Page last updated: 2024-11-07

spironolactone and Blood Pressure, Low

spironolactone has been researched along with Blood Pressure, Low in 17 studies

Spironolactone: A potassium sparing diuretic that acts by antagonism of aldosterone in the distal renal tubules. It is used mainly in the treatment of refractory edema in patients with congestive heart failure, nephrotic syndrome, or hepatic cirrhosis. Its effects on the endocrine system are utilized in the treatments of hirsutism and acne but they can lead to adverse effects. (From Martindale, The Extra Pharmacopoeia, 30th ed, p827)
spironolactone : A steroid lactone that is 17alpha-pregn-4-ene-21,17-carbolactone substituted by an oxo group at position 3 and an alpha-acetylsulfanyl group at position 7.

Research Excerpts

ExcerptRelevanceReference
"This study was designed to investigate the appropriateness and complications of the use of spironolactone for heart failure (HF) in clinical practice."9.10Complications of inappropriate use of spironolactone in heart failure: when an old medicine spirals out of new guidelines. ( Agoston, I; Bozkurt, B; Knowlton, AA, 2003)
"Treatment with spironolactone aims to attenuate androgen-mediated conditions including acne, hidradenitis suppurativa, female pattern hair loss and hirsutism."6.66Spironolactone in dermatology: uses in acne and beyond. ( Al-Niaimi, F; Ali, FR; Searle, TN, 2020)
" This study evaluated whether hyperkalemia and/or hypotension limited the use of eplerenone, a selective mineralocorticoid receptor antagonist, in hemodialysis patients."5.20The Safety of Eplerenone in Hemodialysis Patients: A Noninferiority Randomized Controlled Trial. ( Bosch, J; Bueti, J; Devereaux, PJ; Gao, P; Garg, AX; Manns, B; Rabbat, C; Smyth, A; Tyrwhitt, J; Wald, R; Walsh, M, 2015)
"This study was designed to investigate the appropriateness and complications of the use of spironolactone for heart failure (HF) in clinical practice."5.10Complications of inappropriate use of spironolactone in heart failure: when an old medicine spirals out of new guidelines. ( Agoston, I; Bozkurt, B; Knowlton, AA, 2003)
"The addition of enalapril or acebutolol to a regimen of altizide + spironolactone in patients with moderate hypotension was investigated in a multicenter study of 53 patients."5.06Spironolactone and altizide used in combination with enalapril: twenty-four-hour ambulatory recording of blood pressure. ( Capron, MH; Pelletier, B; Poncelet, P; Wehrlen, M, 1990)
"In 3 patients with severe cardiac failure high dose therapy with the ACE inhibitor enalapril was instituted during a state of extracellular volume depletion."3.67[Severe complications during enalapril therapy for heart insufficiency]. ( Stäubli, M; Wieland, T, 1988)
" Spironolactone appears safe in carefully monitored maintenance hemodialysis patients, but did not affect cardiovascular parameters in this small study."2.90Safety and cardiovascular efficacy of spironolactone in dialysis-dependent ESRD (SPin-D): a randomized, placebo-controlled, multiple dosage trial. ( Anderson, AH; Charytan, DM; Dember, LM; DiCarli, M; Himmelfarb, J; Hsu, JY; Hung, AM; Ikizler, TA; Kimmel, PL; Kliger, AS; Landis, JR; Mehrotra, R; Raj, DS; Sharma, S; Skali, H; Weiner, DE; Williams, M, 2019)
"Treatment with spironolactone aims to attenuate androgen-mediated conditions including acne, hidradenitis suppurativa, female pattern hair loss and hirsutism."2.66Spironolactone in dermatology: uses in acne and beyond. ( Al-Niaimi, F; Ali, FR; Searle, TN, 2020)
"The association between low blood pressure (BP) levels and increased mortality has been established in several studies of heart failure (HF)."1.35Association of blood pressure and its evolving changes with the survival of patients with heart failure. ( Almendral, J; Bardaji, A; Bayes-Genis, A; Cinca, J; de Luna, AB; Fernandez-Palomeque, C; Gonzalez-JuAnatey, JR; Grigorian-Shamagian, L; Jimenez, RP; Macaya, C; Nieto, V; Pascual, D; Vazquez, R, 2008)
"Glucocorticoid-remediable aldosteronism (GRA) is a rarely recognised cause of arterial hypertension."1.30Abolished nocturnal blood pressure fall in a boy with glucocorticoid-remediable aldosteronism. ( Bernhardt, R; Hampf, M; Seeman, T; Widimský, J, 1999)

Research

Studies (17)

TimeframeStudies, this research(%)All Research%
pre-19904 (23.53)18.7374
1990's3 (17.65)18.2507
2000's6 (35.29)29.6817
2010's2 (11.76)24.3611
2020's2 (11.76)2.80

Authors

AuthorsStudies
Buncha, V1
Cherezova, A1
Alexander, S1
Baranovskaya, I1
Coleman, KA1
Cherian-Shaw, M1
Brands, MW1
Sullivan, JC1
O'Connor, PM1
Mamenko, M1
Searle, TN1
Al-Niaimi, F1
Ali, FR1
Charytan, DM1
Himmelfarb, J1
Ikizler, TA1
Raj, DS1
Hsu, JY1
Landis, JR1
Anderson, AH1
Hung, AM1
Mehrotra, R1
Sharma, S1
Weiner, DE1
Williams, M1
DiCarli, M1
Skali, H1
Kimmel, PL1
Kliger, AS1
Dember, LM1
Walsh, M1
Manns, B1
Garg, AX1
Bueti, J1
Rabbat, C1
Smyth, A1
Tyrwhitt, J1
Bosch, J1
Gao, P1
Devereaux, PJ1
Wald, R1
Grigorian-Shamagian, L1
Gonzalez-JuAnatey, JR1
Vazquez, R1
Cinca, J1
Bayes-Genis, A1
Pascual, D1
Fernandez-Palomeque, C1
Bardaji, A1
Almendral, J1
Nieto, V1
Macaya, C1
Jimenez, RP1
de Luna, AB1
Kato, J1
Mori, T1
Nakamura, Y1
Sakurai, M1
Aisa, Y1
Ikeda, Y1
Okamoto, S1
Bozkurt, B1
Agoston, I1
Knowlton, AA1
GREENOUGH, WB1
SONNENBLICK, EH1
JANUSZEWICZ, V1
LARAGH, JH1
McMurray, JJ2
Pfeffer, MA2
Swedberg, K2
Dzau, VJ1
Pitt, B1
Ferrari, R1
Gheorghiade, M1
van Veldhuisen, DJ1
Krum, H1
McMurray, J1
Lopez-Sendon, J1
Weir, RA1
Puu, M1
Solomon, SD1
Olofsson, B1
Granger, CB1
Yusuf, S1
Michelson, EL1
Seeman, T1
Widimský, J1
Hampf, M1
Bernhardt, R1
Poncelet, P1
Wehrlen, M1
Pelletier, B1
Capron, MH1
Wieland, T1
Stäubli, M1
Schmidt, P1
Kopsa, H1
Kronenberg, KH1
Meyer, D1
Zazgornik, J1
Kotzaurek, R1
Neumann, E1
Watillon, M1
Robe-Vanwyck, A1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Aldosterone bloCkade for Health Improvement EValuation in End-stage Renal Disease[NCT03020303]Phase 32,750 participants (Anticipated)Interventional2017-07-07Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

3 reviews available for spironolactone and Blood Pressure, Low

ArticleYear
Spironolactone in dermatology: uses in acne and beyond.
    Clinical and experimental dermatology, 2020, Volume: 45, Issue:8

    Topics: Acne Vulgaris; Adult; Alopecia; Dermatology; Drug Monitoring; Female; Hidradenitis Suppurativa; Hirs

2020
Which inhibitor of the renin-angiotensin system should be used in chronic heart failure and acute myocardial infarction?
    Circulation, 2004, Nov-16, Volume: 110, Issue:20

    Topics: Adrenergic beta-Antagonists; Angiotensin II; Angiotensin II Type 1 Receptor Blockers; Angiotensin-Co

2004
Aldosterone blockade in post-acute myocardial infarction heart failure.
    Clinical cardiology, 2006, Volume: 29, Issue:10

    Topics: Algorithms; Cardiac Output, Low; Eplerenone; Humans; Hyperkalemia; Hypotension; Mineralocorticoid Re

2006

Trials

5 trials available for spironolactone and Blood Pressure, Low

ArticleYear
Safety and cardiovascular efficacy of spironolactone in dialysis-dependent ESRD (SPin-D): a randomized, placebo-controlled, multiple dosage trial.
    Kidney international, 2019, Volume: 95, Issue:4

    Topics: Adult; Aged; Aldosterone; Cardiovascular Diseases; Diastole; Dose-Response Relationship, Drug; Doubl

2019
The Safety of Eplerenone in Hemodialysis Patients: A Noninferiority Randomized Controlled Trial.
    Clinical journal of the American Society of Nephrology : CJASN, 2015, Sep-04, Volume: 10, Issue:9

    Topics: Aged; Blood Pressure; Dose-Response Relationship, Drug; Double-Blind Method; Eplerenone; Female; Hum

2015
Complications of inappropriate use of spironolactone in heart failure: when an old medicine spirals out of new guidelines.
    Journal of the American College of Cardiology, 2003, Jan-15, Volume: 41, Issue:2

    Topics: Aged; Guideline Adherence; Heart Failure; Humans; Hyperkalemia; Hyponatremia; Hypotension; Male; Mid

2003
Efficacy and tolerability of adding an angiotensin receptor blocker in patients with heart failure already receiving an angiotensin-converting inhibitor plus aldosterone antagonist, with or without a beta blocker. Findings from the Candesartan in Heart fa
    European journal of heart failure, 2008, Volume: 10, Issue:2

    Topics: Adrenergic beta-Antagonists; Aged; Angiotensin-Converting Enzyme Inhibitors; Benzimidazoles; Bipheny

2008
Spironolactone and altizide used in combination with enalapril: twenty-four-hour ambulatory recording of blood pressure.
    The American journal of cardiology, 1990, Jun-19, Volume: 65, Issue:23

    Topics: Acebutolol; Benzothiadiazines; Blood Pressure; Diuretics; Drug Therapy, Combination; Enalapril; Fema

1990

Other Studies

9 other studies available for spironolactone and Blood Pressure, Low

ArticleYear
Aldosterone Antagonism Is More Effective at Reducing Blood Pressure and Excessive Renal ENaC Activity in AngII-Infused Female Rats Than in Males.
    Hypertension (Dallas, Tex. : 1979), 2023, Volume: 80, Issue:10

    Topics: Aldosterone; Animals; Antihypertensive Agents; Blood Pressure; Diuretics; Female; Hypertension; Hypo

2023
Association of blood pressure and its evolving changes with the survival of patients with heart failure.
    Journal of cardiac failure, 2008, Volume: 14, Issue:7

    Topics: Adrenergic beta-Antagonists; Aged; Angiotensin-Converting Enzyme Inhibitors; Blood Pressure; Calcium

2008
Hypotension due to the drug interaction of voriconazole with eplerenone and nifedipine.
    European journal of clinical pharmacology, 2009, Volume: 65, Issue:3

    Topics: Antifungal Agents; Antihypertensive Agents; Drug Interactions; Drug Therapy, Combination; Eplerenone

2009
Correction of hyperaldosteronism and of massive fluid retention of unknown cause by sympathomimetic agents.
    The American journal of medicine, 1962, Volume: 33

    Topics: Amphetamine; Edema; Heart Failure; Humans; Hyperaldosteronism; Hypotension; Hypotension, Orthostatic

1962
Drugs for chronic heart failure.
    The Medical letter on drugs and therapeutics, 1999, Jan-29, Volume: 41, Issue:1045

    Topics: Adrenergic beta-Antagonists; Angioedema; Angiotensin Receptor Antagonists; Angiotensin-Converting En

1999
Abolished nocturnal blood pressure fall in a boy with glucocorticoid-remediable aldosteronism.
    Journal of human hypertension, 1999, Volume: 13, Issue:12

    Topics: Adolescent; Base Sequence; Blood Pressure Monitoring, Ambulatory; Circadian Rhythm; Follow-Up Studie

1999
[Severe complications during enalapril therapy for heart insufficiency].
    Schweizerische medizinische Wochenschrift, 1988, Dec-03, Volume: 118, Issue:48

    Topics: Acute Kidney Injury; Drug Interactions; Enalapril; Heart Failure; Humans; Hypotension; Male; Middle

1988
[Bartter's syndrome in adults. Case report with light- and electron-microscopic findings].
    Deutsche medizinische Wochenschrift (1946), 1973, Apr-06, Volume: 98, Issue:14

    Topics: Adult; Alkalosis; Female; Humans; Hyperaldosteronism; Hyperplasia; Hypertrophy; Hypokalemia; Hypoten

1973
[Harmful effects of common drugs on the visual apparatus. Diuretics].
    Bulletin de la Societe belge d'ophtalmologie, 1972, Volume: 160, Issue:1

    Topics: Antihypertensive Agents; Carbonic Anhydrase Inhibitors; Diuretics; Drug Synergism; Eye Diseases; Hum

1972