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|Pronunciation||/ ˌ s p aɪ r oʊ n oʊ ˈ l æ k t oʊ n / SPY -roh-noh- LAK -tone,  / ˌ s p ɪər oʊ n oʊ ˈ l æ k t oʊ n / SPEER -oh-noh- LAK -tone |
|Trade names||Aldactone, Spiractin, Verospiron, many others; combinations: Aldactazide (+HCTZ), Aldactide (+HFMZ), Aldactazine (+altizide), others|
|Pregnancy category||AU: B3 US: C (Risk not ruled out)|
|Routes of administration||By mouth,  topical |
|Drug class||Antimineralocorticoid; Steroidal antiandrogen|
|ATC code||C03DA01 ( WHO )|
|Legal status||UK: POM (Prescription only) US: ℞-only|
|Bioavailability||60–90%   |
|Protein binding||Spironolactone: 88% (to albumin and AGP)  Canrenone: 99.2% (to albumin) |
|Metabolism||Liver, others: • Deacetylation via CES • S -Oxygenation via FOM • S -Methylation via TMT • Dethioacetylation • Hydroxylation via CYP3A4 • Lactone hydrolysis via PON3)       |
|Metabolites||7α-TS, 7α-TMS, 6β-OH-7α-TMS, canrenone, others    (All three active) |
|Elimination half-life||Spironolactone: 1.4 hrs  7α-TMS: 13.8 hours  6β-OH-7α-TMS: 15.0 hrs  Canrenone: 16.5 hours |
|Excretion||Urine, bile |
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The degree and rate of can obgyn prescribe spironolactone effects is dependent on the dose and route of administration, as well as client-specific factors such as age, genetics, body habitus and lifestyle.
Physical changes related to androgen blockade and estrogen may take months to appear and are generally considered to be complete after 2-3 years on hormone therapy.Some experts recommend a usual dosage range of 25-50 mg daily.
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