Usual Adult Dose for Congestive Heart Failure: Initial dose: 25 mg orally once a day assuming serum potassium is less than or equal to 5 mEq/L and serum creatinine is less than or equal to 2.5 mg/dL. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Spironolactone is used to treat heart failure , high blood pressure (hypertension), or hypokalemia ( … DzooBaby 6 Jun 2016. The problem is that alcohol is also a diuretic causing more water loss. To make sure spironolactone is safe for you, tell your doctor if you have: - an electrolyte imbalance (such as low levels of magnesium in your blood); or. And they can learn to recognize your symptoms early. Too much salt will cause your body to retain water and can make this medication less effective. Join Yahoo Answers and get 100 points today. You should not breast-feed while using this medicine. If your stomach becomes upset after taking spironolactone, you may take it with food or milk. Avoid taking salt substitutes that contain potassium or potassium supplements while taking spironolactone. Do not use potassium supplements or salt substitutes, unless your doctor has told you to. Avoid a diet high in salt. Not a good idea. Votes: +0. Call your doctor for medical advice about side effects. Limiting how much you drink and how much salt (sodium) you take in can help prevent these symptoms. Eyes puffy, cheeks puffy. Other drugs may interact with spironolactone, including prescription and over-the-counter medicines, vitamins, and herbal products. Mix the contents of a packet with 1 quart or liter of drinking water. You need to keep your legs elevated as … Especially for someone with a fibrotic liver, dehydration means thicker blood that makes filtration by the liver that much more challenging. Spironolactone also known by the brand name Aldactone is a potassium sparing diuretic that helps rid your body of salt (sodium) and water but retains potassium in the blood. You should not use spironolactone if you are allergic to it, or if you have: - kidney disease, or if you are unable to urinate; - Addison's disease (an adrenal gland disorder); - high levels of potassium in your blood (hyperkalemia); or. Triamterene is used to treat fluid retention (edema) in people with congestive heart failure , cirrhosis of the liver, or a kidney condition called nephrotic syndrome . In animal studies, spironolactone caused certain types of tumors, some of which were cancerous. I'm trying to drink as much water as possible. I've been on 200mg (daily) of Spironolactone for 5 days now, and I am definitely peeing way too much, roughly every single hour today. Drug class: aldosterone receptor antagonists. Avoid becoming dehydrated during spironolactone treatment, as the balance of fluid in the body must be upheld for this medicine to be effective. Fuelling this appetite for water is the “8x8 rule”: the unofficial advice recommending we drink eight 240ml glasses of water per day, totalling just under two litres, on top of any other drinks. If you are being treated for high blood pressure, keep using this medication even if you feel well. What her physician had her do was weigh herself first thing in the morning, and then re-weigh at night. Using spironolactone with other drugs that make you dizzy can worsen this effect. Drinking alcohol can increase certain side effects. Any ? It’s important to drink a lot of water while taking the medication. They can keep an eye on how much you drink. I gained 6 pounds in 3 days. Avoid a diet high in salt. This medicine may cause swelling of the breasts (gynecomastia) and breast pain in some patients. Spironolactone interferes with the removal of potassium by the kidneys and may interfere with the removal of magnesium and other minerals. Available for Android and iOS devices. The WHO just finished its mission in China, and concluded that covid19 did not come from Chinese lab, as Trump insisted ? Limiting how much you drink and how much salt (sodium) you take in can help prevent these symptoms. Thiazide diuretics -- the most commonly prescribed diuretic -- stop the transport of salt to the distal tubule in the kidneys, thus promoting the loss of water and salts via increased urination, according to the Cardiovascular Pharmacology Concepts webpage. Unfortunately, without knowing your whole medical history, I can't advise you on what to do- have you talked to the person who prescribed you the spironolactone about what to do? Spironolactone is used to treat heart failure, high blood pressure (hypertension), or hypokalemia (low potassium levels in the blood). Adults and large children should drink at least 3 quarts or liters of ORS a day until they are well. Usual Adult Dose for Primary Hyperaldosteronism: Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Ask your doctor about any risk. An interaction is when a substance changes the way a drug works. It just seems like it's not enough though. I know a "normal" person should be drinking 8 glasses of water a day to stay hydrated with regular physical exercise but how much extra should I drink to counteract the diuretic effects of Spiro? Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. At high doses, it’s known to cause menstrual cycle irregularities. Spironolactone is used to treat certain patients with hyperaldosteronism (the body produces too much aldosterone, a naturally occurring hormone); low potassium levels; heart failure; and in patients with edema (fluid retention) caused by various conditions, including liver, or kidney disease. Tell your doctor about all your other medicines, especially: heart or blood pressure medicine (especially another diuretic); NSAIDs (nonsteroidal anti-inflammatory drugs) - aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others. For heart failure: 12.5 to 25 mg, once or twice daily, is typically used. Spironolactone oral tablet can interact with other medications, vitamins, or herbs you may be taking. This is why it is very important to keep track of the fluid intake of the child. If your piss isn't clear, you should drink more water :)[/QUOTE] Yes at the very least 1 gallon if not more. This medicine is also used to treat or prevent hypokalemia (low potassium levels in the blood). This medicine is available only with your doctor’s prescription. Try to avoid foods high in potassium (such as avocados, bananas, coconut water, spinach, and sweet potato) because eating these foods may lead to potentially fatal hyperkalemia (high blood potassium levels). Tell your doctor if you are pregnant or plan to become pregnant. Your family members can help you take care of yourself. I'm currently on a diuretic called spironolactone for pcos symptoms, and I think I'm experiencing mild dehydration (sunken eyes, pale flabby skin, dizziness). Diuretics, sometimes called water pills, help rid your body of salt (sodium) and water. 2 There were 8,334 participants in the Atherosclerosis Risk in Communities Study who were … If you are currently taking 50mg daily, that is a great dose for most women with hormonal acne. While drinking 64 ounces of water each day isn't a bad thing, it could be too much or not enough for some people. Version: 11.01. amlodipine, lisinopril, metoprolol, losartan, furosemide, hydrochlorothiazide, carvedilol, diltiazem, Lasix, potassium chloride. Loop diuretics also … If you are mildly dehydrated, you need to drink enough liquid to replace the fluids you have lost. We comply with the HONcode standard for trustworthy health information -. Triamterene is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. - if you take an NSAID (nonsteroidal anti-inflammatory drug), cholestyramine, heparin, lithium, heart or blood pressure medication, potassium supplements, steroid medicine, or another diuretic. What should I avoid while taking spironolactone (Aldactone, CaroSpir)? : Aldactone (spironolactone) is a "water pill" used to control blood pressure. I'm currently on a diuretic called spironolactone for pcos symptoms, and I think I'm experiencing mild dehydration (sunken eyes, pale flabby skin, dizziness). Spironolactone can lower blood pressure, making you light-headed or dizzy. Also, she was advised to eat more "wet" fruits like watermelons and cantaloupe...she had to stay away from some things, however, because of her heart and other medicines. Avoid driving or hazardous activity until you know how spironolactone will affect you. 25 to 200 mg orally per day in single or divided doses, Initial dose: 50 to 100 mg orally per day in single or divided doses. Spironolactone is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. Take this medication by mouth, as directed by your doctor.If stomach upset occurs, take it with food or milk. The water calculator can even estimate how much water a child should drink. Drinking alcohol can increase certain side effects. Do not use potassium supplements or salt substitutes, unless your doctor has told you to. Spironolactone is also used to diagnose or treat a condition in which you have too much aldosterone in your body. Last updated on April 14, 2020. You may report side effects to FDA at 1-800-FDA-1088. Not all possible drug interactions are listed here. It may not be safe to breastfeed while using spironolactone. Spironolactone is an acne treatment prescribed by dermatologists. Do not wait until dehydration becomes severe. Other side effects include breast tenderness and enlargement. Store at room temperature away from heat, light, and moisture. If you need surgery, tell your surgeon you currently use this medicine. My cardiac rehab dietitian said that they can cause a number of problems. Should I drink more water when taking spironolactone? I've been on 100mg Spironolactone a day for about 3-4 years (as well as Microgestin FE 1/20). Your family members can help you take care of yourself. If you do not have heart failure, you should drink 6 to 8 (8 ounce) glasses of water spread out through the day. How and when to take it How much to take The usual dose in adults to treat heart failure or a build up of fluid in the body (oedema) is 1mg to 10mg a day or 5ml to 50ml a day if you're taking it as a liquid. Spironolactone is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. (It's normal to urinate 4 or 5 times a day.) Spironolactone also treats fluid retention (edema) in people with congestive heart failure, cirrhosis of the liver, or a kidney disorder called nephrotic syndrome. Your doctor may occasionally change your dose. Medically reviewed by Sanjai Sinha, MD. How much water should I be drinking, and is there anything else I can do for my body to stay hydrated? If you are not sure if the water is safe to drink, first boil the water for at least 5 minutes. Drinking too much water can deplete important electrolytes and make you sicker. It just seems like it's not enough though. Packets of oral rehydration salts are widely available. If you don't have a sports drink or ORS packet, you can make an oral rehydration solution using the following recipe: To 1 quart or liter of drinking water or boiled water, add the following: 2 tablespoons sugar . Having congestive heart failure, cirrhosis, or uncontrolled high blood pressure during pregnancy may lead to medical problems in the mother or the baby. Tell any doctor who treats you that you are using spironolactone. I tested positive for covid on January 25 2021 and today still tested positive. Other guidelines exist, but there's still no true consensus. Spironolactone takes up to 3 months to have its full effect, at which point I will sometimes decrease the dose or may increase the dose of Spironolactone if necessary. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. It is not known whether spironolactone will harm an unborn baby. You should not use spironolactone if you are allergic to it, or if you have: Addison's disease (an adrenal gland disorder); high levels of potassium in your blood (hyperkalemia); To make sure spironolactone is safe for you, tell your doctor if you have: an electrolyte imbalance (such as low levels of calcium, magnesium, or sodium in your blood); Tell your doctor if you are pregnant or plan to become pregnant. It is also used alone or with other medications to treat high blood pressure. Too much salt will cause your body to retain water and can make this medication less effective. You can replace fluids and electrolytes by drinking sports drinks or other oral rehydration solutions (ORS). I'm a little worried about how long this is supposed to last - does this symptom subside after you've been on Spiro for awhile, or does it persist? 1 However, alcohol consumption above moderate levels (one drink per day for women and two drinks for men) results in blood pressure elevations in a dose-related response. Still have questions? You should not have to avoid foods containing Potassium when taking Spironolactone even though it is Potassium sparing. The problem is that alcohol is also a diuretic causing more water loss. I am on 25mg of Spironolactone take twice a day for PCOS symptoms. It does sound like you're dehydrated. This can result in dehydration and a low blood pressure. You should see a health care provider if you are feeling confused, dizzy, or faint or if you have persistent nausea or vomiting. What do you think of the answers? Those who breastfeed need about 12 cups. This is why it is very important to keep track of the fluid intake of the child. High blood pressure often has no symptoms. Though sodium should be limited, it is possible for spironolactone to cause excessive loss of sodium and water. So, people who take potassium-sparing diuretics should avoid these products. Spironolactone is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. Do not take two doses at one time. : Aldactone (spironolactone) is a "water pill" used to control blood pressure. Spironolactone is believed to be effective against excess male hormones. You can also lose water by sweating, so drink plenty of water during exercise or in hot weather. Data sources include IBM Watson Micromedex (updated 2 Feb 2021), Cerner Multum™ (updated 3 Feb 2021), ASHP (updated 29 Jan 2021) and others. Spironolactone is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. It causes the kidneys to eliminate unneeded water and sodiu… Does anyone know a Pediatrician or a kid's doctor in Texas that doesn't require vaccinations? Your reactions could be impaired. Spironolactone has caused tumors in animals but it is not known whether this could occur in people. Spironolactone is a potassium-sparing diuretic (water pill) that prevents your body from absorbing too much salt and keeps your potassium levels from getting too low. If you are over 65 your doctor may give you a lower dose. The sodium takes with it water from your blood, decreasing the amount of fluid flowing through your … According to the manufacturer, taking alcohol together with spironolactone can increase the risk of orthostatic hypotension. I'm trying to drink as much water as possible. Spironolactone is used to treat heart failure, high blood pressure (hypertension), or hypokalemia (low potassium levels in the blood). And they can learn to recognize your symptoms early. It is important to note that drinking too much as well as too little fluids can be equally dangerous while taking spironolactone. A normal balanced diet is fine. What should I avoid while taking spironolactone (Aldactone, CaroSpir)? Aldosterone is a hormone produced by your adrenal glands to help regulate the salt and water balance in your body. If you don't have any baking soda, add another 1/4 teaspoon of salt. This can result in dehydration and a low blood pressure. You may take spironolactone with or without food, but take it the same way each time. I am on 25mg of Spironolactone take twice a day for PCOS symptoms. Do not share this medicine with another person, even if they have the same symptoms you have. However, very high doses are used in animal studies. Ask your doctor about your risk. If you don't have a sports drink or ORS packet, you can make an oral rehydration solution using the following recipe: To 1 quart or liter of drinking water or boiled water, add the following: 1/4 teaspoon baking soda (bicarbonate of soda). Get emergency medical help if you have signs of an allergic reaction to spironolactone: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Drinking alcohol can increase certain side effects. Get answers by asking now. Estimate how much water should you drink per day with this daily water intake calculator. The daily four-to-six cup rule is for generally healthy people. Not a good idea. All water weight. If possible, add 1/2 cup orange juice or some mashed banana to improve the taste and provide some potassium. Drinking a lot of water is good for overall health, not just for trying to build muscle- but it definately helps. I’m a 26 year old female and need to go back to work. You can sign in to give your opinion on the answer. Drinking sips of water slowly, along with eating the typical American diet, which is high in salt, will replace fluids and salts you have lost. a light-headed feeling, like you might pass out; high potassium level - nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement; o. signs of other electrolyte imbalances - increased thirst or urination, confusion, vomiting, muscle pain, slurred speech, severe weakness, numbness, loss of coordination, feeling unsteady. The only food I was told to avoid was bananas. They can make sure you are taking your medicines the right way. My grandmother had to take a diuretic for congestive heart failure...it was the one you mention. I know a "normal" person should be drinking 8 glasses of water a day to stay hydrated with regular physical exercise but how much extra should I drink to counteract the diuretic effects of Spiro? 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