Eplerenone 50mg
Generic For: Inspra
Eplerenone 50mg (brand name Inspra) is a prescription aldosterone antagonist tablet used to treat high blood pressure and to improve survival in patients with heart failure following a heart attack. After a licensed provider reviews your prescription, your order ships directly from a licensed U.S. pharmacy.
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90-day supply · $0.83/tablet
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- Select your medication
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Price: $75.00
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Buy Eplerenone 50mg Online
Eplerenone (Inspra) is an aldosterone antagonist used for high blood pressure and heart failure after a heart attack.
Eplerenone 50mg Quick Facts
| Drug class | Aldosterone antagonist |
|---|---|
| Treats | High blood pressure, heart failure after heart attack |
| Form | Tablet |
| Typical dosing | Take 1 tablet by mouth daily. |
| Prescription required | Yes — prescription only |
What Is Eplerenone 50mg?
Eplerenone is a prescription medication known as an aldosterone antagonist, a type of potassium-sparing diuretic. It works by blocking aldosterone, a hormone that can raise blood pressure and cause the body to retain salt and water. Eplerenone is FDA-approved to treat high blood pressure and to improve survival in people with heart failure and reduced heart function after a heart attack. It is the generic version of the brand-name drug Inspra and is taken as a tablet, usually once or twice daily.
What Does Eplerenone 50mg Treat?
High blood pressure (hypertension)
Heart failure with reduced ejection fraction after a heart attack
Improving survival after myocardial infarction with left ventricular dysfunction
Blood pressure control alone or with other antihypertensive medicines
Eplerenone 50mg Dosage
Heart failure post-MI: 25 mg by mouth once daily; titrate to 50 mg once daily within 4 weeks as tolerated.
Hypertension: 50 mg by mouth once daily; may increase to 50 mg twice daily if response is inadequate after 4 weeks.
Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.
Eplerenone 50mg Side Effects
Common side effects
- Dizziness
- Diarrhea
- Cough
- Fatigue
- Flu-like symptoms
- Increased potassium levels
- Abdominal pain
- Increased creatinine
Serious side effects
Stop taking this medication and seek medical attention right away if you experience:
- High potassium (hyperkalemia) — muscle weakness, irregular heartbeat
- Severe dizziness or fainting
- Signs of kidney problems (decreased urination, swelling)
- Chest pain or irregular heart rhythm
- Allergic reaction (rash, swelling, difficulty breathing)
Warnings & Interactions
Do not use with serum potassium >5.5 mEq/L at initiation
Contraindicated with strong CYP3A4 inhibitors (e.g., ketoconazole, itraconazole)
Contraindicated in severe kidney impairment (CrCl <30 mL/min)
For hypertension: avoid in type 2 diabetes with microalbuminuria and in moderate renal impairment
Avoid potassium supplements and potassium-sparing diuretics unless directed by your provider
Monitor serum potassium and kidney function periodically
Use caution with ACE inhibitors, ARBs, and NSAIDs due to hyperkalemia risk
Tell your prescriber about all medications, supplements, and health conditions before starting eplerenone 50mg.
Sources & References
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