Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
SPIRONOLACTONE
DUOPHARMA MANUFACTURING (BANGI) SDN BHD
SPIRONOLACTONE
500 Tablet Tablets
DUOPHARMA MANUFACTURING (BANGI) SDN BHD
SPIRO TABLET® Spironolactone 25mg 1 _CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ WHAT IS IN THE LEAFLET? 1. What Spiro is used for 2. How Spiro works 3. Before you use Spiro 4. How to use Spiro 5. While you are using it 6. Side effects 7. Storage and Disposal of Spiro 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT SPIRO IS USED FOR Spiro is used: • To treat essential hypertension (high blood pressure with an unknown cause) • To treat oedematous disorders (swelling with fluid), including congestive cardiac failure • For the diagnosis and treatment of primary aldosteronism (a hormone disorder causing fluid retention) • As add-on therapy in malignant hypertension (a very serious form of high blood pressure) • Where there is a low amount of potassium (a mineral) in the blood caused by another diuretic (fluid- removing medicine) Spironolactone improves the blood pressure lowering action of thiazide diuretics while at the same time reducing or preventing potassium loss due to these medicines. • For the treatment of hirsutism (excess body hair in women) Spironolactone is effective in the treatment of female hirsutism (excess body hair). It reduces hair growth, thickness and hair colour. Increased urine flow is unlikely to be a problem when Spironolactone is used to treat hirsutism. This is because aldosterone levels are not normally high in patients with hirsutism. HOW SPIRO WORKS Spiro acts by working against a hormone called aldosterone. Too much aldosterone causes increased amounts of sodium (a mineral) and water to be retained by the kidneys, while too much potassium is removed from the body. Spironolactone works against the effects of aldosterone. Spironolactone acts by removing excess fluid and by lowering blood pressure. It may be given alone or with other diuretics (fluid-removing medicines). It improves the effectiveness of other medicines used to lower blood pressure. Spironolactone also has a moderate ability to act against male sex hormones Baca dokumen lengkap
PRECAUTIONS SPIRO DESCRIPTION INDICATION SPIRO 25MG TABLET A 8.5 mm diameter, round, convex, marked with 'SPIRO' and scored at one side, plain on the other side, orange tablet. _Each tablet contains Spironolactone 25 mg._ Spironolactone is used as an adjunct in the treatment of refractory edema, especially when a potassium-sparing diuretic effect is desired. These may include congestive heart failure, hepatic cirrhosis (with or without cirrhosis), nephritic syndrome and in ascites associated with malignancy. It is also indicated for the prevention and treatment of hypokalaemia in patients for whom other measures are inappropriate or inadequate. It is frequently given with the thiazides,frusemide or similar diuretics, where it adds to their natriuretic but diminishes kaliuretic effects, hence conserving potassium in those at risk from hypokalaemia. It has been used as adjunctive treatment for hypertension with or without hyperaldosteronism, and for the diagnosis and short or long-term management of primary hyperaldosteronism. Other conditions in which spironolactone has been used on the basis of is anti-androgenic properties include female hirsutism, particularly in the polycystic ovary syndrome. Spironolactone, a steroid with a structure resembling those of the natural adrenocorticol hormone, aldosterone, acts on the distal portion of the renal tubule as a competitive antagonist of aldosterone. It interferes with sodium reabsorption in the distal convoluted tubule, thereby promoting excretion of sodium and water and retention of potassium. Spironolactone lowers blood pressure initially by reducing plasma and extracellular fluid volume; cardiac output also decreases. Eventually, the extracellular fluid volume and the cardiac output return to normal with an a c c o m p a n y i n g decrease in peripheral resistance. It also possesses antiandrogenic effect. Spironolactone is fairly rapidly absorbed from the gastrointestinal tract, the bioavaila- bility is reported to be greater than 90%. Absorption is enhanced by con Baca dokumen lengkap