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spironolactone, beta-blockers,ecc

University of Roma La Sapienza · FDA-approved active Small molecule

This is a combination therapy using spironolactone (a potassium-sparing diuretic and aldosterone antagonist) and beta-blockers to reduce fluid retention, lower blood pressure, and decrease cardiac workload.

This is a combination therapy using spironolactone (a potassium-sparing diuretic and aldosterone antagonist) and beta-blockers to reduce fluid retention, lower blood pressure, and decrease cardiac workload. Used for Heart failure with reduced ejection fraction, Hypertension, Post-myocardial infarction management.

At a glance

Generic namespironolactone, beta-blockers,ecc
SponsorUniversity of Roma La Sapienza
Drug classCombination therapy: potassium-sparing diuretic + beta-adrenergic antagonist
TargetAldosterone receptor (mineralocorticoid receptor) and beta-adrenergic receptors (β1, β2)
ModalitySmall molecule
Therapeutic areaCardiovascular
PhaseFDA-approved

Mechanism of action

Spironolactone blocks aldosterone receptors in the collecting duct, promoting sodium and water excretion while retaining potassium, thereby reducing blood volume and blood pressure. Beta-blockers reduce heart rate and contractility, decreasing cardiac oxygen demand and blood pressure. Together, these agents are commonly used in heart failure and hypertension management to improve outcomes and reduce neurohormonal activation.

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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