Page last updated: 2024-11-07

spironolactone and Pain

spironolactone has been researched along with Pain in 12 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.

Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.

Research Excerpts

ExcerptRelevanceReference
"Spironolactone is recommended as fourth-line therapy for essential hypertension despite few supporting data for this indication."9.12Effect of spironolactone on blood pressure in subjects with resistant hypertension. ( Chapman, N; Dahlöf, B; Dobson, J; Poulter, NR; Sever, PS; Wedel, H; Wilson, S, 2007)
"Mastalgia is occasionally found in patients with liver cirrhosis, especially in those receiving spironolactone for treatment of ascites."9.09Treatment of mastalgia with tamoxifen in male patients with liver cirrhosis: a randomized crossover study. ( Chang, FY; Chu, CJ; Hwang, SJ; Kuo, BI; Lee, FY; Lee, SD; Li, CP; Lin, HC, 2000)
"These results suggest that intrathecal delivery spironolactone has therapeutic effects on radicular pain in rats."7.78Intrathecal injection of spironolactone attenuates radicular pain by inhibition of spinal microglia activation in a rat model. ( Bo, J; Gu, X; Liu, C; Ma, Z; Peng, L; Sun, X; Sun, YE; Yang, D; Zheng, Y; Zhu, B, 2012)
" Using this pain model, the authors applied the MR antagonist eplerenone locally to the inflamed DRG."7.78Mineralocorticoid receptor blocker eplerenone reduces pain behaviors in vivo and decreases excitability in small-diameter sensory neurons from local inflamed dorsal root ganglia in vitro. ( Dong, F; Strong, JA; Xie, W; Zhang, JM, 2012)
"Spironolactone (SPL) is a reversible mineralocorticoid receptor (MR) and androgen receptor (AR) antagonist which attracts pharmacotherapeutic interest not only because of its beneficial effects in heart failure but also because of the pathogenetic roles of MR and AR activities in neuropsychiatric diseases."7.01High-dose spironolactone lacks effectiveness in treatment of fibromyalgia (RCT). ( Böhm, R; Cascorbi, I; Gleim, M; Gruenewald, M; Herdegen, T; Ohnesorge, H; Westermann, P, 2021)
"Frusemide 20mg/Spironolactone 50 mg), every other day for 4 weeks."5.27The Role of Diuretics in Treatment of Aromatase Inhibitors Induced Musculoskeletal Symptoms in Women with Non Metastatic Breast Cancer ( Alhanafy, AM; Khalil, A; Labeeb, A, 2018)
"Spironolactone is recommended as fourth-line therapy for essential hypertension despite few supporting data for this indication."5.12Effect of spironolactone on blood pressure in subjects with resistant hypertension. ( Chapman, N; Dahlöf, B; Dobson, J; Poulter, NR; Sever, PS; Wedel, H; Wilson, S, 2007)
"Mastalgia is occasionally found in patients with liver cirrhosis, especially in those receiving spironolactone for treatment of ascites."5.09Treatment of mastalgia with tamoxifen in male patients with liver cirrhosis: a randomized crossover study. ( Chang, FY; Chu, CJ; Hwang, SJ; Kuo, BI; Lee, FY; Lee, SD; Li, CP; Lin, HC, 2000)
"Spironolactone has no antinociceptive effects in thermal models of pain, but it enhances the antinociceptive effects of morphine mainly by increasing morphine central nervous system concentrations, probably by inhibiting P-gp."3.80The mineralocorticoid receptor antagonist spironolactone enhances morphine antinociception. ( Jokinen, V; Kalso, EA; Lilius, TO; Neuvonen, MS; Niemi, M; Rauhala, PV; Väänänen, AJ, 2014)
"These results suggest that intrathecal delivery spironolactone has therapeutic effects on radicular pain in rats."3.78Intrathecal injection of spironolactone attenuates radicular pain by inhibition of spinal microglia activation in a rat model. ( Bo, J; Gu, X; Liu, C; Ma, Z; Peng, L; Sun, X; Sun, YE; Yang, D; Zheng, Y; Zhu, B, 2012)
" Using this pain model, the authors applied the MR antagonist eplerenone locally to the inflamed DRG."3.78Mineralocorticoid receptor blocker eplerenone reduces pain behaviors in vivo and decreases excitability in small-diameter sensory neurons from local inflamed dorsal root ganglia in vitro. ( Dong, F; Strong, JA; Xie, W; Zhang, JM, 2012)
"Spironolactone (SPL) is a reversible mineralocorticoid receptor (MR) and androgen receptor (AR) antagonist which attracts pharmacotherapeutic interest not only because of its beneficial effects in heart failure but also because of the pathogenetic roles of MR and AR activities in neuropsychiatric diseases."3.01High-dose spironolactone lacks effectiveness in treatment of fibromyalgia (RCT). ( Böhm, R; Cascorbi, I; Gleim, M; Gruenewald, M; Herdegen, T; Ohnesorge, H; Westermann, P, 2021)
"Pretreatment with spironolactone led to higher baseline cortisol levels compared to placebo whereas no differences in stimulated cortisol, baseline ACTH, and stimulated ACTH emerged."2.73Blockade of the mineralocorticoid receptor in healthy men: effects on experimentally induced panic symptoms, stress hormones, and cognition. ( Kellner, M; Koop, M; Madrischewski, AM; Moritz, S; Otte, C; Wiedemann, K; Yassouridis, A, 2007)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's5 (41.67)29.6817
2010's6 (50.00)24.3611
2020's1 (8.33)2.80

Authors

AuthorsStudies
Böhm, R1
Westermann, P1
Gleim, M1
Cascorbi, I1
Gruenewald, M1
Herdegen, T1
Ohnesorge, H1
Alhanafy, AM1
Labeeb, A1
Khalil, A1
Lilius, TO1
Jokinen, V2
Neuvonen, MS1
Väänänen, AJ1
Niemi, M2
Rauhala, PV1
Kalso, EA1
Lilius, T1
Laitila, J1
Kambur, O1
Kalso, E1
Rauhala, P1
Sun, YE1
Peng, L1
Sun, X1
Bo, J1
Yang, D1
Zheng, Y1
Liu, C1
Zhu, B1
Ma, Z1
Gu, X1
Dong, F1
Xie, W1
Strong, JA1
Zhang, JM1
Schumacher, MA1
Ménard, J1
Freedman, DB1
Housley, D1
Otte, C1
Moritz, S1
Yassouridis, A1
Koop, M1
Madrischewski, AM1
Wiedemann, K1
Kellner, M1
Chapman, N1
Dobson, J1
Wilson, S1
Dahlöf, B1
Sever, PS1
Wedel, H1
Poulter, NR1
Li, CP1
Lee, FY1
Hwang, SJ1
Chang, FY1
Lin, HC1
Kuo, BI1
Chu, CJ1
Lee, SD1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Addition of Spironolactone in Patients With Resistant Arterial Hypertension[NCT00524615]Phase 4160 participants (Anticipated)Interventional2007-09-30Recruiting
South Danish Hypertension and Diabetes Study[NCT01062763]Phase 3119 participants (Actual)Interventional2010-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Adverse Effects

(NCT01062763)
Timeframe: 4 months

Interventionparticipants (Number)
Addition of Spironolactone4
Placebo0

Change of Diastolic Blood Pressure

Change of diastolic blood pressure from baseline to study end at four months. (NCT01062763)
Timeframe: 4 months

Interventionmm Hg (Mean)
Addition of Spironolactone-3.9
Placebo-0.3

Change of of Systolic Blood Pressure

Change of systolic blood pressure from baseline to study end at four months. (NCT01062763)
Timeframe: 4 months

Interventionmm Hg (Mean)
Addition of Spironolactone-9.6
Placebo-0.7

Trials

5 trials available for spironolactone and Pain

ArticleYear
High-dose spironolactone lacks effectiveness in treatment of fibromyalgia (RCT).
    European journal of pain (London, England), 2021, Volume: 25, Issue:8

    Topics: Adult; Double-Blind Method; Female; Fibromyalgia; Humans; Pain; Spironolactone; Treatment Outcome

2021
The Role of Diuretics in Treatment of Aromatase Inhibitors Induced Musculoskeletal Symptoms in Women with Non Metastatic Breast Cancer
    Asian Pacific journal of cancer prevention : APJCP, 2018, Dec-25, Volume: 19, Issue:12

    Topics: Aged; Aromatase Inhibitors; Arthralgia; Breast Neoplasms; Diuretics; Egypt; Female; Furosemide; Huma

2018
Blockade of the mineralocorticoid receptor in healthy men: effects on experimentally induced panic symptoms, stress hormones, and cognition.
    Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2007, Volume: 32, Issue:1

    Topics: Adrenocorticotropic Hormone; Adult; Analysis of Variance; Blood Pressure; Cognition; Cross-Over Stud

2007
Effect of spironolactone on blood pressure in subjects with resistant hypertension.
    Hypertension (Dallas, Tex. : 1979), 2007, Volume: 49, Issue:4

    Topics: Aged; Antihypertensive Agents; Blood Pressure; Breast; Drug Resistance; Female; Gynecomastia; Humans

2007
Effect of spironolactone on blood pressure in subjects with resistant hypertension.
    Hypertension (Dallas, Tex. : 1979), 2007, Volume: 49, Issue:4

    Topics: Aged; Antihypertensive Agents; Blood Pressure; Breast; Drug Resistance; Female; Gynecomastia; Humans

2007
Effect of spironolactone on blood pressure in subjects with resistant hypertension.
    Hypertension (Dallas, Tex. : 1979), 2007, Volume: 49, Issue:4

    Topics: Aged; Antihypertensive Agents; Blood Pressure; Breast; Drug Resistance; Female; Gynecomastia; Humans

2007
Effect of spironolactone on blood pressure in subjects with resistant hypertension.
    Hypertension (Dallas, Tex. : 1979), 2007, Volume: 49, Issue:4

    Topics: Aged; Antihypertensive Agents; Blood Pressure; Breast; Drug Resistance; Female; Gynecomastia; Humans

2007
Treatment of mastalgia with tamoxifen in male patients with liver cirrhosis: a randomized crossover study.
    The American journal of gastroenterology, 2000, Volume: 95, Issue:4

    Topics: Aged; Breast; Cross-Over Studies; Estradiol; Estrogen Antagonists; Humans; Liver Cirrhosis; Liver Fu

2000

Other Studies

7 other studies available for spironolactone and Pain

ArticleYear
The mineralocorticoid receptor antagonist spironolactone enhances morphine antinociception.
    European journal of pain (London, England), 2014, Volume: 18, Issue:3

    Topics: Analgesics; Animals; Drug Interactions; Male; Mineralocorticoid Receptor Antagonists; Morphine; Pain

2014
Do Diuretics have Antinociceptive Actions: Studies of Spironolactone, Eplerenone, Furosemide and Chlorothiazide, Individually and with Oxycodone and Morphine.
    Basic & clinical pharmacology & toxicology, 2017, Volume: 120, Issue:1

    Topics: Analgesics; Analgesics, Opioid; Animals; Behavior, Animal; Brain; Chlorothiazide; Disease Models, An

2017
Intrathecal injection of spironolactone attenuates radicular pain by inhibition of spinal microglia activation in a rat model.
    PloS one, 2012, Volume: 7, Issue:6

    Topics: Animals; Blotting, Western; Cytokines; Disease Models, Animal; Ganglia, Spinal; Immunohistochemistry

2012
Mineralocorticoid receptor blocker eplerenone reduces pain behaviors in vivo and decreases excitability in small-diameter sensory neurons from local inflamed dorsal root ganglia in vitro.
    Anesthesiology, 2012, Volume: 117, Issue:5

    Topics: Animals; Behavior, Animal; Eplerenone; Ganglia, Spinal; Inflammation; Male; Mineralocorticoid Recept

2012
Back pain and the mineralocorticoid receptor: is there a connection?
    Anesthesiology, 2012, Volume: 117, Issue:5

    Topics: Animals; Eplerenone; Ganglia, Spinal; Male; Mineralocorticoid Receptor Antagonists; Pain; Sensory Re

2012
The 45-year story of the development of an anti-aldosterone more specific than spironolactone.
    Molecular and cellular endocrinology, 2004, Mar-31, Volume: 217, Issue:1-2

    Topics: Antihypertensive Agents; Cardiovascular Diseases; Chlorthalidone; Clinical Trials as Topic; Erectile

2004
Gitelman's syndrome presenting as intolerance to statin therapy.
    Annals of clinical biochemistry, 2005, Volume: 42, Issue:Pt 3

    Topics: Adult; Amiloride; Cholesterol; Dose-Response Relationship, Drug; Female; Humans; Hydroxymethylglutar

2005