Spironolactone 100mg

Generic For: Aldactone

Spironolactone (brand name Aldactone) is a potassium-sparing diuretic used to treat heart failure, high blood pressure, and fluid retention caused by liver or kidney conditions. After a licensed provider reviews your prescription, your spironolactone 100mg tablets ship directly from our licensed U.S. pharmacy.

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Buy Spironolactone 100mg Online

A potassium-sparing diuretic for heart failure, high blood pressure, and fluid retention (edema)

Spironolactone 100mg Quick Facts

Drug classPotassium-sparing diuretic (aldosterone antagonist)
TreatsHeart failure, high blood pressure, edema, primary hyperaldosteronism
FormTablet
Typical dosingTake 1 Tablet by mouth daily.
Prescription requiredYes — prescription only

What Is Spironolactone 100mg?

Spironolactone is a prescription medication known as a potassium-sparing diuretic, or "water pill." It works by blocking aldosterone, a hormone that causes the body to retain salt and water. This helps the body remove excess fluid while keeping potassium levels from dropping. Spironolactone is sold under the brand name Aldactone and is available as a 100mg tablet.

What Does Spironolactone 100mg Treat?

Heart failure (NYHA class III–IV with reduced ejection fraction)
High blood pressure (hypertension)
Edema from cirrhosis of the liver
Edema from nephrotic syndrome
Primary hyperaldosteronism
Hypokalemia (low potassium) in certain patients

Spironolactone 100mg Dosage

Heart failure: 25 mg by mouth once daily; may increase to 50 mg once daily as tolerated.
Hypertension: 25–100 mg by mouth daily, in single or divided doses.
Edema (cirrhosis/nephrotic syndrome): 100 mg by mouth daily (range 25–200 mg), in single or divided doses.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Spironolactone 100mg Side Effects

Common side effects

  • Increased urination
  • Dizziness or lightheadedness
  • Breast tenderness or enlargement (gynecomastia)
  • Nausea or vomiting
  • Diarrhea
  • Headache
  • Irregular menstrual periods
  • Drowsiness

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • High potassium levels (hyperkalemia) — irregular heartbeat, muscle weakness
  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Signs of dehydration or electrolyte imbalance (extreme thirst, confusion)
  • Severe skin reactions (Stevens-Johnson syndrome, TEN)
  • Kidney problems (decreased urination, swelling)
  • Fainting or severe dizziness

Warnings & Interactions

Do not use with significant hyperkalemia or Addison's disease
Avoid potassium supplements and salt substitutes containing potassium unless directed
Use caution with ACE inhibitors, ARBs, and other potassium-sparing drugs — risk of hyperkalemia
NSAIDs may reduce effectiveness and increase potassium levels
Use caution in kidney impairment; monitor potassium and kidney function regularly
May cause gynecomastia; usually reversible after stopping
Tell your provider if pregnant or breastfeeding before use

Tell your prescriber about all medications, supplements, and health conditions before starting spironolactone 100mg.

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Frequently Asked Questions

What is spironolactone used for?

Spironolactone is a potassium-sparing diuretic used to treat heart failure, high blood pressure, and fluid retention (edema) from liver or kidney conditions. It is also used for primary hyperaldosteronism and certain cases of low potassium.

Do I need a prescription for spironolactone?

Yes, spironolactone is a prescription-only medication in the United States. A licensed healthcare provider must evaluate whether it is appropriate for you before it can be dispensed.

How does ordering and shipping work?

After you place your order, a licensed provider or pharmacist reviews your prescription to confirm it is valid and appropriate. Once approved, your medication ships directly from our licensed U.S. pharmacy to your address.

Is spironolactone the same as Aldactone?

Yes, Aldactone is the brand name for spironolactone. Generic spironolactone contains the same active ingredient and is FDA-approved as equivalent to the brand.

How long does spironolactone take to work?

Blood pressure and fluid effects may begin within a few days, but full effects can take two weeks or longer. Your provider may adjust your dose based on your response and lab results.

What should I avoid while taking spironolactone?

Avoid potassium supplements and salt substitutes containing potassium unless your provider approves, since spironolactone raises potassium levels. Also tell your provider about NSAIDs, ACE inhibitors, or ARBs you take, as these can increase the risk of high potassium.