Nales Plus 10 mg Tablet

Q. What is Spironolactone?
Spironolactone belongs to the class of potassium sparing diuretics (water tablets) It is a diuretic, which helps to lose excess fluid from your body. They may be used for congestive heart failure, nephrotic syndrome (a kidney disorder), liver cirrhosis with fluid retention (oedema) and swelling of the abdomen (ascites), a cancerous disease with swelling of the abdomen (malignant ascites) and diagnosis and treatment of primary aldosteronism (a condition where excess hormone is produced).

Q. Is Spironolactone an over the counter drug?
Spironolactone is a prescription drug and is available only with a valid prescription by the physician. It is not an over the counter medicine.

Q. Can Spironolactone cause constipation?
Spironolactone has not been reported to cause constipation. Talk to your doctor if you have constipation while taking Spironolactone as it could be due to some other underlying condition.

Q. Can I take Spironolactone with indomethacin?
Indomethacin may increase the diuretic effect of Spironolactone and both can increase the potassium levels in the blood. Patients should follow doctors advice if these two medicines are to be used together.

Q. Can I use Spironolactone for weight control?
{No, Spironolactone is not used for weight control. consult a doctor for the right therapy for weight control.

Q. Can I take Spironolactone with paracetamol (acetaminophen)?
As of now no drug-drug interactions have been reported between the two and can be taken together. However, to be on safer side consult your doctor before taking the two medicines together.

Q. Can I take Spironolactone forever?
Spironolactone should be taken at prescribed doses for prescribed duration as prescribed by the doctor.

Q. How long can I take Spironolactone for acne?
Do not take Spironolactone for acne unless advised by your doctor as it is not approved for use in this condition. If you are given Spironolactone for acne, please take it for a duration as advised by your doctor.

Q. Can males take Spironolactone for acne?
Spironolactone can be used for treating acne in males. It decreases sebum production and can be helpful, but it is not used in men because it blocks the action of androgens (male hormone) at the receptor sites in tissue and can cause feminizing physical side effects. If you are suffering from acne and you are a male. consult your physician before taking any medicines for your condition.

Q. Is Spironolactone an angiotensin converting enzyme (ACE) inhibitor?
Spironolactone is a potassium-sparing diuretic (water tablets), which helps you lose excess fluid from your body. It is not an ACE inhibitor.

Q. Is Spironolactone a thiazide diuretic?
No, Spironolactone is not a thiazide diuretic. It belongs to a different class of diuretics known as the potassium-sparing diuretics (water tablets), which helps you lose excess fluid from your body.

Q. Can I take Spironolactone with birth control?
Spironolactone can be taken with birth control pills (oral contraceptives) as no drug-drug interactions or side effects have been reported when used together. However, interactions can occur. Talk to your doctor before taking Spironolactone with any birth control pills (oral contraceptives).

Q. Can I take Spironolactone with phentermine?
As of now no drug-drug interactions have been reported between the two and can be taken together. However, to be on safer side consult your doctor before taking the two medicines together.

Q. Can I take Spironolactone with amoxicillin?
As of now no drug-drug interactions have been reported between the two and can be taken together. However, to be on safer side consult your doctor before taking the two medicines together.

Q. Can I take Spironolactone without birth control?
Spironolactone alone is used to treat conditions like congestive heart failure, nephrotic syndrome (a kidney disorder), liver cirrhosis with fluid retention (edema) and swelling of the abdomen (ascites). Spironolactone with birth control pills (oral contraceptives) is used in women for the treatment of their acne. However, it is not yet approved for the treatment of acne. Talk to your doctor before taking any medicine for acne.

Q. Can I take Spironolactone with metformin?
As of now no drug-drug interactions have been reported between the two and can be taken together. However, to be on safer side consult your doctor before taking the two medicines together.

Q. Can I take Spironolactone with isotretinoin?
As of now no drug-drug interactions have been reported between the two and can be taken together. However, to be on safer side consult your doctor before taking the two medicines together.

Q. Can I take Spironolactone with guaifenesin?
Spironolactone can be used with guaifenesin.No drug-drug interactions have been clinically observed between the two. but, interactions can occur. Please discuss your doctor before taking the two medicines together.

Q. Can I take Spironolactone with vitamins?
As of now no drug-drug interactions have been reported between the two and can be taken together. However, to be on safer side consult your doctor before taking the two medicines together.

Q. Does Spironolactone cause weight gain?
Spironolactone does not cause weight gain. Please consult your doctor if you experience weight gain while taking Spironolactone.

Q. Does Spironolactone stop your period?
Spironolactone does not stop period, however, it can cause irregular periods. Please consult your doctor if you experience irregular periods while taking Spironolactone.

Q. Does Spironolactone help hirsutism (excessive hair growth)?
Spironolactone can be used for the treatment of hirsuitism. Do not take Spironolactone for hirsuitism unless advised by your doctor.

Q. Does Spironolactone cause weight loss?
Spironolactone does not cause weight loss. Please consult your doctor if you experience weight loss while taking Spironolactone as it could be due to some other underlying conditions.

Q. Does Spironolactone cause hair loss?
Spironolactone can cause hair loss. Please consult your doctor if you experience hair loss while taking Spironolactone as the dose of the drug may needs to be changed.

Q. Does Spironolactone cause depression?
Spironolactone does not cause depression. Please consult your doctor if you experience depression while taking Spironolactone.

Q. Does Spironolactone help with acne?
Spironolactone is not approved for the treatment of acne. However, it noted to be effective in treating acne in females when it is prescribed and paired with a birth control pill. A significant number of patients have reported that they have seen positive results in the pairing of these two medications, although these results may not be seen for up to three months. consult your doctor if you are suffering from acne as the therapy should be started only when advised by a doctor.

Q. Does Spironolactone cause hyponatremia?
Spironolactone can cause hyponatremia (very low level of sodium in the blood). Hyponatremia signs and symptoms may include nausea and vomiting, headache, confusion, loss of energy and tiredness, restlessness and irritability, muscle weakness, spasms or cramps, seizures, and coma. Please consult your doctor if you have the signs and symptoms of hyponatremia as it requires proper diagnosis and management.

Q. Does Spironolactone increase estrogen?
No, Spironolactone is not known to increase estrogen levels. It is a steroid that blocks the effects of the hormones aldosterone and testosterone and has some effects similar to those of the hormone progesterone.

Q. Does Spironolactone work?
Spironolactone works if taken in the prescribed dose for the prescribed duration as recommended by your doctor

Q. Is Spironolactone safe?
Spironolactone is safe to use if the dose is taken as prescribed for the prescribed duration as per the advice of the doctor.

Q. Is Spironolactone a diuretic?
Spironolactone belongs to the class of potassium sparing diuretics (water tablets) It is a diuretic, which helps to lose excess fluid from your body. They may be used for congestive heart failure, nephrotic syndrome (a kidney disorder), liver cirrhosis with fluid retention (oedema) and swelling of the abdomen (ascites), a cancerous disease with swelling of the abdomen (malignant ascites) and diagnosis and treatment of primary aldosteronism (a condition where excess hormone is produced).

Q. Is Spironolactone a steroid?
Spironolactone is a synthetic steroid. It works by blocking the effects of the hormones aldosterone. It also blocks the action of testosterone.

Q. Does Spironolactone cause insomnia (inability to sleep)?
Spironolactone is not known to cause insomnia (inability to sleep). However, it can make you feel drowsy (sleepy). Consult your doctor if you experience sleep problems while taking Spironolactone.

Q. Is Spironolactone a beta blocker?
No, Spironolactone is not a beta blocker. It is a potassium-sparing diuretic (water tablets), which helps you lose excess fluid from your body.

Q. Is Spironolactone a hormone?
No, Spironolactone is not a hormone. It is a potassium-sparing diuretic (water tablets), which helps you lose excess fluid from your body.

Q. Is Spironolactone a blood pressure medication?
Spironolactone not indicated for the treatment of high blood pressure. However, it is a diuretic, which helps you lose excess fluid from your body and can lower your blood pressure especially if you are also taking other blood pressure lowering drugs. Talk to your doctor before taking Spironolactone if you are a hypertensive and also taking blood pressure lowering drugs.

Q. Is Spironolactone a controlled substance?
Spironolactone is a prescription medicine and is available on providing a valid prescription.It is not a controlled substance.

Q. Is Spironolactone harmful to kidneys?
In those who already have impaired kidney function Spironolactone can lead to acute kidney failure . Always inform your doctor if you have kidney problems as you may have to be given a different dose and a close monitoring of your kidney function test may be required.

Q. Is Spironolactone a blood thinner?
Spironolactone is a potassium-sparing diuretic (also known as water tablets).It is not a blood thinner.

Q. Does Spironolactone cause cancer?
Breast cancer has been reported as a very rare side effect of Spironolactone. Talk to your doctor if you have any questions or concern regarding this side effect.

Q. Can I take Spironolactone with furosemide?
Both Spironolactone and furosemide are diuretics. However, they belong to the different class of diuretics. When used together, they can increase the diuretic effect of each other. Also, Spironolactone causes an increase in potassium levels while furosemide decreases the potassium levels. Effect of this interaction is not very clear. So, it is advisable to talk to your doctor before taking the two drugs together.

Q. Can I use Spironolactone with Torasemide?
The combination of Spironolactone and Torasemide is beneficial in maintaining the blood potassium levels. Torsemide is a loop diuretic and causes loss of potassium from your body while Spironolactone is a potassium-sparing diuretic which prevents the loss of potassium.

Q. Can Torasemide cause gout?
Yes, Torasemide can cause gout. It increases the blood uric acid levels by increasing its absorption from the kidneys which can cause a gout attack. Inform your doctor if you have hyperuricemia or a history of gout before taking this medicine. Use of Torasemide is contraindicated in patients with gout.

Q. Does Torasemide raise your blood sugar levels?
Torasemide can increase your blood sugar levels. This can worsen your diabetes control and affect your blood and urine sugar tests. Inform your doctor if you are a diabetic before taking Torasemide.

Q. Can I use Torasemide with spironolactone?
Torasemide can be taken with spironolactone. When used together the diuretic effect gets added along with maintaining the blood potassium levels. Torasemide is a loop diuretic and causes loss of potassium from your body while Spironolactone is a potassium-sparing diuretic which prevents the loss of potassium.

Q. Does Torasemide cause diarrhea?
Diarrhea is a common side effect of Torasemide. Other commonly seen gastrointestinal side effects are the loss of appetite, upper abdominal pain, nausea, vomiting, and constipation.

Q. Can I take Torasemide with allopurinol?
Torasemide can be taken with allopurinol. Torasemide can increase uric acid levels and allopurinol lowers uric acid levels. So, allopurinol is given to decrease the hyperuricemic effects of Torasemide. However, allopurinol is not safe in patients with renal failure, so may need to be replaced with another similar medicine like febuxostat.

Q. Can I use Torasemide in sulfa allergy?
No, Torasemide should not be used if you have a history of sulfa allergy or to sulfonamide group of anti-diabetic drugs.

Q. Is Torasemide used for weight loss?
Torasemide can decrease weight by removing excessive water from your body. However, it is not used for weight loss in obese patients as it does not affect body fat.

Q. Does Torasemide cause electrolyte abnormalities?
Yes, Torasemide can cause electrolyte abnormalities as it works by removing water and salt from your body. It can decrease the blood potassium, sodium, chloride, magnesium, and calcium levels and increase blood sugar and uric acid levels. It is very important to get electrolytes and kidney function tests done on a regular basis while you are taking this medicine.

Q. Is Torasemide safe to use?
Torasemide is a safe drug if used in prescribed dose and for prescribed duration as advised by your doctor.

Q. Does Torasemide cause hair loss?
Torasemide is not known to cause hair loss. Consult your doctor if you have hair loss while you are taking Torasemide.

Q. Can Torasemide cause kidney failure?
No, Torasemide does not cause kidney failure, rather it is used to remove extra fluid from the body (edema) which is caused by conditions such as heart failure, liver disease, and kidney disease.

Q. Can I take Torasemide with prednisone?
Torasemide can be taken with prednisone. However, when used together, they can lower blood potassium levels (hypokalemia) which can be severe, causing muscle pains or cramps, loss of appetite, weakness, dizziness, or confusion. Inform your doctor if you have these symptoms. Take potassium supplements or foods rich in potassium like orange, lemon or other citrus fruit.

Q. Can I use Torasemide with metolazone?
Both Torasemide and metolazone are potassium-lowering diuretics. When given together, they can lower blood potassium level (hypokalemia) which can be severe, causing muscle pains or cramps, loss of appetite, weakness, dizziness, or confusion. Inform your doctor if you have these symptoms. Take potassium supplements or foods rich in potassium like orange, lemon or other citrus fruit.

Q. Does Torasemide have any serious side effects?
Serious side effects reported with the use of Torasemide are atrial fibrillation, ventricular tachycardia, chest pain, diarrhea, digitalis intoxication, gastrointestinal hemorrhage, hyperglycemia, hyperuricemia, hypokalemia, hypotension, hypovolemia, shunt thrombosis, rash, rectal bleeding, and syncope.

Q. Is Torasemide useful in the treatment of heart failure?
Yes, Torasemide is useful in the treatment of heart failure. It works by removing excess water and salt from your body and decreases the workload on the heart and as well decreases the lung congestion. This helps in improving the function of the heart in these patients.

Q. Can Torasemide lower potassium levels?
Torasemide can cause dehydration and lower the levels of electrolytes like potassium in your body. You can take potassium supplements or diet rich in potassium (banana, spinach, coconut water etc.) while you are taking this medicine after consulting with your doctor.

• Your doctor has prescribed Spironolactone along with other medicines to get rid of excess fluids in your body.Avoid driving or using machinery if you feel dizzy after taking Spironolactone.Avoid potassium-rich supplements or salt substitutes when taking Spironolactone.Spironolactone may cause breast pain/swelling, irregular periods (women), or trouble with sexual performance.You may have muscle weakness, skin changes, and red or black tarry stool.Your frequency of urination will increase within 2 to 3 days of taking Spironolactone.Spironolactone helps remove fluid from your body when used with other drugs.It can make you feel dizzy for the first few days. Don't drive or do anything requiring concentration until you know how Spironolactone affects you.It may cause the level of potassium in blood to go up. Avoid taking potassium supplements and potassium-rich foods such as banana and broccoli.Your doctor will regularly check your kidney function and the amount of potassium in your blood while you're on this drug.Notify your doctor if you experience dizziness, diarrhoea, vomiting, fast or irregular heartbeat, swelling in feet, or difficulty breathing.
• Torasemide helps removes excess water from your body and lower blood pressure.Take it in the morning with breakfast to avoid getting up at night to urinate.May cause dizziness in the initial days of treatment.Monitor your blood pressure after starting Torasemide, and notify your doctor if it hasn't gone down.Notify your doctor if you experience dizziness, tiredness, or muscle weakness that doesn't go away.Take potassium supplements or potassium-rich diet (banana, spinach, coconut water etc) as Torasemide can decrease your potassium levels and lead to dehydration.Requires routine blood tests to monitor your kidney function.