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Spironolacton (hexalacton(R))

Steno Diabetes Center Copenhagen · FDA-approved active Small molecule

Spironolactone is a potassium-sparing diuretic and aldosterone antagonist that blocks aldosterone receptors in the collecting duct of the kidney to reduce sodium reabsorption and increase potassium retention.

Spironolactone is a potassium-sparing diuretic and aldosterone antagonist that blocks aldosterone receptors in the collecting duct of the kidney to reduce sodium reabsorption and increase potassium retention. Used for Heart failure with reduced ejection fraction, Hypertension, Primary hyperaldosteronism.

At a glance

Generic nameSpironolacton (hexalacton(R))
SponsorSteno Diabetes Center Copenhagen
Drug classPotassium-sparing diuretic; aldosterone antagonist
TargetMineralocorticoid receptor (MR)
ModalitySmall molecule
Therapeutic areaCardiovascular
PhaseFDA-approved

Mechanism of action

Spironolactone competitively inhibits aldosterone at mineralocorticoid receptors, preventing sodium and water reabsorption while promoting potassium retention. This dual action reduces blood volume and blood pressure while preserving serum potassium levels. It is commonly used in heart failure, hypertension, and hyperaldosteronism management.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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