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spironolactone and Complications of Diabetes Mellitus

spironolactone has been researched along with Complications of Diabetes Mellitus in 25 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
"The primary objective of this study was to evaluate the antihypertensive effect of low dose spironolactone added to triple therapy for resistant hypertension in patients with type 2 diabetes measured by ambulatory monitoring."9.17Low dose spironolactone reduces blood pressure in patients with resistant hypertension and type 2 diabetes mellitus: a double blind randomized clinical trial. ( Gram, J; Henriksen, JE; Jacobsen, IA; Oxlund, CS; Schousboe, K; Tarnow, L, 2013)
" Studies comparing the effect of spironolactone to placebo in patients with hypertension and DM were included."9.12A systematic review and meta-analysis of effects of spironolactone on blood pressure, glucose, lipids, renal function, fibrosis and inflammation in patients with hypertension and diabetes. ( Abudoyreyimu, R; Heizati, M; Li, N; Lin, M; Nurula, M; Wang, L; Wang, Z; Wu, Z; Yang, Z, 2021)
"The Epleronone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study (EPHESUS) trial demonstrated that selective aldosterone blockade with eplerenone significantly reduced total mortality by 15%, combined cardiovascular (CV) mortality/CV hospitalization by 13%, CV mortality by 17% and sudden cardiac death by 21%, vs."7.74Eplerenone improves prognosis in postmyocardial infarction diabetic patients with heart failure: results from EPHESUS. ( Abuissa, H; O'Keefe, JH; Pitt, B, 2008)
"A previous randomized controlled trial evaluating the use of spironolactone in heart failure patients reported a low risk of hyperkalemia (2%) and renal insufficiency (0%)."7.72Spironolactone-induced renal insufficiency and hyperkalemia in patients with heart failure. ( Aaronson, KD; Koelling, TM; Tamirisa, KP, 2004)
"No reports have described mycotic pseudoaneurysm in the aortic arch in a diabetic patient associated with primary aldosteronism."5.36Successful treatment of a mycotic aortic pseudoaneurysm in a patient with type 2 diabetes mellitus while treating primary aldosteronism with spironolactone. ( Fukata, M; Furukawa, H; Ito, H; Ito, Y; Konishi, T; Matsuzawa, Y; Nishikawa, T; Okura, K; Saito, J; Yoshimura, K, 2010)
"The primary objective of this study was to evaluate the antihypertensive effect of low dose spironolactone added to triple therapy for resistant hypertension in patients with type 2 diabetes measured by ambulatory monitoring."5.17Low dose spironolactone reduces blood pressure in patients with resistant hypertension and type 2 diabetes mellitus: a double blind randomized clinical trial. ( Gram, J; Henriksen, JE; Jacobsen, IA; Oxlund, CS; Schousboe, K; Tarnow, L, 2013)
"A total of 6,496 patients from the Eplerenone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study (EPHESUS) were categorized into 4 groups by plasma glucose concentration: ≤4."5.16Hypo- and hyperglycemia predict outcome in patients with left ventricular dysfunction after acute myocardial infarction: data from EPHESUS. ( Böhm, M; Dobre, D; Kindermann, I; Lamiral, Z; Mahfoud, F; Pitt, B; Rossignol, P; Tala, S; Turgonyi, E; Ukena, C; Zannad, F, 2012)
" Studies comparing the effect of spironolactone to placebo in patients with hypertension and DM were included."5.12A systematic review and meta-analysis of effects of spironolactone on blood pressure, glucose, lipids, renal function, fibrosis and inflammation in patients with hypertension and diabetes. ( Abudoyreyimu, R; Heizati, M; Li, N; Lin, M; Nurula, M; Wang, L; Wang, Z; Wu, Z; Yang, Z, 2021)
"The Epleronone Post-Acute Myocardial Infarction Heart Failure Efficacy and Survival Study (EPHESUS) trial demonstrated that selective aldosterone blockade with eplerenone significantly reduced total mortality by 15%, combined cardiovascular (CV) mortality/CV hospitalization by 13%, CV mortality by 17% and sudden cardiac death by 21%, vs."3.74Eplerenone improves prognosis in postmyocardial infarction diabetic patients with heart failure: results from EPHESUS. ( Abuissa, H; O'Keefe, JH; Pitt, B, 2008)
"A previous randomized controlled trial evaluating the use of spironolactone in heart failure patients reported a low risk of hyperkalemia (2%) and renal insufficiency (0%)."3.72Spironolactone-induced renal insufficiency and hyperkalemia in patients with heart failure. ( Aaronson, KD; Koelling, TM; Tamirisa, KP, 2004)
"No reports have described mycotic pseudoaneurysm in the aortic arch in a diabetic patient associated with primary aldosteronism."1.36Successful treatment of a mycotic aortic pseudoaneurysm in a patient with type 2 diabetes mellitus while treating primary aldosteronism with spironolactone. ( Fukata, M; Furukawa, H; Ito, H; Ito, Y; Konishi, T; Matsuzawa, Y; Nishikawa, T; Okura, K; Saito, J; Yoshimura, K, 2010)
"Hirsutism is the manifestation of hyperandrogenemia in PCOS."1.32The treatment of polycystic ovary syndrome. ( Ajossa, S; Guerriero, S; Melis, GB; Orrù, M; Paoletti, AM, 2004)

Research

Studies (25)

TimeframeStudies, this research(%)All Research%
pre-19908 (32.00)18.7374
1990's0 (0.00)18.2507
2000's10 (40.00)29.6817
2010's5 (20.00)24.3611
2020's2 (8.00)2.80

Authors

AuthorsStudies
Lin, M1
Heizati, M1
Wang, L1
Nurula, M1
Yang, Z1
Wang, Z1
Abudoyreyimu, R1
Wu, Z1
Li, N1
Agarwal, R1
Rossignol, P2
Mayo, MR1
Conrad, A1
Arthur, S1
Williams, B1
White, WB1
Ming, Y1
Stefano, GB1
Kream, RM1
Zhuang, Q1
Azizi, M1
Monge, M1
Lorthioir, A1
Bobrie, G1
Amar, L1
Oxlund, CS1
Henriksen, JE1
Tarnow, L1
Schousboe, K1
Gram, J1
Jacobsen, IA1
Rodilla, E1
Costa, JA1
Pérez-Lahiguera, F1
González, C1
Pascual, JM1
Goyal, BR1
Solanki, N1
Goyal, RK1
Mehta, AA1
Ito, Y1
Yoshimura, K1
Matsuzawa, Y1
Saito, J1
Ito, H1
Furukawa, H1
Okura, K1
Fukata, M1
Konishi, T1
Nishikawa, T1
Ukena, C1
Dobre, D1
Mahfoud, F1
Kindermann, I1
Lamiral, Z1
Tala, S1
Turgonyi, E1
Pitt, B2
Böhm, M1
Zannad, F1
Smith, ES1
Trussell, S1
Mencer, LJ1
Trifonov, IR1
Jarman, PR1
Mather, HM1
Ajossa, S1
Guerriero, S1
Paoletti, AM1
Orrù, M1
Melis, GB1
Pandia, MP1
Bithal, PK1
Gupta, M1
Tamirisa, KP1
Aaronson, KD1
Koelling, TM1
O'Keefe, JH1
Abuissa, H1
Almirall, J1
Lopez, T1
Wedler, B1
Wüstenberg, PW1
Naumann, G1
Vaz, AJ1
Zweifler, AJ1
Esler, M1
Neuberg, R1
Căruntu, M1
Mihail, A1
Silverberg, DS1
Kjellstrand, CM1
Mohme-Lundholm, E1
Schwarzbach, W1
Haas, W1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Southern Danish Hypertension and Diabetes Study (SDHDS) With Amiloride[NCT02122731]Phase 480 participants (Actual)Interventional2010-11-30Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

2 reviews available for spironolactone and Complications of Diabetes Mellitus

ArticleYear
A systematic review and meta-analysis of effects of spironolactone on blood pressure, glucose, lipids, renal function, fibrosis and inflammation in patients with hypertension and diabetes.
    Blood pressure, 2021, Volume: 30, Issue:3

    Topics: Blood Glucose; Blood Pressure; Diabetes Complications; Humans; Hypertension; Inflammation; Kidney; K

2021
Prevention of heart failure.
    Current opinion in cardiology, 2002, Volume: 17, Issue:5

    Topics: Angiotensin-Converting Enzyme Inhibitors; Diabetes Complications; Heart Failure; Heart Transplantati

2002

Trials

4 trials available for spironolactone and Complications of Diabetes Mellitus

ArticleYear
Low dose spironolactone reduces blood pressure in patients with resistant hypertension and type 2 diabetes mellitus: a double blind randomized clinical trial.
    Journal of hypertension, 2013, Volume: 31, Issue:10

    Topics: Adult; Aged; Albumins; Aldosterone; Antihypertensive Agents; Blood Pressure; Blood Pressure Monitori

2013
Hypo- and hyperglycemia predict outcome in patients with left ventricular dysfunction after acute myocardial infarction: data from EPHESUS.
    Journal of cardiac failure, 2012, Volume: 18, Issue:6

    Topics: Aged; Blood Glucose; Diabetes Complications; Double-Blind Method; Eplerenone; Female; Humans; Hyperg

2012
[Efficacy of an aldosterone receptor blocker eplerenone in high risk survivors of acute myocardial infarction with signs of heart failure: results of EPHESUS].
    Kardiologiia, 2003, Volume: 43, Issue:6

    Topics: Acute Disease; Diabetes Complications; Drug Administration Schedule; Drug Therapy, Combination; Eple

2003
Clinical use of high doses of furosemide (Lasix) in the treatment of resistant nephrotic edema.
    Acta medica Scandinavica, 1968, Volume: 184, Issue:6

    Topics: Adult; Clinical Trials as Topic; Diabetes Complications; Diuretics; Edema; Female; Furosemide; Glome

1968

Other Studies

19 other studies available for spironolactone and Complications of Diabetes Mellitus

ArticleYear
Patiromer to Enable Spironolactone in Patients with Resistant Hypertension and CKD (AMBER): Results in the Prespecified Subgroup with Diabetes.
    Clinical journal of the American Society of Nephrology : CJASN, 2021, Volume: 16, Issue:9

    Topics: Diabetes Complications; Humans; Hypertension; Polymers; Renal Insufficiency, Chronic; Spironolactone

2021
Anti-Diabetogenic Properties of Mineralocorticoid Receptor Antagonists: Implications for Enhanced Safety and Efficacy of Post-Transplantation Pharmacotherapies.
    Medical science monitor : international medical journal of experimental and clinical research, 2019, Feb-10, Volume: 25

    Topics: Calcineurin; Calcineurin Inhibitors; Cyclosporine; Diabetes Complications; Diabetes Mellitus; Everol

2019
Can we use mineralocorticoid receptor blockade in diabetic patients with resistant hypertension? Yes we can! But it may be a double-edged sword.
    Journal of hypertension, 2013, Volume: 31, Issue:10

    Topics: Blood Pressure; Diabetes Complications; Female; Humans; Hypertension; Male; Spironolactone

2013
[Spironolactone in patients with resistant hypertension].
    Medicina clinica, 2008, Oct-04, Volume: 131, Issue:11

    Topics: Aged; Confidence Intervals; Diabetes Complications; Diuretics; Drug Resistance; Female; Follow-Up St

2008
Investigation into the cardiac effects of spironolactone in the experimental model of type 1 diabetes.
    Journal of cardiovascular pharmacology, 2009, Volume: 54, Issue:6

    Topics: Animals; Blood; Blood Glucose; Blood Pressure; Body Weight; Cardiovascular Diseases; Carrier Protein

2009
Successful treatment of a mycotic aortic pseudoaneurysm in a patient with type 2 diabetes mellitus while treating primary aldosteronism with spironolactone.
    Journal of atherosclerosis and thrombosis, 2010, Jul-30, Volume: 17, Issue:7

    Topics: Aged; Aneurysm, False; Aneurysm, Infected; Aortic Aneurysm; Blood Vessel Prosthesis Implantation; Di

2010
Diabetes may be independent risk factor for hyperkalaemia.
    BMJ (Clinical research ed.), 2003, Oct-04, Volume: 327, Issue:7418

    Topics: Angiotensin Receptor Antagonists; Angiotensin-Converting Enzyme Inhibitors; Diabetes Complications;

2003
The treatment of polycystic ovary syndrome.
    Minerva ginecologica, 2004, Volume: 56, Issue:1

    Topics: Adult; Androgen Antagonists; Cabergoline; Cardiovascular Diseases; Clomiphene; Cyproterone Acetate;

2004
Life-threatening hyperkalemia in the intraoperative period.
    Journal of neurosurgical anesthesiology, 2004, Volume: 16, Issue:3

    Topics: Brain Neoplasms; Decompression, Surgical; Diabetes Complications; Diuretics; Glioma; Humans; Hyperka

2004
Spironolactone-induced renal insufficiency and hyperkalemia in patients with heart failure.
    American heart journal, 2004, Volume: 148, Issue:6

    Topics: Adrenergic beta-Antagonists; Age Factors; Aged; Algorithms; Body Weight; Case-Control Studies; Creat

2004
Eplerenone improves prognosis in postmyocardial infarction diabetic patients with heart failure: results from EPHESUS.
    Diabetes, obesity & metabolism, 2008, Volume: 10, Issue:6

    Topics: Aged; Clinical Trials as Topic; Diabetes Complications; Eplerenone; Female; Heart Failure; Humans; H

2008
Spironolactone and ACE inhibition in chronic renal failure.
    The New England journal of medicine, 2002, Feb-07, Volume: 346, Issue:6

    Topics: Angiotensin-Converting Enzyme Inhibitors; Diabetes Complications; Drug Therapy, Combination; Humans;

2002
[Treatment of hypertonus in diabetes mellitus].
    Zeitschrift fur die gesamte innere Medizin und ihre Grenzgebiete, 1975, Jul-01, Volume: 30, Issue:13

    Topics: Adrenergic beta-Antagonists; Antihypertensive Agents; Diabetes Complications; Diabetes Mellitus; Eth

1975
Clinical use of spironolactone.
    American heart journal, 1979, Volume: 97, Issue:4

    Topics: Diabetes Complications; Humans; Hyperkalemia; Kidney Diseases; Spironolactone

1979
Factors influencing the choice of antihypertensive agents.
    Postgraduate medicine, 1976, Volume: 60, Issue:7

    Topics: Age Factors; Aldosterone; Cerebrovascular Disorders; Clonidine; Depression; Diabetes Complications;

1976
Immunosuppression and plasmocytoma of the cervix.
    The Journal of obstetrics and gynaecology of the British Commonwealth, 1974, Volume: 81, Issue:2

    Topics: Adult; Azathioprine; Diabetes Complications; Female; Furosemide; Humans; Immunosuppression Therapy;

1974
[New aspects of the use of spironolactone and its association with thiabutazide (per os and in injections) in the treatment of grave cardiac insufficiency].
    Medicina interna, 1974, Volume: 26, Issue:2

    Topics: Acute Kidney Injury; Administration, Oral; Adult; Aged; Benzothiadiazines; Diabetes Complications; D

1974
[Metyrapone treatment of resistant edema].
    Nordisk medicin, 1966, Oct-06, Volume: 76, Issue:40

    Topics: Adult; Chlorothiazide; Diabetes Complications; Edema; Humans; Male; Metyrapone; Prednisolone; Spiron

1966
[Saluretic therapy and insulin resistance in diabetes mellitus].
    Medizinische Klinik, 1966, Dec-23, Volume: 61, Issue:51

    Topics: Aged; Diabetes Complications; Diabetes Mellitus; Diabetic Coma; Female; Furosemide; Humans; Hyponatr

1966