Eplerenone

Hypertension, Systolic Heart Failure

Drug Status

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Government Approvals

US(FDA)

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WHO Essential Medicine

NO

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Known Teratogen

No

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Pharmaceutical Class

Aldosterone Antagonist

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Controlled Drug Substance

No

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Drug Ingredient

eplerenone

Summary

  • Eplerenone is used to treat high blood pressure, which is a condition where the force of the blood against the artery walls is too high, and heart failure, which is a condition where the heart doesn't pump blood as well as it should.

  • Eplerenone works by blocking aldosterone, which is a hormone that increases blood pressure and fluid retention. By blocking this hormone, Eplerenone helps lower blood pressure and reduce fluid buildup in the body.

  • The usual starting dose of Eplerenone for adults is 25 mg once daily. The maximum recommended dose is 50 mg daily, which can be taken as a single dose or divided into two doses. It is taken orally, which means by mouth.

  • Common side effects of Eplerenone include dizziness, which is a feeling of being unsteady, fatigue, which is a feeling of tiredness, and increased potassium levels, which can affect heart function.

  • Eplerenone can increase potassium levels, which can cause heart issues. It should not be taken if you have high potassium levels, severe kidney problems, or are on certain medications like potassium-sparing diuretics.

Indications and Purpose

How does Eplerenone work?

Eplerenone works by blocking the hormone aldosterone, which helps regulate blood pressure and fluid balance. Think of it like turning off a faucet to reduce water flow. By blocking aldosterone, Eplerenone helps lower blood pressure and reduce fluid retention, improving heart function and reducing the risk of hospitalization in heart failure patients.

Is Eplerenone effective?

Eplerenone is effective in treating high blood pressure and heart failure. It works by blocking a hormone called aldosterone, which helps lower blood pressure and reduce fluid retention. Clinical studies show Eplerenone improves heart function and reduces the risk of hospitalization in heart failure patients. It also helps lower blood pressure in people with hypertension.

What is Eplerenone?

Eplerenone is a medication that belongs to a class called aldosterone antagonists. It works by blocking a hormone called aldosterone, which helps lower blood pressure and reduce fluid retention. Eplerenone is primarily used to treat high blood pressure and heart failure. It can also be used in combination with other therapies to manage these conditions.

Directions for Use

For how long do I take Eplerenone?

Eplerenone is usually a long-term medication for managing ongoing health conditions like high blood pressure and heart failure. You'll typically take Eplerenone every day as a lifelong treatment unless your doctor suggests otherwise. How long you'll need this medication depends on your body's response and any side effects you experience.

How do I dispose of Eplerenone?

Dispose of unused Eplerenone by taking it to a drug take-back program or collection site at a pharmacy or hospital. If you can't find a take-back program, you can throw it in the trash at home. First, mix it with something undesirable like used coffee grounds, seal it in a plastic bag, and throw it away.

How do I take Eplerenone?

Take Eplerenone as prescribed by your doctor, usually once or twice daily. You can take it with or without food. Swallow the tablet whole; do not crush or chew it. If you miss a dose, take it as soon as you remember, unless it's almost time for your next dose. In that case, skip the missed dose. Do not double up on doses. Follow any dietary or beverage restrictions your doctor advises.

How long does it take for Eplerenone to start working?

Eplerenone starts working within a few hours, but it may take several weeks to see the full effects on blood pressure or heart failure symptoms. Individual factors like kidney function and overall health can affect how quickly you notice improvements. Take it exactly as prescribed for the best results.

How should I store Eplerenone?

Store Eplerenone at room temperature, away from moisture and light. Keep it in a tightly closed container. Don't store it in humid places like bathrooms, as moisture can affect the medication's effectiveness. Always keep Eplerenone out of children's reach to prevent accidental swallowing.

What is the usual dose of Eplerenone?

The usual starting dose of Eplerenone for adults is 25 mg once daily. Your doctor may adjust your dose based on your condition and response to treatment. The maximum recommended dose is 50 mg daily, which can be taken as a single dose or divided into two doses. Always follow your doctor's specific dosing instructions for your personal health needs.

Warnings and Precautions

Can Eplerenone be taken safely while breastfeeding?

Eplerenone is not recommended while breastfeeding. There's limited information on whether it passes into human breast milk. If you're taking Eplerenone and want to breastfeed, talk with your doctor about safer medication options that would allow you to nurse your baby safely.

Can Eplerenone be taken safely while pregnant?

Eplerenone isn't recommended during pregnancy. There's limited information on its safety for pregnant women, and it may affect the developing baby. If you're pregnant or planning to become pregnant, talk with your doctor about the safest way to manage your condition. Your doctor can help create a pregnancy-specific treatment plan.

Can I take Eplerenone with other prescription drugs?

Eplerenone can interact with certain medications, increasing the risk of high potassium levels. Avoid taking it with potassium-sparing diuretics or potassium supplements. Other interactions include ACE inhibitors and ARBs, which can also raise potassium levels. Always inform your doctor about all medications you're taking to manage these risks effectively.

Does Eplerenone have adverse effects?

Adverse effects are unwanted reactions to a medication. Common adverse effects of Eplerenone include dizziness, fatigue, and increased potassium levels. Serious side effects can include hyperkalemia, which is high potassium in the blood, and kidney problems. If you notice any new or worsening symptoms, contact your doctor. Regular monitoring of blood tests is important to manage these risks.

Does Eplerenone have any safety warnings?

Yes, Eplerenone has important safety warnings. It can increase potassium levels in your blood, which is called hyperkalemia, especially if you have kidney problems or take certain medications. High potassium can cause serious heart issues. Regular blood tests are needed to monitor potassium levels. If you experience muscle weakness, irregular heartbeat, or numbness, seek medical help immediately.

Is Eplerenone addictive?

Eplerenone is not addictive or habit-forming. This medication doesn't cause dependency or withdrawal symptoms when you stop taking it. Eplerenone works by blocking certain hormones in your body to help lower blood pressure and reduce fluid retention. This mechanism doesn't affect brain chemistry in ways that could lead to addiction.

Is Eplerenone safe for the elderly?

Elderly individuals are more vulnerable to the side effects of Eplerenone, such as high potassium levels and kidney problems. Regular monitoring of blood tests is important to manage these risks. Your doctor may adjust your dose based on your kidney function and overall health to ensure safe and effective treatment.

Is it safe to drink alcohol while taking Eplerenone?

It's best to avoid alcohol while taking Eplerenone. Alcohol can increase the risk of side effects like dizziness and dehydration. If you do choose to drink occasionally, limit how much alcohol you consume and watch for warning signs like dizziness or lightheadedness. Talk with your doctor about alcohol use while taking Eplerenone.

Is it safe to exercise while taking Eplerenone?

You can exercise while taking Eplerenone, but be cautious. This medication can cause dizziness or dehydration, especially in hot weather. Drink plenty of water before, during, and after physical activity. If you feel dizzy or lightheaded, slow down or stop exercising and rest. Check with your doctor if you have concerns about your specific situation.

Is it safe to stop Eplerenone?

Stopping Eplerenone suddenly can cause your blood pressure to rise or worsen heart failure symptoms. It's important to talk with your doctor before stopping this medication. They might suggest gradually reducing your dose or switching to a different medication to keep your condition under control. Your doctor will help you make any medication changes safely.

What are the most common side effects of Eplerenone?

Side effects are unwanted reactions that can happen when taking a medication. Common side effects of Eplerenone include dizziness, fatigue, and increased potassium levels. These effects vary from person to person. If you notice new symptoms after starting Eplerenone, they might be temporary or unrelated to the medication. Talk with your doctor before stopping any medication.

Who should avoid taking Eplerenone?

Don't take Eplerenone if you have high potassium levels, severe kidney problems, or are taking certain medications like potassium-sparing diuretics. These conditions can increase the risk of serious side effects. Always inform your doctor about your medical history and any medications you're taking to ensure Eplerenone is safe for you.