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Spironolactone
Clinical data
Pronunciation/ ˌ s p aɪ r oʊ n oʊ ˈ l æ k t oʊ n / SPY -roh-noh- LAK -tone, [3] / ˌ s p ɪər oʊ n oʊ ˈ l æ k t oʊ n / SPEER -oh-noh- LAK -tone [4]
Trade namesAldactone, Spiractin, Verospiron, many others; combinations: Aldactazide (+HCTZ), Aldactide (+HFMZ), Aldactazine (+altizide), others
AHFS/Drugs.comMonograph
MedlinePlusa682627
Pregnancy categoryAU: B3 US: C (Risk not ruled out)
Routes of administrationBy mouth, [1] topical [2]
Drug classAntimineralocorticoid; Steroidal antiandrogen
ATC codeC03DA01 ( WHO )
Legal status
Legal statusUK: POM (Prescription only) US: ℞-only
Pharmacokinetic data
Bioavailability60–90% [5] [6] [12]
Protein bindingSpironolactone: 88% (to albumin and AGP) [13] Canrenone: 99.2% (to albumin) [13]
MetabolismLiver, others: • Deacetylation via CES • S -Oxygenation via FOM • S -Methylation via TMT • Dethioacetylation • Hydroxylation via CYP3A4 • Lactone hydrolysis via PON3) [5] [6] [7] [8] [9] [10] [11]
Metabolites7α-TS, 7α-TMS, 6β-OH-7α-TMS, canrenone, others [5] [6] [14] (All three active) [15]
Elimination half-lifeSpironolactone: 1.4 hrs [5] 7α-TMS: 13.8 hours [5] 6β-OH-7α-TMS: 15.0 hrs [5] Canrenone: 16.5 hours [5]
ExcretionUrine, bile [6]

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Drug name Spironolactone
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Can spironolactone cause hair loss and gum disease?

The mean dose was higher in prevalent users 47 mg vs.Has anyone out there had this same problem when attempting to quit Spironolactone?

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7-31 Concurrent topical and oral antibiotics can be effective. Topical metronidazole 1% and oral doxycycline have been shown to be well-tolerated and to decrease lesion counts.Since then it's been a series of spironolactone aldactone symptoms that I attribute to 'anxiety', HOWEVER, seriouslynow, my hairs are spironolactone aldactone darker on my arms, hands, etc.

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Green Juju
- Maryam Salt, DVM
Green Juju
- Carrie & Avery
Green Juju

“My two year old French Bulldog had allergies which lead to irritated skin and digestion issues. I tried Green Juju as a healthy alternative. Balan loved the taste of it alone or mixed into his diet. His skin is now clear and as a bonus his coat is silky smooth!”

- Kristeen & Balan
Green Juju
- Sarah Lippman

We know you want your pet to live a long, healthy, thriving life. We also know you're busy. We believe feeding your dog to thrive shouldn't be time consuming or complicated, which is why we have pioneered making fresh greens for dogs so you can easily enhance your dog's diet with just a scoop.

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