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contains the active ingredient spironolactone
Consumer Medicine Information
This leaflet answers some common questions about Spiractin.
It does not contain all of the available information. It does not take the place of talking to your doctor or pharmacist.
All medicines have benefits and risks. Your doctor has weighed the risks of you taking Spiractin against the benefits they expect it will have for you.
If you have any concerns about taking this medicine, talk to your doctor or pharmacist. Keep this leaflet with your medicine. You may need to read it again.
Spiractin is used:
Ask your doctor if you have any questions about why this medicine has been prescribed for you. Your doctor may have prescribed it for another reason.
This medicine is available only with a doctor's prescription.
There is no evidence that Spiractin is addictive.
In fluid build-up and high blood pressure
Spiractin is a fluid tablet or diuretic. It helps reduce the amount of excess fluid in the body by increasing the amount of urine produced. This also helps to lower blood pressure.
In hyperaldosteronism and low potassium levels in the blood
In hyperaldosteronism, the adrenal glands produce too much of a hormone called aldosterone. Spiractin works by stopping the effects of aldosterone.
By stopping the effects of aldosterone, Spiractin also helps to maintain normal levels of potassium in the blood by retaining potassium in the body.
In women with excess hair
All women produce small amounts of the male sex hormone, testosterone. Women with excess facial or body hair tend to be especially sensitive to the action of testosterone on hair growth. Spiractin reduces the growth of hair by stopping the effects of testosterone. Increased urine flow is unlikely to be a problem when Spiractin is used to treat hirsutism. This is because aldosterone levels are not normally high in patients with hirsutism.
Do not take Spiractin if you are allergic to any medicine containing spironolactone or any of the ingredients listed at the end of this leaflet.
Some of the symptoms of an allergic reaction may include:
Do not take Spiractin if you have any of the following medical conditions:
The safety of Spiractin for the treatment of hirsutism in women of child-bearing age has not been established by specific studies.
Your doctor may recommend combined use with oral contraceptives to provide both regular menstrual cycles and adequate contraception.
Do not take this medicine if you are pregnant or think you might be pregnant. Spiractin can affect your developing baby if you take it during pregnancy.
Do not take this medicine if you are breastfeeding. Spiractin passes into breast milk and may affect your baby.
Do not take this medicine after the expiry date printed on the pack or if the pack or if the packaging is torn or shows signs of tampering.
If it has expired or is damaged, return it to your pharmacist for disposal.If you are not sure whether you should start taking this medicine, talk to your doctor.
Tell your doctor if you have allergies to any other medicines, foods, dyes or preservatives.
Tell your doctor if you have or have had any of the following medical conditions:
Tell your doctor if you plan to become pregnant or breastfeed.
Tell your doctor if you plan to have surgery.
If you have not told your doctor about any of the above, tell him/her before you start taking Spiractin.
Tell your doctor or pharmacist if you are taking any other medicines, including any that you buy with or without a prescription from a pharmacy, supermarket or health food shop.
Some medicines and Spiractin may interfere with each other. These include:
These medicines may be affected by Spiractin or may affect how well it works. You may need different amounts of your medicines, or you may need to take different medicines.
Your doctor and pharmacist have more information on medicines to be careful with or avoid while taking Spiractin.
Follow all directions given to you by your doctor and pharmacist carefully. They may differ from the information contained in this leaflet.
If you do not understand the instructions on the bottle, ask your doctor or pharmacist for help.
Your doctor will tell you how many tablets you need to take each day. Daily doses of Spiractin in adults can range from 25mg to 400mg. This depends on your condition and whether or not you are taking other medicines.
Doses of Spiractin in children are measured according to body weight and will be calculated by you r doctor.
Follow your doctor's instructions exactly regarding the dose you should take and how often you should take it.
Swallow the tablets with a glass of water.
Depending on the dose and your condition, Spiractin may be taken once a day or divided into separate doses.
Take Spiractin with or immediately after food.
Continue taking your medicine for as long as your doctor tells you to. The length of treatment will depend on your condition. Spiractin is usually taken long term.
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to.
Otherwise, take it as soon as you remember, and then go back to taking your medicine as you would normally.
Do not take a double dose to make up for the dose that you missed.
If you are not sure what to do, ask your doctor or pharmacist.
Immediately telephone your doctor or the Poisons Information Centre (telephone 13 11 26) for advice, or go to Accident and Emergency at the nearest hospital if you think you or anyone else may have taken too much Spiractin. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
If you take too much Spiractin, you may feel drowsy, weak, confused or sick, vomit, have diarrhoea or pins and needles of the hands or feet.
If you are about to be started on any new medicine, remind your doctor and pharmacist that you are taking Spiractin.
Tell any other doctors, dentists and pharmacists who treat you that you are taking this medicine.
This is especially important if you are going to receive an anaesthetic agent while being treated with Spiractin.If you become pregnant while taking this medicine, tell your doctor immediately. If it is possible for you to become pregnant, you should use adequate contraception while you are taking Spiractin. Examples of adequate contraception are oral contraceptives ("the Pill") or intra-uterine devices (IUDs). Stop taking Spiractin if you become pregnant or you think you may be pregnant.
If you are about to have any blood tests, tell your doctor that you are taking this medicine. It may interfere with the results of some tests.
Keep all of your doctor's appointments so that your progress can be checked. Your doctor may ask you to have blood tests to check your sodium and potassium levels and see how your kidneys are working.
Do not take Spiractin to treat any other complaints unless your doctor tells you to.
Do not give your medicine to anyone else, even if they have the same condition as you.
Do not stop taking your medicine or lower the dose without checking with your doctor.
Do not take potassium supplements or use salt substitutes that contain potassium.
Do not consume a diet rich in potassium. Dried fruit, bananas and oranges are some foods that contain high amounts of potassium. Consuming some of these foods is usually safe but do not consume excessive amounts.
If you are taking Spiractin, too much potassium can cause serious problems, such as disturbances to the heart rhythm.
Be careful driving or operating machinery until you know how Spiractin affects you. This medicine may cause drowsiness or dizziness in some people. If you have any of these, do not drive, operate machinery or do anything else that could be dangerous.
By following these simple measures, you can further reduce the risk from heart disease.
Know warning signs of heart attack and what to do:
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Spiractin. Like other medicines, Spiractin may cause unwanted side effects in some people. Sometimes they are serious, most of the time they are not. You may need medical attention if you get some of the side effects.
Do not be alarmed by the following list of side effects. You may not experience any of them.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor or pharmacist if you notice any of the following and they worry you:
Tell your doctor as soon as possible if you notice any of the following:
The above list includes serious side effects that may require medical attention.
If any of the following happen, tell your doctor immediately or go to Accident and Emergency at your nearest hospital:
The above list includes very serious side effects. You may need urgent medical attention or hospitalisation.
Tell your doctor or pharmacist if you notice anything that is making you feel unwell. Other side effects not listed above may also occur in some patients.
Keep your tablets in the bottle until it is time to take them. If you take the tablets out of the bottle they may not keep well.
Keep your tablets in a cool dry place where the temperature stays below 30°C.
Do not store Spiractin or any other medicine in the bathroom or near a sink. Do not leave it in the car or on a window sill. Heat and dampness can destroy some medicines.
Keep it where children cannot reach it. A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking this medicine, or the expiry date has passed, ask your pharmacist what to do with any medicine that is left over.
Spiractin comes in 2 strengths of tablets:
Each bottle contains 100 tablets.
The active ingredient in Spiractin is spironolactone
The tablets also contain:
The tablets are gluten free.
Spiractin is made in Australia by:
Alphapharm Pty Limited
(ABN 93 002 359 739)
Level 1, 30 The Bond
30-34 Hickson Road
Millers Point NSW 2000
Phone: (02) 9298 3999
Australian registration numbers:
Spiractin 25 - Aust R 46689
Spiractin 100 - Aust R 46691
This leaflet was prepared on
30 May 2013.
Published by MIMS August 2013
You are under optimum weight for your height. Being underweight can carry health risks for both men and women. Check with your doctor or dietitian to find out if your current weight is healthy for you.
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You are over optimum weight for your height. You may be facing health problems, so losing some weight would be a good idea.
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