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spironolactone and Hepatic Encephalopathy

spironolactone has been researched along with Hepatic Encephalopathy in 19 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.

Hepatic Encephalopathy: A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE, including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); ASTERIXIS; NYSTAGMUS, PATHOLOGIC; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes (see REFLEX, BABINSKI). ELECTROENCEPHALOGRAPHY may demonstrate triphasic waves. (From Adams et al., Principles of Neurology, 6th ed, pp1117-20; Plum & Posner, Diagnosis of Stupor and Coma, 3rd ed, p222-5)

Research Excerpts

ExcerptRelevanceReference
" Patients without hyperkalemia were administrated 100 mg of spironolactone/day."9.22High Dose Oral Furosemide with Salt Ingestion in the Treatment of Refractory Ascites of Liver Cirrhosis. ( Demir, M; Dogan, O; Ozer, B; Parlakgumus, A; Serin, E; Yakar, T, 2016)
"The aim of this study was to specify the mechanism of hepatic encephalopathy which may occur in some cirrhotics treated by Spironolactone."7.65[Hyperammonemia and hepatic encephalopathy in cirrhotics receiving spironolactone (author's transl)]. ( Imler, M; Schlienger, JL, 1977)
"Spironolactone is an aldosterone receptor antagonist used to control fluid overload in cirrhotic patients although recent studies suggest that it also inhibits angiogenesis."5.42The Impact of Spironolactone on the Severity of Portal-Systemic Collaterals and Hepatic Encephalopathy in Cirrhotic Rats. ( Chang, CC; Ho, HL; Hsin, IF; Hsu, SJ; Huang, HC; Huo, TI; Lee, FY; Lee, SD; Lin, HC; Wang, SS, 2015)
" Patients without hyperkalemia were administrated 100 mg of spironolactone/day."5.22High Dose Oral Furosemide with Salt Ingestion in the Treatment of Refractory Ascites of Liver Cirrhosis. ( Demir, M; Dogan, O; Ozer, B; Parlakgumus, A; Serin, E; Yakar, T, 2016)
"To compare the efficacy of three commonly used diuretic regimens in the treatment of ascites, we randomized 90 patients to three treatment groups: Sequential Spironolactone (spironolactone followed by furosemide if necessary), Combination (spironolactone and furosemide in combination), and Furosemide (furosemide given alone)."5.05Diuresis in the ascitic patient: a randomized controlled trial of three regimens. ( Fogel, MR; Gregory, PB; Knauer, CM; Miller, RG; Neal, EA; Sawhney, VK, 1981)
"The aim of this study was to specify the mechanism of hepatic encephalopathy which may occur in some cirrhotics treated by Spironolactone."3.65[Hyperammonemia and hepatic encephalopathy in cirrhotics receiving spironolactone (author's transl)]. ( Imler, M; Schlienger, JL, 1977)
"In 8 out of 20 patients with chronic liver disease ascites was controlled with metolazone, 10 required additional amiloride or spironolactone to achieve control, and 2 were resistant to all diuretic therapy."3.65Use of metolazone in the treatment of ascites due to liver disease. ( Hillenbrand, P; Sherlock, S, 1971)
"Ascites, variceal bleeding, hepatic encephalopathy, and hepatorenal syndrome are among the complications you are likely to encounter when caring for a patient with cirrhosis."1.42Cirrhosis complications: keeping them under control. ( Eliacin, I; Kashan, S; Minor, SE; Whisenant, EB, 2015)
"Spironolactone is an aldosterone receptor antagonist used to control fluid overload in cirrhotic patients although recent studies suggest that it also inhibits angiogenesis."1.42The Impact of Spironolactone on the Severity of Portal-Systemic Collaterals and Hepatic Encephalopathy in Cirrhotic Rats. ( Chang, CC; Ho, HL; Hsin, IF; Hsu, SJ; Huang, HC; Huo, TI; Lee, FY; Lee, SD; Lin, HC; Wang, SS, 2015)

Research

Studies (19)

TimeframeStudies, this research(%)All Research%
pre-199016 (84.21)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's3 (15.79)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Minor, SE1
Eliacin, I1
Kashan, S1
Whisenant, EB1
Hsu, SJ1
Wang, SS1
Huo, TI1
Lee, FY1
Huang, HC1
Chang, CC1
Hsin, IF1
Ho, HL1
Lin, HC1
Lee, SD1
Yakar, T1
Demir, M1
Dogan, O1
Parlakgumus, A1
Ozer, B1
Serin, E1
STERNBERG, MS1
HAGEDORN, CW1
KALSER, MH1
BAGROS, P1
Pisi, E1
Marchesini, G1
Fogel, MR1
Sawhney, VK1
Neal, EA1
Miller, RG1
Knauer, CM1
Gregory, PB1
Di Constanzo, J1
Cano, N1
Sarrat, P1
Millet, Y1
Gauthier, A1
Bossone, CM1
Imler, M1
Schlienger, JL1
Sherlock, S3
Senewiratne, B2
Scott, A2
Walker, JG2
Inberg, MV1
Harjola, PT1
Scheinin, TM1
Ilinich, VK1
Plastun, FF1
Leemhuis, MP1
Struyvenberg, A1
Kommerell, B2
Leiter, L1
Hillenbrand, P1

Reviews

3 reviews available for spironolactone and Hepatic Encephalopathy

ArticleYear
[Treatment of acute hepatic insufficiency (a survey of the literature)].
    Voenno-meditsinskii zhurnal, 1972, Volume: 12

    Topics: Acute Disease; Adenosine Triphosphate; Arginine; Chemical and Drug Induced Liver Injury; Exchange Tr

1972
Significance of hypokalaemia due to diuretics.
    The Netherlands journal of medicine, 1973, Volume: 16, Issue:1

    Topics: Amiloride; Arrhythmias, Cardiac; Chlorothiazide; Diuretics; Ethacrynic Acid; Extracellular Space; Fu

1973
Combinations of diuretics in the treatment of edema.
    American heart journal, 1970, Volume: 80, Issue:3

    Topics: Acetazolamide; Benzothiadiazines; Chlorthalidone; Diuretics; Edema; Ethacrynic Acid; Furosemide; Glu

1970

Trials

2 trials available for spironolactone and Hepatic Encephalopathy

ArticleYear
High Dose Oral Furosemide with Salt Ingestion in the Treatment of Refractory Ascites of Liver Cirrhosis.
    Clinical and investigative medicine. Medecine clinique et experimentale, 2016, Dec-01, Volume: 39, Issue:6

    Topics: Administration, Oral; Adult; Aged; Aged, 80 and over; Albumins; Ascites; Bilirubin; Creatinine; End

2016
Diuresis in the ascitic patient: a randomized controlled trial of three regimens.
    Journal of clinical gastroenterology, 1981, Volume: 3 Suppl 1

    Topics: Ascites; Body Weight; Clinical Trials as Topic; Drug Therapy, Combination; Female; Furosemide; Hepat

1981

Other Studies

14 other studies available for spironolactone and Hepatic Encephalopathy

ArticleYear
Cirrhosis complications: keeping them under control.
    The Journal of family practice, 2015, Volume: 64, Issue:6

    Topics: Antihypertensive Agents; Ascites; Diuretics; Furosemide; Hemorrhage; Hepatic Encephalopathy; Humans;

2015
The Impact of Spironolactone on the Severity of Portal-Systemic Collaterals and Hepatic Encephalopathy in Cirrhotic Rats.
    The Journal of pharmacology and experimental therapeutics, 2015, Volume: 355, Issue:1

    Topics: Ammonia; Animals; Bile Ducts; Body Weight; Hemodynamics; Hepatic Encephalopathy; Kidney; Ligation; L

2015
THE USE OF SPIRONOLACTONE AND LARGE DOSES OF STEROIDS IN THE TREATMENT OF ASCITES OF LIVER DISEASE.
    Southern medical journal, 1963, Volume: 56

    Topics: Adrenal Cortex Hormones; Ascites; Chlorothiazide; Diuresis; Hepatic Encephalopathy; Humans; Hyponatr

1963
[THE TREATMENT OF EDEMA WITH SULFONAMIDE DIURETICS].
    Vie medicale (Paris, France : 1920), 1964, Volume: 45

    Topics: Acetazolamide; Acidosis; Benzothiadiazines; Chlorothiazide; Chlorthalidone; Dehydration; Diuretics;

1964
[Hepatic coma. Therapeutic aspects].
    Minerva medica, 1984, Aug-25, Volume: 75, Issue:32-33

    Topics: Amino Acids; Bromocriptine; Electrolytes; Furosemide; Glucose; Hepatic Encephalopathy; Histamine H2

1984
[Letter: The treatment of brain edema during hepatic coma].
    La Nouvelle presse medicale, 1975, Oct-11, Volume: 4, Issue:33

    Topics: Adolescent; Adrenocorticotropic Hormone; Adult; Brain Edema; Female; Hepatic Encephalopathy; Hepatit

1975
The liver: a pharmacologic perspective.
    The Nursing clinics of North America, 1977, Volume: 12, Issue:2

    Topics: Acetaldehyde; Alcoholism; Chemical and Drug Induced Liver Injury; Diuretics; Drug-Related Side Effec

1977
[Hyperammonemia and hepatic encephalopathy in cirrhotics receiving spironolactone (author's transl)].
    La Nouvelle presse medicale, 1977, Nov-05, Volume: 6, Issue:37

    Topics: Adult; Aged; Ammonia; Hepatic Encephalopathy; Humans; Intestinal Mucosa; Liver Cirrhosis; Male; Midd

1977
Complications of diuretic therapy in hepatic cirrhosis.
    Lancet (London, England), 1966, May-14, Volume: 1, Issue:7446

    Topics: Chlorothiazide; Diuretics; Ethacrynic Acid; Furosemide; Hepatic Encephalopathy; Humans; Hypokalemia;

1966
Role of the mesentericocaval shunt in the management of portal hypertension.
    American journal of surgery, 1974, Volume: 127, Issue:5

    Topics: Adolescent; Adult; Diuretics; Duodenal Ulcer; Edema; Female; Follow-Up Studies; Gastrointestinal Hem

1974
[Therapy of liver cirrhosis].
    Minerva medica, 1972, Dec-26, Volume: 63, Issue:93

    Topics: Alanine Transaminase; Aspartate Aminotransferases; Diet, Sodium-Restricted; Esophageal and Gastric V

1972
Use of metolazone in the treatment of ascites due to liver disease.
    British medical journal, 1971, Oct-30, Volume: 4, Issue:5782

    Topics: Adult; Ascites; Chlorides; Chronic Disease; Diuretics; Female; Hepatic Encephalopathy; Humans; Hypok

1971
The complications of diuretic therapy in patients with cirrhosis.
    Annals of the New York Academy of Sciences, 1966, Nov-22, Volume: 139, Issue:2

    Topics: Alkalosis; Ascites; Blood Urea Nitrogen; Chlorothiazide; Ethacrynic Acid; Furosemide; Hepatic Enceph

1966
[Therapy of liver cirrhosis].
    Deutsche medizinische Wochenschrift (1946), 1971, Mar-05, Volume: 71, Issue:10

    Topics: Adrenal Cortex Hormones; Anabolic Agents; Diet Therapy; Hepatic Encephalopathy; Humans; Hypertension

1971