Aa
A
A
Close
Avatar universal
Adjusting Dosage of Spironolactone for Hypertension
I'm a 60 year old female taking Lotrel 5/20 and 25 mg Spironolactone for hypertension.  (I started on HCTZ, however, after 3 months I developed a vascular rash on my arms which my doctor said was a reaction to the HCTZ and the sun so he switched me to Spironolactone).  My BP has come down too low....I was getting readings of 98/58...so my doctor told me to take the Spironolactone only 2X per week.  Would it be more effective for me to take 1/2 tablet everyday rather than a whole pill twice a week?  I'm afraid my BP will go too high on the days between doses.  Thank you.
Cancel
2 Answers
2 Answers
Page 1 of 1
Avatar universal
Hello and hope you are doing well.

It depends on the tolerance level. This is based on the serum potassium and creatinine levels. Patients who do not tolerate 25 mg once-daily dose may have their dosage reduced to 25 mg every other day. Discuss these options with your consulting doctor.

Hope this helped and do keep us posted.
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
Avatar universal
Thank you for your response.  My creatinine and potassium levels are fine with the daily dose of Spironolactone.  The only issue was that my blood pressure was too low.  My doctor suggested taking the drug 2 days per week, but I was concerned that my BP might go too high on the days I didn't take it.  I'll start with 3 days per week and if my BP is still too low, I'll drop down to 2 days.
Comment
Cancel
Avatar universal
Comment
Comment
Submit Comment
Your Answer
Avatar universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
Submit Answer
A
A
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
Occupant
IL
Avatar m tn
Blank
tacolino
Ireland
144586 tn?1284669764
Blank
caregiver222
Blank
BloodPressure Tracker
Monitor Your Blood Pressure
Start Tracking Now
Blank
HeartRhythm Tracker
Track your Heart Condition
Start Tracking Now
Recent Activity
Avatar n tn
Blank
cracker420 commented on When Your Cold Is Not...
20 hrs ago
Avatar m tn
Blank
swapon added the Blood Pressure Tracker
Apr 29
675718 tn?1449992146
Blank
drifter0213 commented on advanced niTD
Apr 28
Heart Disease Community Resources
RSS Expert Activity
233488 tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488 tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543 tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top Heart Disease Answerers
159619 tn?1318997813
Blank
erijon
Salt Lake City, UT
11548417 tn?1440481484
Blank
Ger57
Netherlands
Avatar f tn
Blank
achillea
CA
Avatar m tn
Blank
Occupant
IL
Avatar m tn
Blank
tacolino
Ireland
144586 tn?1284669764
Blank
caregiver222