkr Atmungsorgane. 1977 Jul;149(1):156-9. "Pubmed":http://www.ncbi.nlm.nih.gov/pubmed/607621 (en)
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http://linked.open...gy/drugbank/group
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http://linked.open...drugbank/halfLife
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http://linked.open...ugbank/indication
| - Used primarily to treat low-renin hypertension, hypokalemia, and Conn's syndrome. (en)
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http://linked.open...bank/manufacturer
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sameAs
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Title
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adms:identifier
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http://linked.open...mechanismOfAction
| - Spironolactone is a specific pharmacologic antagonist of aldosterone, acting primarily through competitive binding of receptors at the aldosterone-dependent sodium-potassium exchange site in the distal convoluted renal tubule. Spironolactone causes increased amounts of sodium and water to be excreted, while potassium is retained. Spironolactone acts both as a diuretic and as an antihypertensive drug by this mechanism. It may be given alone or with other diuretic agents which act more proximally in the renal tubule. Aldosterone interacts with a cytoplasmic mineralocorticoid receptor to enhance the expression of the Na+, K+-ATPase and the Na+ channel involved in a Na+ K+ transport in the distal tubule . Spironolactone bind to this mineralcorticoid receptor, blocking the actions of aldosterone on gene expression. Aldosterone is a hormone; its primary function is to retain sodium and excrete potassium in the kidneys. (en)
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http://linked.open...drugbank/packager
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http://linked.open...outeOfElimination
| - The metabolites are excreted primarily in the urine and secondarily in bile. (en)
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http://linked.open.../drugbank/synonym
| - Spironolactone (en)
- Espironolactona (en)
- Spironolactonum (en)
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