Spironot 25 Tablet is a medicine known as a diuretic (water pill). It is mainly used in the treatment of heart failure and high blood pressure. It reduces the swelling (edema) caused by some other conditions. This medicine is also used to treat low potassium levels in the body (hypokalemia).

Spironot 25 Tablet can be taken with or without food, but you should take it in the same way each time to get the most benefit. Taking it with food can reduce some side effects and taking it early in the day can prevent you from having to get up at night to go to the toilet. You should keep using this medicine as it has been prescribed, even if you feel well. If you stop taking it, your condition may get worse. Follow your doctor's advice about the type and amount of liquids you should drink. If you are being treated for high blood pressure, lifestyle changes such as taking regular exercise and changes to your diet may increase the effectiveness of this medicine.

The common side effects include feeling or being sick, vomiting, dizziness and swelling or tenderness of your breasts (men and women). If these bother you, or appear serious, let your doctor know. There may be ways of reducing or preventing them. Drinking alcohol can increase certain side effects.

You should be careful about using Spironot 25 Tablet if you have kidney problems or are unable to urinate. Before taking it, tell your doctor if you have ever had kidney, liver or heart disease or are pregnant. Also let your healthcare team know about all other medications you are using as they may affect, or be affected by this medicine. This medicine should only be used if it is clearly needed during pregnancy and while breastfeeding. While using this medicine, you may be advised to limit your intake of salt or salt substitutes, and you should have your blood pressure checked frequently. Some other tests will be done to monitor your progress.

Uses of Spironot Tablet

Benefits of Spironot Tablet

In Heart failure

Heart failure means your heart is weak and cannot pump enough blood to your lungs and the rest of your body. The most common symptoms are breathlessness, tiredness, and swelling in your legs, ankles, abdomen, and other parts of your body.

This medicine will help relieve your symptoms, making you feel better and more energetic. You should make appropriate lifestyle changes (such as eating healthily and keeping active) to help this medicine be effective. Take it regularly and keep taking it even if you feel better.

In Low potassium

Spironot 25 Tablet prevents your body from absorbing too much salt, removes excess water and keeps your potassium levels from getting too low.

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Side effects of Spironot Tablet

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Spironot

Nausea
Vomiting
Leg cramps
Dizziness
Drowsiness
Breast enlargement in male

How to use Spironot Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Spironot 25 Tablet is to be taken with food.

How Spironot Tablet works

Spironot 25 Tablet is a potassium-sparing diuretic. It lowers blood pressure and swelling by removing the extra water and electrolytes from the body without loss of potassium.

Safety advice

Alcohol

UNSAFE

It is unsafe to consume alcohol with Spironot 25 Tablet.

Pregnancy

CONSULT YOUR DOCTOR

Spironot 25 Tablet may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.

Breast feeding

CONSULT YOUR DOCTOR

Spironot 25 Tablet is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

Driving

UNSAFE

Spironot 25 Tablet may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur.

Kidney

CAUTION

Spironot 25 Tablet should be used with caution in patients with kidney disease. Dose adjustment of Spironot 25 Tablet may be needed. Please consult your doctor.
Use of Spironot 25 Tablet is not recommended in patients with severe kidney disease.

Liver

CONSULT YOUR DOCTOR

There is limited information available on the use of Spironot 25 Tablet in patients with liver disease. Please consult your doctor.

What if you forget to take Spironot Tablet?

If you miss a dose of Spironot 25 Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

All substitutes

For informational purposes only. Consult a doctor before taking any medicines.

Spironot 25 Tablet

₹2.14/Tablet

Aldactone Tablet

RPG Life Sciences Ltd

₹2.4/tablet

12% costlier

Silectone 25 Tablet

Johnlee Pharmaceuticals Pvt Ltd

₹2.07/tablet

3% cheaper

Spirolact 25mg Tablet

Prevego Healthcare & Research Private Limited

₹2.05/tablet

4% cheaper

Spirix 25mg Tablet

Psychocare Health Pvt Ltd

₹1.88/tablet

12% cheaper

Spiromax 25mg Tablet

Maxford Healthcare

₹2.05/tablet

4% cheaper

Quick tips

It can make you feel dizzy for the first few days. Do not drive or do anything requiring concentration until you know how Spironot 25 Tablet affects you.
It may increase the level of potassium in your blood. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.
Your doctor will regularly check your kidney function and the amount of potassium in your blood while you are on this medicine.
Notify your doctor if you experience dizziness, diarrhea, vomiting, fast or irregular heartbeat, swelling in feet, or difficulty breathing.
Spironot 25 Tablet may cause breast pain/swelling, irregular periods (women), or trouble with sexual performance.
Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

Fact Box

Chemical Class

Potassium sparing diuretics

Habit Forming

Therapeutic Class

CARDIAC

Action Class

Potassium-Sparing Diuretics

Interaction with drugs

Taking Spironot with any of the following medicines can modify the effect of either of them and cause some undesirable side effects

Losartan (Oral Route) Severe

Concurrent use may increase the risk of high blood potassium levels, which may be fatal for individuals with diabetes and kidney impairment. If concurrent use is essential, watch ... More

Telmisartan (Oral Route) Severe

Concurrent use may increase the risk of high blood potassium levels, which may be fatal for individuals with diabetes and kidney impairment. If concurrent use is essential, watch ... More

Olmesartan Medoxomil (Oral Route) Severe

Concurrent use may increase the risk of high blood potassium levels, which may be fatal for individuals with diabetes and kidney impairment. If concurrent use is essential, watch ... More

Ramipril (Oral Route) Severe

Concurrent use may cause high blood potassium levels. Do not consume Ramipril with Spironolactone in case of kidney disorders. If concurrent use is essential, your doctor may clos... More

Abiraterone Acetate (Oral Route) Severe

Spironolactone may reduce the efficacy of Abiraterone Acetate. Do not consume Abiraterone Acetate with Spironolactone.

View all drug interactions

Patient concerns

I am a patient of hypertension

Dr. Jyoti Kapoor Madan

Psychiatry

Hypertension is clinal condition of high blood pressure. Please see a physician.

Heart pain blood pressure high blood sugar high

Dr. Saurabh Arora

Cardiology

Consult physician near u for proper examination and blood work up

FAQs

What is Spironot 25 Tablet?

Spironot 25 Tablet is a medicine that belongs to the class of medicines known as potassium-sparing diuretics (water tablets). Spironot 25 Tablet being a diuretic helps lose excess fluid from your body. It is used to treat conditions such as high blood pressure, congestive heart failure, edema (swelling) or low potassium levels. Edema may be caused due to problems with your liver (cirrhosis or ascites) and kidney disorders (such as nephrotic syndrome).

What is the best time to take Spironot 25 Tablet?

Spironot 25 Tablet should be taken as directed by your doctor. Spironot 25 Tablet helps remove excess fluids from the body which can make you pass more urine. Therefore, it would be best to take Spironot 25 Tablet during the day so as to avoid the frequent urge to urinate during sleep.

Does Spironot 25 Tablet treat hypertension?

Yes, Spironot 25 Tablet effectively treats hypertension (high blood pressure). However, it is used in combination with other medicines to get maximum benefit. Spironot 25 Tablet is a diuretic commonly known as a water tablet. It works by removing excess fluid from your body which helps in lowering your blood pressure. Spironot 25 Tablet should be taken only when prescribed by the doctor.

What foods should I avoid while taking Spironot 25 Tablet?

You should avoid taking an excess amount of salt or salt substitutes while taking Spironot 25 Tablet. Try to avoid foods containing potassium or potassium substitutes such as bananas, coconut water, spinach, sweet potatoes and avocados. These foods may increase your potassium levels and this can be fatal. Consult your doctor to know more about other food choices to be avoided while taking Spironot 25 Tablet.

Can I use Spironot 25 Tablet for weight control?

No, Aldactone should not be used for weight control. Spironot 25 Tablet is not helpful in weight management. If you have weight related concerns, please consult a doctor who will let you know the best therapy for weight control.

What other lifestyle changes should I make while taking Spironot 25 Tablet?

Lifestyle changes play a major role in keeping you healthy if you are taking Spironot 25 Tablet. Avoid taking excess salt in your diet and find ways to reduce or manage stress in your life. Practice yoga or meditation or take up a hobby. Ensure that you have a sound sleep every night as this also helps to reduce stress levels and helps to keep your blood pressure normal. Stop smoking and alcohol consumption as this helps in lowering your blood pressure and preventing heart problems. Exercise regularly and take a balanced diet that includes whole grains, fresh fruits, vegetables and fat-free products. Consult your doctor if you need any further guidance to get the maximum benefit of Spironot 25 Tablet and to keep yourself healthy.

Can I take Spironot 25 Tablet with birth control?

Spironot 25 Tablet can be taken with birth control pills (oral contraceptives) as there are no reports which suggest possible interactions or side effects while using these medicines together. However, in some cases, interactions may occur. Therefore, it would be best to first talk to your doctor before taking Spironot 25 Tablet with any birth control pills (oral contraceptives).

Is Spironot 25 Tablet harmful to the kidneys?

Spironot 25 Tablet can lead to acute kidney failure particularly in those who already have impaired kidney function. Therefore, inform your doctor if you have kidney-related problems as you may need a different dose. In such cases, the doctor may suggest kidney function tests and closely monitor your condition.

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Tata 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

Reilly RF, Jackson EK. Regulation of Renal Function and Vascular Volume. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 692-95.
Pfeffer MA, Opie LH. Inhibitors of the Renin-Angiotensin-Aldosterone System. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 159-61.
Chrousos GP. Adrenocorticosteroids & Adrenocortical Antagonists. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. p. 695.
Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1278-79.
Drugs.com. Spironolactone Pregnancy and Breastfeeding Warnings. [Accessed 20 Mar. 2019] (online) Available from:
Chaves RG, Lamounier JA. Breastfeeding and maternal medications. J Pediatr (Rio J). 2004;80(5 Suppl):S189-S198. [Accessed 19 Mar. 2019] (online) Available from:
Central Drugs Standard Control Organisation (CDSCO). [Accessed 19 Mar. 2019] (online) Available from:
Spironolactone [Prescribing Information]. New York, NY: G.D. Searle LLC; 2018. [Accessed 20 Feb. 2024] (online) Available from:

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