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Spirocard 25mg 10pcs
Spirocard 25 / Spironolactone works by antagonizing aldosterone in the distal renal tubules. This promotes the excretion of sodium, water, and chloride while conserving potassium and hydrogen ions.
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✅ Description:
Spirocard 25 is a potassium-sparing diuretic (water pill) used to treat:
- Heart failure
- High blood pressure
- Edema (swelling)
- Hypokalemia (low potassium levels)
It helps remove excess water and electrolytes from the body while retaining potassium.
Safety Advices
Alcohol
UNSAFE
It is unsafe to consume alcohol while taking Spirocard 25.
Pregnancy
CONSULT YOUR DOCTOR
Spirocard 25 may be unsafe during pregnancy. Limited human studies exist, but animal studies show potential harm to the fetus. Consult your doctor before use.
Breastfeeding
CONSULT YOUR DOCTOR
Spirocard 25 is considered safe for breastfeeding. Studies suggest it does not pass into breast milk in significant amounts and is unlikely to harm the baby.
Driving
CAUTION
Spirocard 25 may cause drowsiness, dizziness, or blurred vision. Avoid driving or activities requiring alertness if these symptoms occur.
Kidney
CONSULT YOUR DOCTOR
Use with caution in patients with kidney disease. Dose adjustments may be required. Spirocard 25 is not recommended for those with severe kidney impairment.
Liver
CONSULT YOUR DOCTOR
Limited information is available on its use in liver disease. Consult your doctor for advice.
Relevant Products / প্রাসঙ্গিক পণ্য
✔️ Uses of Spirocard 25
- Hypertension
✔️ Common Side Effects of Spirocard 25
- Nausea and vomiting
- Dizziness or drowsiness
- Leg cramps
- Confusion
- Breast enlargement (in men and women)
- Elevated creatinine levels in the blood
Notify your doctor if these symptoms persist or worsen.
✔️ Dosage and Administration of Spirocard 25
- Dosage: Take Spirocard 25 as prescribed, with food, and at the same time daily. Morning administration is recommended to reduce nighttime urination.
- Missed Dose: If you miss a dose, take it as soon as you remember. Skip it if it’s almost time for the next dose. Do not double the dose to make up for a missed one.
✔️ Serious Risks and Monitoring
- Hyperkalemia: Monitor potassium levels to avoid life-threatening complications.
- Kidney Function: Periodic monitoring of kidney function is necessary.
- Electrolyte Imbalance: Regular tests for electrolytes and blood pressure are recommended.
✔️ Do not use Spirocard 25 in patients with:
- Anuria (inability to urinate)
- Hyperkalemia (high potassium levels)
- Severe kidney impairment
- Addison’s disease
✔️ Key Uses of Spirocard 25
- Hypertension (High Blood Pressure):
- As monotherapy: 50–100 mg daily, in one or two divided doses. Adjust after 2 weeks based on response.
- Edema:
- Adults: Start with 100 mg daily. Adjust based on response, up to a maximum of 400 mg per day.
- Hepatic Cirrhosis with Ascites and Edema:
- The dose depends on the urinary Na/K ratio:
- Na/K > 1: Start with 100 mg daily.
- Na/K < 1: Start with 200–400 mg daily.
- The dose depends on the urinary Na/K ratio:
- Congestive Heart Failure:
- Adults: 25 mg daily, up to 50 mg if needed. If not tolerated, reduce to 25 mg every other day.
- Hypokalemia:
- 25–100 mg daily.
- Hirsutism (Excessive Hair Growth in Women):
- 50–200 mg daily, either as a single dose or divided doses.
✔️ Special Populations
- Children: Initial dose: 3 mg/kg per day in divided doses, adjusted based on response.
- Renal Impairment:
- CrCl >50 mL/min: 12.5–25 mg daily.
- CrCl 30–49 mL/min: 12.5 mg daily or every other day.
- CrCl <30 mL/min: Avoid use.
✔️ Drug Interactions
- Risk of Hyperkalemia:
- Increased when used with potassium-sparing diuretics, potassium supplements, ACE inhibitors, or ARBs.
- Nephrotoxicity:
- Risk increases when combined with NSAIDs or cyclosporine.
- Lithium Toxicity:
- Spirocard 25 can increase lithium levels. Monitor closely.
- Reduced Efficacy of Other Drugs:
- May decrease the effects of norepinephrine and carbenoxolone.
- Orthostatic Hypotension:
- May occur when combined with barbiturates or narcotics.
- Fatal Risk:
- Concomitant use with eplerenone increases the risk of severe hyperkalemia.
✔️ Precautions
- Potassium Levels: Spirocard 25 may increase potassium levels. Avoid potassium supplements and potassium-rich foods (e.g., bananas, broccoli).
- Kidney and Liver Function: Your doctor will monitor kidney function, potassium levels, and blood pressure regularly while on this medication.
- Special Populations:
- Pregnant or breastfeeding women should consult a doctor before use.
- Elderly patients and those with diabetes should be used with caution.
✔️ Storage Instructions
Store Spirocard 25 in a cool, dry place away from direct sunlight and moisture. Keep out of reach of children.
