Can spironolactone be taken with Jardiance?
Interactions between your drugs Empagliflozin may cause salt and water loss, which may increase the risk of dehydration and low blood pressure when used with spironolactone or similar medications. You may experience headache, dizziness, lightheadedness, fainting, and/or changes in pulse or heart rate. Talk to your doctor if you have concerns. Check with your doctor right away if you become sick while taking this medicine, especially if you have severe or continuing nausea, vomiting, or diarrhea that does not stop. These conditions may cause you to lose too much water or salt and may lead to low blood pressure.
What medications should you not take with spironolactone?
Cautions with other medicines other diuretics – do not take diuretics that increase potassium levels (such as amiloride) with spironolactone. You can take other diuretics (such as furosemide) with spironolactone if your doctor recommends it. Combining it with medications such as ACE inhibitors can increase this risk. Certain high-potassium foods, such as orange juice, should also be consumed with caution. Talk to your healthcare professional about your diet and other medications you take before starting treatment with spironolactone.Foods to avoid with spironolactone Large amounts of sodium may make it harder for spironolactone to do its job, since the medication works by getting rid of extra water. While potassium-rich foods support heart health, they could worsen the risk of hyperkalemia related to spironolactone.The diuretic spironolactone can cause dangerous hyperkalaemia in patients who are also taking angiotensin converting enzyme (ACE) inhibitors, another drug that, like spironolactone, is used to treat congestive heart failure.
What drug can replace spironolactone?
The American College of Cardiology recommends trying spironolactone first and then switching to eplerenone if patients develop gynecomastia, menstrual irregularities, or impotence. Eplerenone (Inspra) is the second aldosterone antagonist available in the USA. Spironolactone is a steroid that blocks the effects of the hormones aldosterone, and to a lesser degree, testosterone, causing some estrogen-like effects. Spironolactone belongs to a class of medications known as potassium-sparing diuretics.Depending on the reason why you’re taking spironolactone, you may have to take it for a long time, even for the rest of your life. Talk to your doctor if you want to stop taking spironolactone. If you stop it too soon, your condition may get worse.The most common spironolactone side effects are high potassium levels and breast tenderness. More pronounced feminine characteristics, such as breast growth, are also common. Spironolactone can also cause muscle cramps, fatigue, and irregular menstrual cycles.Limit alcohol consumption, which can increase some of the side effects of spironolactone. 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.