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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Withdraw From Spironolactone?

Can stopping spironolactone suddenly cause any side effects? My son is being treated for congestive heart failure the last 6 months. His ejection rate has come up to 56, normal.....so the doctor removed the spironolactone 4 days ago. The last two nights he has awakened at midnight dizzy very dizzy could hardly get to bathroom. then has dry heaves and throws up some. His blood pressure tonight is very high. He is cold and clammy but doesnt seem to have a fever. He has had somewhat of an ear and sinus congestion (some) last few days. Took ADVile and extra vit C etc. BP has been 118/65. He is still taking asprin 81 mgs,
Wed, 2 May 2018
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

I always prefer to taper the doses of Spironolactone medicine on the gradual basis to prevent sudden discomfort at different body parameters.

You should take half the initial dose for 1 week and later, same in alternate days and then stop after 2 weeks.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Purva Patel
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How To Withdraw From Spironolactone?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I always prefer to taper the doses of Spironolactone medicine on the gradual basis to prevent sudden discomfort at different body parameters. You should take half the initial dose for 1 week and later, same in alternate days and then stop after 2 weeks. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Purva Patel