Side Effects of Spironolactone Use

Patient was educated on the side effects of using Spironolactone as follows: Symptoms of hypotension and dehydration, such as dry mouth, feeling dizzy and lightheaded with rapid heart rate can occur secondary to loss of fluid volume. Nausea and vomiting, extreme lethargy, muscle cramps, weakness, and fatigue secondary to increased sodium loss from the body. Heart palpitations, cardiac arrhythmias, muscle weakness, and fatigue secondary to increase in potassium levels in the body. Spironolactone can result [...]

Contraindications for Spironolactone Use

Patient was educated on contraindications for using Spironolactone as follows: Avoid using Spironolactone along with any drugs that can result in increasing potassium levels in blood, such as Captopril (ACE inhibitors) and Valsartan (Angiotensin receptor blockers). Using these medications together can result in dangerously elevated potassium levels in the body and can result in conduction disturbances in the heart and heart block. Spironolactone is mainly metabolized in the liver. If liver function is deficient, the [...]

How to Take Spironolactone

Patient was educated on how to take Spironolactone as follows: Take the medication at the same time every day, to avoid forgetting the medication. Take Spironolactone during the day time hours and avoid having it during the night. As this medication increases the frequency of urination, taking this during the late evening hours can disturb the sleep. Maintain strict compliance with intake of Spironolactone as ordered, with regards to dosage and frequency, to derive the [...]

Spironolactone and Mechanism of Action

Patient was educated on Spironolactone and its mechanism of action as follows: Spironolactone is a potassium sparing diuretic that acts on the distal convoluted tubule and collecting duct, both parts of the renal tubule, involved in the reabsorption of water and solutes from the urine. Action of aldosterone on the collecting duct results in absorption of sodium and water from the collecting duct of the kidney and excretion of potassium in the urine. Spironolactone use [...]

Precautions to be Exercised While Using Sotalol-2

Patient was educated on precautions to be exercised while using Sotalol as follows: Careful follow-up regarding potassium levels in the blood is mandatory, as both hypo and hyperkalemia can cause serious life threatening arrhythmias. Sotalol is contraindicated in individuals with history of asthma, COPD, and with any other issues resulting in episodes of difficulty breathing.  Report any symptoms of exacerbation of asthma and shortness of breath immediately to your doctor. Observe compliance with any regular [...]