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Indications

REMS

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

Endo: gynecomastia.

F and E: HYPERKALEMIA.

GI: liver enzymes, abdominal pain, diarrhea.

GU: abnormal vaginal bleeding, albuminuria.

Metab: hypercholesterolemia, hypertriglyceridemia.

Neuro: dizziness, fatigue.

Misc: flu-like symptoms.

Interactions

Drug-Drug:

Availability

(Generic available)

Route/Dosage

Hypertension

Heart Failure with Reduced Ejection Fraction Post-Myocardial Infarction

US Brand Names

Inspra

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: antihypertensives

Pharmacologic Classification: aldosterone antagonists

Pharmacokinetics

Absorption: Well absorbed following oral administration.

Distribution: Unknown.

Metabolism/Excretion: Primarily metabolized by the liver via the CYP3A isoenzyme; <5% excreted unchanged by the kidneys.

Half-life: 4–6 hr.

Time/Action Profile

(antihypertensive effect)

ROUTEONSETPEAKDURATION
POunknown4 wkunknown

Patient/Family Teaching

Pronunciation

e-PLE-re-none

Code

NDC Code*