Page last updated: 2024-11-07

spironolactone and Liver Dysfunction

spironolactone has been researched along with Liver Dysfunction in 42 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
"Among 459 patients with hepatic edema enrolled in a retrospective, multicenter collaborative study, we analyzed 407 patients who received tolvaptan."7.96Analysis of factors associated with the prognosis of cirrhotic patients who were treated with tolvaptan for hepatic edema. ( Abe, H; Arai, T; Atsukawa, M; Chuma, M; Fukunishi, S; Hattori, N; Hiraoka, A; Iio, E; Ikegami, T; Itokawa, N; Iwakiri, K; Iwasa, M; Kato, K; Kondo, C; Kumada, T; Michitaka, K; Nakagawa-Iwashita, A; Nozaki, A; Okubo, H; Okubo, T; Senoh, T; Tada, T; Takaguchi, K; Takei, Y; Tanaka, Y; Tani, J; Toyoda, H; Tsubota, A; Tsutsui, A; Uojima, H; Watanabe, T; Yokohama, K; Yoshida, Y, 2020)
"Ten patients with ascites due to chronic liver disease were treated with spironolactone as the sole diuretic in doses of 300 to 600 mg daily."7.66Effectiveness of high-dose spironolactone therapy in patients with chronic liver disease and relatively refractory ascites. ( Campra, JL; Reynolds, TB, 1978)
"The elimination half-life (T1/2) of canrenone, the principal unconjugated metabolite of spironolactone, was 59 h (range 32-105 h) in 5 patients with chronic liver disease and 37 h (range 19-48 h ) in 7 patients withcongestive heart failure."7.65Elimination of canrenone in congestive heart failure and chronic liver disease. ( Branch, R; Jackson, L; Levine, D; Ramsay, L, 1977)
"Among 459 patients with hepatic edema enrolled in a retrospective, multicenter collaborative study, we analyzed 407 patients who received tolvaptan."3.96Analysis of factors associated with the prognosis of cirrhotic patients who were treated with tolvaptan for hepatic edema. ( Abe, H; Arai, T; Atsukawa, M; Chuma, M; Fukunishi, S; Hattori, N; Hiraoka, A; Iio, E; Ikegami, T; Itokawa, N; Iwakiri, K; Iwasa, M; Kato, K; Kondo, C; Kumada, T; Michitaka, K; Nakagawa-Iwashita, A; Nozaki, A; Okubo, H; Okubo, T; Senoh, T; Tada, T; Takaguchi, K; Takei, Y; Tanaka, Y; Tani, J; Toyoda, H; Tsubota, A; Tsutsui, A; Uojima, H; Watanabe, T; Yokohama, K; Yoshida, Y, 2020)
"Ten patients with ascites due to chronic liver disease were treated with spironolactone as the sole diuretic in doses of 300 to 600 mg daily."3.66Effectiveness of high-dose spironolactone therapy in patients with chronic liver disease and relatively refractory ascites. ( Campra, JL; Reynolds, TB, 1978)
"In 5 healthy subjects and in 5 patients with decompensated liver diseases, the concentrations of cortisol, canrenone and canrenoate-K were determined after single doses and after a long-term treatment with spironolactone."3.66Non-interaction of spironolactone medication and cortisol metabolism in man. ( Abshagen, U; L'age, M; Spörl, S, 1978)
"The elimination half-life (T1/2) of canrenone, the principal unconjugated metabolite of spironolactone, was 59 h (range 32-105 h) in 5 patients with chronic liver disease and 37 h (range 19-48 h ) in 7 patients withcongestive heart failure."3.65Elimination of canrenone in congestive heart failure and chronic liver disease. ( Branch, R; Jackson, L; Levine, D; Ramsay, L, 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)
"The mean (95% confidence limits) relative bioavailability for SP-COMP (compared with ALD) from steady state serum concentrations of canrenone, 6beta-hydroxyl 7alpha-thiomethyl spironolactone and 7alpha-thiomethyl spironolactone was 310."2.68Improved bioavailability and clinical response in patients with chronic liver disease following the administration of a spironolactone: beta-cyclodextrin complex. ( Abosehmah-Albidy, AZ; Chrystyn, H; Losowsky, MS; Wong, V; York, P, 1997)
"Treatment with spironolactone (200 mg daily for one week in 9 subjects) did not change the steroid binding capacity of human serum."1.26[Binding capacity of sex hormone binding globulin and corticosteroid binding globulin in serum of male patients with liver cirrhosis (author's transl)]. ( Breuer, H; Kaulhausen, H; Lafosse, M; Rohner, HG; Siedek, M, 1980)

Research

Studies (42)

TimeframeStudies, this research(%)All Research%
pre-199036 (85.71)18.7374
1990's5 (11.90)18.2507
2000's0 (0.00)29.6817
2010's0 (0.00)24.3611
2020's1 (2.38)2.80

Authors

AuthorsStudies
Atsukawa, M1
Tsubota, A1
Takaguchi, K1
Toyoda, H1
Iwasa, M1
Ikegami, T1
Chuma, M1
Nozaki, A1
Uojima, H1
Hiraoka, A1
Fukunishi, S1
Yokohama, K1
Tada, T1
Kato, K1
Abe, H1
Tani, J1
Okubo, H1
Watanabe, T1
Hattori, N1
Tsutsui, A1
Senoh, T1
Yoshida, Y1
Okubo, T1
Itokawa, N1
Nakagawa-Iwashita, A1
Kondo, C1
Arai, T1
Michitaka, K1
Iio, E1
Kumada, T1
Tanaka, Y1
Takei, Y1
Iwakiri, K1
LINTRUP, J1
FRIIS, T1
NISSEN, NI1
SJOBERG, WE1
KREISLE, JE1
STERNBERG, MS1
HAGEDORN, CW1
KALSER, MH1
FLETCHER, CB1
EAKIN, EL1
ROTHMAN, PE1
PERISIC, V1
KONECNI, J1
BANICEVIC, B1
HENLEY, KS1
STREETEN, DH1
POLLARD, HM1
PUPITA, F1
DE MARTINIS, C1
Dorner, M1
Frey, G1
Siegers, CP1
Klaassen, CD1
Kuntz, E3
Kaulhausen, H1
Rohner, HG1
Siedek, M1
Lafosse, M1
Breuer, H1
Epping, J1
Fuchshofen, M1
Richter, E1
Jolobe, OM1
Abosehmah-Albidy, AZ1
York, P1
Wong, V1
Losowsky, MS1
Chrystyn, H1
Campra, JL1
Reynolds, TB2
Genes, SG1
Bossone, CM1
Abshagen, U2
Spörl, S1
L'age, M1
Jackson, L1
Branch, R1
Levine, D1
Ramsay, L1
Rennekamp, H1
Luszpinski, G1
Loginov, AS1
Danks, DM1
Potter, C1
Willis, D1
Sharp, HL1
Scharzenberg, SJ1
Schölmerich, J1
Iacona, A1
Rossetti, A1
Filingeri, V1
Orsini, D1
Cesarini, A1
Cervelli, V1
Adorno, D1
Casciani, CU1
Morris, RG1
Frewin, DB1
Taylor, WB1
Glistak, ML1
Lehmann, DR1
Pockros, PJ1
Lant, A1
Ilinich, VK1
Plastun, FF1
Lazar, G1
Szabo, S1
Husztik, E1
Wilkinson, SP1
Arroyo, V1
Williams, R1
Blendis, LM1
Wildhirt, E1
Sadée, W1
Schröder, R1
von Leitner, E1
Dagcioglu, M1
Reubi, FC1
Larcan, A1
Calamai, M1
Jacob, F1
Hillenbrand, P1
Sherlock, S1
Gentili, G1
Liberti, R1
Steigmann, F1
Oz, R1
Dubin, A1

Reviews

6 reviews available for spironolactone and Liver Dysfunction

ArticleYear
[The importance of the biliary excretion of drugs in the human].
    Deutsche medizinische Wochenschrift (1946), 1983, Oct-14, Volume: 108, Issue:41

    Topics: Anti-Bacterial Agents; Antineoplastic Agents; Bile; Biological Transport; Cardiac Glycosides; Contra

1983
Strategies in the treatment of ascites.
    Hepato-gastroenterology, 1991, Volume: 38, Issue:5

    Topics: Ascites; Diet, Sodium-Restricted; Drainage; Humans; Liver Diseases; Peritoneovenous Shunt; Plasma Su

1991
Diuretics. Clinical pharmacology and therapeutic use (Part II).
    Drugs, 1985, Volume: 29, Issue:2

    Topics: Amiloride; Canrenoic Acid; Diuretics; Diuretics, Osmotic; Drug Interactions; Hearing Disorders; Hear

1985
[Hepatogenous (secondary) aldosteronism (author's transl)].
    MMW, Munchener medizinische Wochenschrift, 1974, May-17, Volume: 116, Issue:20

    Topics: Aldosterone; Angiotensin II; Chronic Disease; Esophageal and Gastric Varices; Hepatitis; Hepatitis A

1974
[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
Combination diuretic drug therapy.
    Cardiovascular clinics, 1971, Volume: 2, Issue:3

    Topics: Amiloride; Benzothiadiazines; Diet; Diuretics; Drug Therapy, Combination; Ethacrynic Acid; Furosemid

1971

Trials

1 trial available for spironolactone and Liver Dysfunction

ArticleYear
Improved bioavailability and clinical response in patients with chronic liver disease following the administration of a spironolactone: beta-cyclodextrin complex.
    British journal of clinical pharmacology, 1997, Volume: 44, Issue:1

    Topics: beta-Cyclodextrins; Biological Availability; Canrenone; Chronic Disease; Cross-Over Studies; Cyclode

1997

Other Studies

35 other studies available for spironolactone and Liver Dysfunction

ArticleYear
Analysis of factors associated with the prognosis of cirrhotic patients who were treated with tolvaptan for hepatic edema.
    Journal of gastroenterology and hepatology, 2020, Volume: 35, Issue:7

    Topics: Adult; Aged; Aged, 80 and over; Diuretics; Drug Therapy, Combination; Edema; Female; Furosemide; Hum

2020
[Diuretic action of chlorothiazide and spironolactone in edema of cardiac and hepatic origin].
    Ugeskrift for laeger, 1963, Jul-05, Volume: 125

    Topics: Chlorothiazide; Diuretics; Edema; Heart Failure; Liver Diseases; Spironolactone

1963
Hyperkalemia and sudden death during Spironolactone (Aldactone) therapy.
    Texas state journal of medicine, 1962, Volume: 58

    Topics: Death, Sudden; Humans; Hyperkalemia; Kidney Diseases; Liver Diseases; Spironolactone

1962
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
FETAL ASCITES--LIVER GIANT-CELL TRANSFORMATION. REPORT OF A CASE WITH RECOVERY.
    American journal of diseases of children (1960), 1964, Volume: 108

    Topics: Ascites; Biopsy; Drainage; Exchange Transfusion, Whole Blood; Fetal Diseases; Humans; Hydrochlorothi

1964
[EFFECT OF A SPIRONOLACTONE ALDOSTERONE INHIBITOR AND CHLOROTHIAZIDE ON WATER AND ELECTROLYTE EXCRETION IN LIVER DISEASES].
    Srpski arhiv za celokupno lekarstvo, 1964, Volume: 92

    Topics: Aldosterone; Biomedical Research; Body Fluids; Chlorothiazide; Electrolytes; Liver Diseases; Mineral

1964
Hyperaldo-steronism in liver disease. The treatment of refractory ascites by adrenalectomy and by the administration of spirolactones.
    Gastroenterology, 1960, Volume: 38

    Topics: Adrenalectomy; Aldosterone; Ascites; Humans; Lactones; Liver Diseases; Spironolactone

1960
[On the therapy of edemas caused by liver disease. Changes of water-salt metabolism and of the urinary corticosteroid picture in cirrhotics treated with prednisone, spirolactone and methopyrone].
    Minerva medica, 1961, Dec-26, Volume: 52

    Topics: Adrenal Cortex Hormones; Ascites; Edema; Humans; Liver Cirrhosis; Liver Diseases; Prednisone; Spiron

1961
[Saluretics in liver diseases].
    Munchener medizinische Wochenschrift (1950), 1966, Dec-23, Volume: 108, Issue:51

    Topics: Ammonium Chloride; Ascites; Capillary Permeability; Diuretics; Humans; Hypertension, Portal; Hypopro

1966
[Disorders of water and electrolyte equilibrium in liver diseases. Part 3: therapy (author's transl)].
    MMW, Munchener medizinische Wochenschrift, 1982, May-14, Volume: 124, Issue:19

    Topics: Ascites; Benzothiadiazines; Canrenoic Acid; Diuretics; Humans; Hyperaldosteronism; Liver Diseases; S

1982
[Binding capacity of sex hormone binding globulin and corticosteroid binding globulin in serum of male patients with liver cirrhosis (author's transl)].
    Journal of clinical chemistry and clinical biochemistry. Zeitschrift fur klinische Chemie und klinische Biochemie, 1980, Volume: 18, Issue:2

    Topics: Adult; Aged; Blood Proteins; Cholinesterases; Electrophoresis, Agar Gel; Factor V; Factor VII; Human

1980
[Enterohepatic circulation in liver diseases].
    Medizinische Klinik, 1980, Feb-01, Volume: 75, Issue:3

    Topics: Animals; Barbiturates; Bile Acids and Salts; Biotransformation; Bisacodyl; Chloramphenicol; Cholesta

1980
Efficacy of low-dose captopril in addition to furosemide and spironolactone in patients with decompensated liver disease during blunted diuresis.
    Journal of hepatology, 1993, Volume: 19, Issue:2

    Topics: Aged; Captopril; Diuresis; Dose-Response Relationship, Drug; Drug Therapy, Combination; Female; Furo

1993
Effectiveness of high-dose spironolactone therapy in patients with chronic liver disease and relatively refractory ascites.
    The American journal of digestive diseases, 1978, Volume: 23, Issue:11

    Topics: Adult; Ascites; Blood Urea Nitrogen; Creatinine; Drug Evaluation; Female; Hepatitis, Alcoholic; Huma

1978
[Corticosteroids and the liver].
    Klinicheskaia meditsina, 1977, Volume: 55, Issue:1

    Topics: Adrenal Cortex; Adrenal Cortex Hormones; Animals; Biotransformation; Diabetes Mellitus, Experimental

1977
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
Management of hepatic ascites.
    British medical journal, 1978, Jan-14, Volume: 1, Issue:6105

    Topics: Ascites; Diuresis; Drainage; Humans; Hypokalemia; Liver Diseases; Spironolactone

1978
Non-interaction of spironolactone medication and cortisol metabolism in man.
    Klinische Wochenschrift, 1978, Feb-01, Volume: 56, Issue:3

    Topics: Canrenoic Acid; Canrenone; Drug Interactions; Humans; Hydrocortisone; Liver Diseases; Spironolactone

1978
Elimination of canrenone in congestive heart failure and chronic liver disease.
    European journal of clinical pharmacology, 1977, Mar-11, Volume: 11, Issue:3

    Topics: Aged; Canrenone; Chronic Disease; Creatinine; Female; Half-Life; Heart Failure; Humans; Liver Diseas

1977
Disposition kinetics of spironolactone in hepatic failure after single doses and prolonged treatment.
    European journal of clinical pharmacology, 1977, Mar-11, Volume: 11, Issue:3

    Topics: Adult; Chemical and Drug Induced Liver Injury; Half-Life; Humans; Kinetics; Liver Cirrhosis; Liver D

1977
[Treatment of chronic diseases of the liver].
    Terapevticheskii arkhiv, 1977, Volume: 49, Issue:1

    Topics: Adrenal Cortex Hormones; Chronic Disease; Hepatitis; Humans; Liver Cirrhosis; Liver Diseases; Phenob

1977
[Edematous hepatitis: a special form of acute virus hepatitis with secondary aldosteronism (author's transl)].
    Medizinische Klinik, 1975, Feb-14, Volume: 70, Issue:7

    Topics: Adult; Aldosterone; Chemical and Drug Induced Liver Injury; Diagnosis, Differential; Edema; Female;

1975
Letter: Diuretic therapy in infants and children.
    The Journal of pediatrics, 1976, Volume: 88, Issue:4

    Topics: Child; Furosemide; Humans; Infant; Liver Diseases; Spironolactone

1976
Primary and secondary amenorrhea associated with spironolactone therapy in chronic liver disease.
    The Journal of pediatrics, 1992, Volume: 121, Issue:1

    Topics: Adolescent; Adult; Amenorrhea; Cholestasis; Chronic Disease; Female; Humans; Hypertension, Portal; H

1992
Reduced nephrotoxicity and hepatoxicity in cyclosporin A therapy by enalapril and spironolactone in rats.
    Drugs under experimental and clinical research, 1991, Volume: 17, Issue:10-11

    Topics: Animals; Chemical and Drug Induced Liver Injury; Cyclosporine; Drug Therapy, Combination; Enalapril;

1991
The effect of renal and hepatic impairment and of spironolactone on digoxin immunoassays.
    European journal of clinical pharmacology, 1988, Volume: 34, Issue:3

    Topics: Aged; Aged, 80 and over; Digoxin; Female; Humans; Immunoassay; Kidney Diseases; Liver Diseases; Male

1988
Rapid diuresis in patients with ascites from chronic liver disease: the importance of peripheral edema.
    Gastroenterology, 1986, Volume: 90, Issue:6

    Topics: Amiloride; Ascites; Body Weight; Chronic Disease; Diuresis; Edema; Electrolytes; Furosemide; Humans;

1986
The experimental production of hemorrhagic lesions in the rat adrenal, liver and lung by basic polyglutamic acid derivatives.
    Research in experimental medicine. Zeitschrift fur die gesamte experimentelle Medizin einschliesslich experimenteller Chirurgie, 1972, Volume: 159, Issue:1

    Topics: Adrenal Gland Diseases; Adrenal Glands; Animals; Chemical and Drug Induced Liver Injury; Ethylestren

1972
Letter: Ascites and oedema in liver disease.
    British medical journal, 1973, Oct-27, Volume: 4, Issue:5886

    Topics: Ascites; Edema; Humans; Kidney; Liver Diseases; Spironolactone

1973
[Aldosteronism in liver diseases].
    Zeitschrift fur Allgemeinmedizin, 1974, Apr-30, Volume: 50, Issue:12

    Topics: Acute Disease; Aldosterone; Chronic Disease; Humans; Hyperaldosteronism; Liver Diseases; Spironolact

1974
Multiple dose kinetics of spironolactone and canrenoate-potassium in cardiac and hepatic failure.
    European journal of clinical pharmacology, 1974, Volume: 7, Issue:3

    Topics: Adult; Aged; Carboxylic Acids; Female; Fluorometry; Half-Life; Heart Failure; Humans; Ketosteroids;

1974
[Severe kaliopenia and electrolytic gradient disturbances in medico-surgical resuscitation. Value of a spironolactone with antialdosterone and catatoxic effect].
    Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression, 1971, Volume: 12, Issue:3

    Topics: Brain Edema; Cardiac Surgical Procedures; Cardiovascular Diseases; Extracorporeal Circulation; Human

1971
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
[Clinical study of the use of "Spirolang" 50].
    Minerva medica, 1971, Feb-28, Volume: 62, Issue:17

    Topics: Adult; Aged; Ascites; Chronic Disease; Digitalis Glycosides; Diuresis; Electrolytes; Ethacrynic Acid

1971
Newer diuretics in the treatment of cardiac or hepatic disease in elderly patients.
    Journal of the American Geriatrics Society, 1966, Volume: 14, Issue:12

    Topics: Ascites; Benzothiadiazines; Blood Glucose; Blood Urea Nitrogen; Body Weight; Cardiovascular Diseases

1966