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Spironolactone 10 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Spironolactone

Our Spironolactone 10 mg/ml Oral Liquid is a meticulously prepared medication designed for oral use. This liquid formulation ensures a precise dose of spironolactone, which is particularly beneficial for patients who experience difficulty swallowing pills, such as children and the elderly. Spironolactone is a potassium-sparing diuretic commonly used to treat conditions such as congestive heart failure, cirrhosis of the liver, and certain kidney diseases. It is also prescribed for the management of hypertension and to counteract the effects of primary hyperaldosteronism. By offering this medication in a liquid form, we aim to provide a more manageable and adaptable treatment option to accommodate individual patient needs.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Requires a prescription from your own provider. Bayview is a pharmacy and does not prescribe.
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Spironolactone
Oral Liquid
65d61325190419b105da580f
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Spironolactone 10 mg/ml Oral Liquid is a custom-prepared medication designed to facilitate ease of administration for patients who may have difficulty swallowing tablets or capsules, such as pediatric and geriatric patients. This aqueous solution ensures accurate dosing of spironolactone, a potassium-sparing diuretic that is commonly used in the management of various conditions. The medication works by antagonizing the action of aldosterone, a hormone that regulates water and electrolyte balance in the body. By doing so, spironolactone promotes the excretion of sodium and water while conserving potassium. It is also used off-label for the treatment of acne and hirsutism due to its anti-androgenic properties.

For patients, it is important to understand that spironolactone may cause an increase in urine output and may affect electrolyte levels, so regular monitoring by a healthcare provider is necessary. Patients should also be aware of potential side effects, which can include hyperkalemia (high potassium levels), hyponatremia (low sodium levels), and possible gastrointestinal disturbances. Adherence to prescribed dosing and regular follow-up appointments are crucial for the safe and appropriate use of this medication.

Prescribers considering Spironolactone 10 mg/ml Oral Liquid should be aware of the patient's complete medical history, including any existing conditions that may contraindicate its use, such as renal impairment or hyperkalemia. It is also important to consider potential drug interactions, as spironolactone can interact with other medications, including ACE inhibitors, ARBs, and certain NSAIDs. Dosing may need to be adjusted based on the patient's response and laboratory values, particularly serum potassium levels.

At Bayview Pharmacy, we are committed to providing high-quality compounded medications tailored to the specific needs of our patients. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of Spironolactone 10 mg/ml Oral Liquid. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Spironolactone is a potassium-sparing diuretic that is often used to treat conditions such as heart failure, hypertension, edema associated with various conditions, and certain cases of hyperaldosteronism. It works by blocking the action of aldosterone, a hormone that causes the kidneys to retain sodium and water while excreting potassium. By antagonizing aldosterone, spironolactone promotes the excretion of sodium and water while conserving potassium.

When considering the use of spironolactone in a 10 mg/ml oral liquid formulation, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects. Spironolactone can interact with a variety of medications, including other diuretics, antihypertensive agents, nonsteroidal anti-inflammatory drugs (NSAIDs), angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs), and certain supplements or foods that contain potassium.

Concomitant use of spironolactone with other potassium-sparing diuretics, ACE inhibitors, ARBs, or potassium supplements can lead to hyperkalemia, a condition characterized by elevated potassium levels in the blood, which can be life-threatening if not managed properly. Patients should have their serum potassium levels monitored regularly, and the use of additional potassium supplements should be approached with caution.

NSAIDs may reduce the diuretic, natriuretic, and antihypertensive effects of spironolactone by inhibiting renal prostaglandin synthesis. This interaction can potentially diminish the therapeutic effects of spironolactone and should be monitored closely by healthcare providers. Additionally, the use of spironolactone with digoxin may increase the risk of digoxin toxicity due to alterations in serum digoxin levels. Patients on digoxin should have their levels monitored when initiating or adjusting the dose of spironolactone.

Spironolactone may also interact with certain anticoagulants, such as warfarin, by displacing them from plasma proteins, which could potentially increase the risk of bleeding. Patients on anticoagulant therapy should be closely monitored for changes in prothrombin time or international normalized ratio (INR) when starting or changing the dose of spironolactone.

Alcohol, barbiturates, or narcotics can potentiate the orthostatic hypotension that may occur with spironolactone, and patients should be advised to avoid or limit the consumption of alcohol and to be cautious with the use of CNS depressants.

It is also important to note that spironolactone can interfere with certain laboratory tests, including assays for plasma renin activity and aldosterone. Healthcare providers should be aware of this when interpreting lab results.

Patients and prescribers should be vigilant for signs and symptoms of electrolyte imbalances and other potential side effects. Regular monitoring of blood pressure, electrolytes, and renal function is recommended when using spironolactone. If you have any questions or concerns regarding the use of spironolactone 10 mg/ml oral liquid formulation or its potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Spironolactone is a medication that belongs to a class of drugs known as potassium-sparing diuretics, also referred to as aldosterone antagonists. It works by blocking the action of aldosterone, a hormone that regulates the balance of water and electrolytes in the body. Aldosterone promotes the retention of sodium and water while excreting potassium. By inhibiting aldosterone, spironolactone causes the kidneys to remove excess water and sodium from the body while conserving potassium, thereby reducing fluid buildup and blood pressure.

The 10 mg/ml oral liquid formulation of spironolactone provides a precise dosage in a form that is easy to ingest, particularly beneficial for patients who have difficulty swallowing pills, such as children and the elderly. This liquid form allows for flexible dosing, which can be adjusted according to the specific needs of the patient. The medication is absorbed from the gastrointestinal tract after oral administration and then exerts its effect on the kidneys, leading to increased urine production (diuresis) without significant loss of potassium.

Spironolactone is used to treat a variety of conditions related to fluid retention (edema) and high blood pressure (hypertension). It is particularly useful in conditions where the body is holding onto excess fluid, such as congestive heart failure, cirrhosis of the liver, and certain kidney disorders. Additionally, spironolactone is used in the treatment of hyperaldosteronism, a condition where the body produces too much aldosterone, and it may also be prescribed for certain patients with hormonal acne due to its anti-androgen effects.

Regular monitoring of electrolyte levels and kidney function is necessary to avoid potential side effects such as hyperkalemia (high potassium levels) and to ensure the medication is working effectively. Patients should also be counseled on potential interactions with other medications and advised on dietary considerations, particularly regarding potassium intake.

If you have any questions about the spironolactone 10 mg/ml oral liquid formulation or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to ensure appropriate treatment for your patients or yourself.

Frequently Asked Questions

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What is Spironolactone 10 mg/ml Oral Liquid used for?

Spironolactone 10 mg/ml Oral Liquid is utilized for the treatment of conditions such as congestive heart failure, cirrhosis of the liver, hypertension, and certain cases of hyperaldosteronism. It acts as a diuretic and may also be prescribed for patients who suffer from acne or hirsutism (excessive hair growth).

How should Spironolactone Oral Liquid be taken?

It should be taken exactly as prescribed by your healthcare provider. The liquid form allows for flexibility in dosing and is particularly helpful when precise doses are required. Measure your dose with an appropriate syringe or dosing cup, not with a household spoon.

Can Spironolactone Oral Liquid be taken with food?

Yes, it can be taken with or without food. However, taking it with food may help to lessen potential stomach upset. It is important to take it consistently in relation to meals to maintain steady absorption by your body.

What are the benefits of using the liquid form of Spironolactone over tablets or capsules?

The liquid formulation is beneficial for those who have difficulty swallowing pills, such as pediatric and geriatric patients. The accurate dosing achieved with a liquid can also be beneficial for titrating to the optimal dose as directed by a healthcare provider.

Is there any difference in efficacy between the oral liquid and other forms of Spironolactone?

No, the efficacy of Spironolactone should remain the same across different formulations when taken at the correct dose. The liquid form simply offers an alternative means of administration.

Can this medication cause side effects?

Like any medication, Spironolactone may cause side effects, though not everyone experiences them. Common side effects can include dizziness, nausea, diarrhea, and headache. If you experience any severe side effects or symptoms of an allergic reaction, seek medical attention immediately.

Should Spironolactone Oral Liquid be refrigerated?

You'll need to check the manufacturer's instructions, as storage requirements can differ. Unless otherwise indicated, it is generally recommended to store the medication at room temperature, away from direct light and moisture.

Can I discontinue Spironolactone Oral Liquid abruptly?

No, you should not stop taking this medication abruptly without consulting your healthcare provider, as it may lead to adverse effects or a worsening of your condition.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not take two doses at one time to catch up.

How long does it take for Spironolactone Oral Liquid to work?

The time it takes for this medication to have an effect can vary depending on the condition being treated and the individual patient. Some effects might be noticed within a few days, whereas others may take several weeks. Always discuss with your healthcare provider what to expect regarding the onset of effects.

Is Spironolactone Oral Liquid safe for children?

Yes, the oral liquid form of Spironolactone can be prescribed for children when indicated and when dosage needs to be carefully managed. However, it's important to administer the medication exactly as prescribed by a pediatrician.

Can the dose of the Spironolactone Oral Liquid be adjusted?

Yes, the dose may be adjusted by your healthcare provider based on your response to treatment, lab results, and any side effects. Do not adjust the dose on your own without consulting your healthcare provider.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Spironolactone 10 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally

Once daily