Dosing & Administration
Adult Dose
12.5-25 mg PO daily for HF. 100-200 mg for Ascites.
Pediatric Dose
1-3 mg/kg/day PO divided.
Renal Adjustment
eGFR < 30: Contraindicated (hyperkalemia risk).
Hepatic Adjustment
No adjustment necessary (used heavily in cirrhosis).
Safety & Special Populations
Pregnancy Category
C
Lactation Safety
Compatible.
Contraindications & Adverse Effects
Contraindications
- Anuria
- Severe renal impairment
- Hyperkalemia
Common Adverse Effects
- Hyperkalemia
- Gynecomastia
- Menstrual irregularities