Is Spironolactone and Kidneys safe in kidney disease at eGFR <15?

High hyperkalemia risk at this level. This table is dosing guidance for planning — the final dose is confirmed by your prescriber, and kidney function and the drug's own monitoring requirements are rechecked regularly.

What should I check while taking Spironolactone and Kidneys at eGFR <15?

Follow the drug's label monitoring — typically kidney function (eGFR/creatinine), and for many drugs potassium, drug levels, or blood counts as applicable. Report any new symptoms such as weakness, irregular heartbeat, or unusual side effects to your doctor.

Is Spironolactone and Kidneys safe in kidney disease at eGFR <15?

High hyperkalemia risk at this level. This table is dosing guidance for planning — the final dose is confirmed by your prescriber, and kidney function and the drug's own monitoring requirements are rechecked regularly.

What should I check while taking Spironolactone and Kidneys at eGFR <15?

Follow the drug's label monitoring — typically kidney function (eGFR/creatinine), and for many drugs potassium, drug levels, or blood counts as applicable. Report any new symptoms such as weakness, irregular heartbeat, or unusual side effects to your doctor.

Renal Dosing Guide

Spironolactone and Kidneys Dosing at eGFR <15

Aldactone • Mineralocorticoid receptor antagonist (potassium-sparing diuretic) • Kidney function: <15 mL/min/1.73m² (not on dialysis)

The recommended dose of Spironolactone and Kidneys at <15 mL/min/1.73m² (not on dialysis) — with monitoring notes for kidney disease and dialysis.

Recommended dose at eGFR <15

Avoid.

High hyperkalemia risk at this level.

Dosing at Other Kidney Function Levels

Spironolactone and Kidneys at eGFR ≥45

≥45 mL/min/1.73m² (or CrCl >50)

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Spironolactone and Kidneys at eGFR 30–44

30–44 mL/min/1.73m² (or CrCl 30–50)

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Spironolactone and Kidneys at eGFR 15–29

15–29 mL/min/1.73m² (or CrCl 15–29)

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Spironolactone and Kidneys at On dialysis

Hemodialysis or peritoneal dialysis

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How dosing is decided

Doses in this guide follow drug labels and renal-dosing references at each eGFR/CrCl level. Always confirm with your prescriber and pharmacy — your specific dose depends on other medications, conditions, and lab results.

Full Spironolactone and Kidneys kidney guide

Monitoring reminder

Spironolactone and Kidneys has its own monitoring requirements (eGFR, potassium, drug levels, or blood counts). These become more frequent as kidney function falls. Report unusual weakness, irregular heartbeat, or new side effects promptly.

Interactive drug-dosing tool