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What is the most important information I should know about Aldactone?
* Do not use this medication if you have kidney disease, urination
problems, or high levels of potassium in your blood. Do not use
potassium supplements or other diuretics while you are taking Aldactone.
* Before using this medication, tell your doctor if you have liver
disease, or if you use a steroid or another diuretic.
* Avoid drinking alcohol, which can increase some of the side effects
of Aldactone.
* Avoid a diet high in salt. Too much salt will cause your body
to retain water and can make this medication less effective.
* Do not use salt substitutes or low-sodium milk products that contain
potassium. These products could cause your potassium levels to get
too high while you are taking Aldactone.
* Avoid becoming overheated or dehydrated during exercise and in
hot weather. Follow your doctor's instructions about the type and
amount of liquids you should drink. In some cases, drinking too
much liquid can be as unsafe as not drinking enough.
* If you are being treated for high blood pressure, keep using this
medication even if you feel fine. High blood pressure often has
no symptoms.
What is Aldactone?
* Aldactone is a potassium-sparing diuretic (water pill) that
prevents your body from absorbing too much salt and keeps your potassium
levels from getting too low.
* Aldactone is used to diagnose or treat a condition in which you
have too much aldosterone in your body. Aldosterone is a hormone
produced by your adrenal glands to help regulate the salt and water
balance in your body.
* Aldactone also treats fluid retention (edema) in people with congestive
heart failure, cirrhosis of the liver, or a kidney disorder called
nephrotic syndrome. This medication is also used to treat or prevent
hypokalemia (low potassium levels in the blood).
* Aldactone may also be used for purposes other than those listed
in this medication guide.
What should I discuss with my doctor before taking Aldactone?
* Do not use this medication if you have:
o kidney disease or are unable to urinate;
o high potassium levels (hyperkalemia); or
o if you are taking potassium supplements or other potassium-sparing
diuretics such as Aldactazide, amiloride (Midamor, Moduretic), or
triamterene (Dyrenium, Dyazide, Maxzide).
* Before using Aldactone, tell your doctor if you have:
o heart disease;
o liver disease; or
o if you are using a steroid, or another diuretic.
* If you have any of these conditions, you may not be able to use
Aldactone, or you may need a dosage adjustment or special tests
during treatment.
* FDA pregnancy category C. This medication may be harmful to an
unborn baby. Tell your doctor if you are pregnant or plan to become
pregnant during treatment.
* Aldactone passes into breast milk and could cause harm to a nursing
baby. Do not use this medication without telling your doctor if
you are breast-feeding a baby.
How should I take Aldactone?
* Take this medication exactly as it was prescribed for you. Do
not take the medication in larger amounts, or take it for longer
than recommended by your doctor.
* Take each dose with a full glass of water.
* To be sure this medication is not causing harmful effects, your
blood will need to be tested on a regular basis. It is important
that you not miss any scheduled visits to your doctor.
* This medication can cause you to have unusual results with certain
medical tests. Tell any doctor who treats you that you are using
Aldactone.
* If you need to have any type of surgery, tell the surgeon ahead
of time that you are taking Aldactone. You may need to stop using
the medicine for a short time.
* If you are being treated for high blood pressure, keep using this
medication even if you feel fine. High blood pressure often has
no symptoms.
* Store this medication at room temperature away from heat, light,
and moisture.
What happens if I miss a dose?
* Take the missed dose as soon as you remember. If it is almost
time for your next dose, skip the missed dose and take the medicine
at the next regularly scheduled time. Do not take extra medicine
to make up the missed dose.
What happens if I overdose?
* Seek emergency medical attention if you think you have used
too much of this medicine. Symptoms of a Aldactone overdose may
include drowsiness, confusion, red skin rash, nausea, vomiting,
or diarrhea.
What should I avoid while taking Aldactone?
* Avoid drinking alcohol, which can increase some of the side
effects of Aldactone.
* Avoid using other medicines that make you light-headed (such as
cold medicine, pain medication, muscle relaxers, and medicine for
seizures, depression or anxiety). They can add to the side effects
of Aldactone.
* Do not use salt substitutes or low-sodium milk products that contain
potassium. These products could cause your potassium levels to get
too high while you are taking Aldactone.
* Avoid a diet high in salt. Too much salt will cause your body
to retain water and can make this medication less effective.
* This medication can cause side effects that may impair your thinking
or reactions. Be careful if you drive or do anything that requires
you to be awake and alert.
* Avoid becoming overheated or dehydrated during exercise and in
hot weather. Follow your doctor's instructions about the type and
amount of liquids you should drink. In some cases, drinking too
much liquid can be as unsafe as not drinking enough.
What are the possible side effects of Aldactone?
* Get emergency medical help if you have any of these signs of
an allergic reaction: hives; difficulty breathing; swelling of your
face, lips, tongue, or throat.
* Stop using this medication and call your doctor at once if you
have any of these serious side effects:
o numbness or tingly feeling;
o muscle pain or weakness;
o slow, fast, or uneven heartbeat;
o feeling drowsy, restless, or light-headed;
o urinating less than usual or not at all;
o shallow breathing;
o tremors, confusion; or
o nausea, stomach pain, low fever, loss of appetite, dark urine,
clay-colored stools, jaundice (yellowing of the skin or eyes).
* Continue using Aldactone and talk with your doctor if you have
any of these less serious side effects:
o mild nausea or vomiting;
o dizziness, headache;
o gas, stomach pain; or
o skin rash.
* Side effects other than those listed here may also occur. Talk
to your doctor about any side effect that seems unusual or that
is especially bothersome.
What other drugs will affect Aldactone?
* Before taking this medication, tell your doctor if you are using
any of the following drugs:
o lithium;
o digoxin (Lanoxin);
o steroids (prednisone and others);
o an ACE inhibitor such as benazepril (Lotensin), captopril (Capoten),
enalapril (Vasotec), lisinopril (Prinivil, Zestril), ramipril (Altace),
and others; or
o indomethacin or other NSAIDs (non-steroidal anti-inflammatory
drugs) such as aspirin, ibuprofen (Motrin, Advil), diclofenac (Voltaren),
naproxen (Aleve, Naprosyn), piroxicam (Feldene), nabumetone (Relafen),
etodolac (Lodine), and others.
* If you are using any of these drugs, you may not be able to use
Aldactone, or you may need dosage adjustments or special tests during
treatment.
* There may be other drugs not listed that can affect Aldactone.
Tell your doctor about all the prescription and over-the-counter
medications you use. This includes vitamins, minerals, herbal products,
and drugs prescribed by other doctors. Do not start using a new
medication without telling your doctor.
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