国: イギリス
言語: 英語
ソース: MHRA (Medicines & Healthcare Products Regulatory Agency)
Spironolactone
Teva UK Ltd
C03DA01
Spironolactone
50mg
Oral tablet
Oral
No Controlled Drug Status
Valid as a prescribable product
BNF: 02020300; GTIN: 5017007070788
SPIRONOLACTONE 25 MG, 50 MG AND 100 MG TABLETS READ ALL OF THIS LEAFLET CAREFULLY BEFORE YOU START TAKING THIS MEDICINE. • Keep this leaflet. You may need to read it again. • If you have any further questions, ask your doctor or pharmacist. • This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours. • If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. See section 4. 1. WHAT SPIRONOLACTONE IS AND WHAT IT IS USED FOR 2. WHAT YOU NEED TO KNOW BEFORE YOU TAKE SPIRONOLACTONE 3. HOW TO TAKE SPIRONOLACTONE 4. POSSIBLE SIDE EFFECTS 5. HOW TO STORE SPIRONOLACTONE 6. CONTENTS OF THE PACK AND OTHER INFORMATION WHAT SPIRONOLACTONE IS AND WHAT IT IS USED FOR Spironolactone is a type of medicine called a diuretic, which increases the amount of water (urine) passed. Spironolactone is used to stimulate your kidneys to pass more urine, to get rid of excess water and salt which may be causing problems. Spironolactone Tablets are used for: • treating build-up of fluid in the body (oedema) which may be caused by congestive heart failure, liver cirrhosis, the kidney condition nephrotic syndrome (kidney damage which results in large amounts of protein in the urine) or ascites, a condition in which fluid collects in the abdomen • diagnosis and treatment of hyperaldosteronism (overproduction of the hormone aldosterone). WHAT YOU NEED TO KNOW BEFORE YOU TAKE SPIRONOLACTONE DO NOT TAKE SPIRONOLACTONE AND TALK TO YOUR DOCTOR IF YOU: • are allergic (hypersensitive) to spironolactone or any of the other ingredients of this medicine • suffer from kidney failure, or significant deterioration of kidney function • have a high level of potassium in your blood (hyperkalaemia) • suffer from Addison's disease (an underactive adrenal gland) • are sometimes completely unable to pass urine • are pregnant or breast-feeding. WARNINGS AND PRECAUTIONS TALK TO YOUR DOCTO 完全なドキュメントを読む
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Spironolactone 50mg Tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains 50 mg of spironolactone. For the full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Buff coloured biconvex film coated tablet marked “APS” or plain on one side and “50 0707” on the reverse 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Spironolactone tablets are indicated for the treatment of cirrhosis with ascites and oedema, malignant ascites, nephrotic syndrome, congestive cardiac failure, diagnosis and treatment of primary hyperaldosteronism. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION For oral administration. Administration of spironolactone once daily with a meal is recommended. ADULTS An initial dose of 100mg/day increasing if necessary to 200mg or possibly up to 400mg daily. When oedema is controlled, the maintenance dose is determined on an individual basis, usually 75- 200mg/day. Use of spironolactone in the treatment of nephrotic syndrome is only advised when glucocorticoids alone are insufficiently effective. For treatment of cirrhosis with ascites and oedema the dosage is based on the urinary Na + /K + ratio. If the ratio is greater than 1.0 a dosage of 100mg daily is recommended and if less than 1.0 a daily dosage of 200 - 400mg. Diagnosis and treatment of primary hyperaldosteronism Spironolactone may be used to provide presumptive evidence of primary aldosteronism while patients are on normal diets. Long Test: Administer 400mg of spironolactone per day for 3 - 4 weeks. If hypokalaemia and hypertension are corrected then consider a presumptive diagnosis of primary hyperaldosteronism. Short Test: Administer 400mg of spironolactone per day for 4 days. If serum potassium increases during treatment and drops on cessation of treatment then consider a presumptive diagnosis of primary aldosteronism. On confirmation of hyperaldosteronism, spironolactone may be administered in preparation for surgery at a dosage of 100 - 400mg da 完全なドキュメントを読む