Spironolactone

Aldosterone Antagonist (K⁺-Sparing Diuretic)
Drug Class
Aldosterone Antagonist (K⁺-Sparing Diuretic)
Mechanism of Action (MOA)
Competitively blocks the aldosterone receptor in the collecting duct → K⁺-sparing diuresis.
Clinical Notes
Mortality benefit in HFrEF; also primary hyperaldosteronism and ascites. Hyperkalemia and gynecomastia (anti-androgen) — eplerenone avoids the latter.
Source
FDA label

Sources

Reviewed September 2026
  1. FDA label — FDA / DailyMed

Checked against the guideline or standard reference the exam keys to. If it has moved, use Report an error below.

Used for

Same family

Diuretics · 4 drugs

Got a pharmacology lecture that covers Spironolactone? Turn it into flashcards and board-style questions, free. Drop it on the home page

All pharmacology