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Spironolactone: no longer for hypertension


Early this year the DHSS directed manufacturers to stop recommending spironolactone for the treatment of hypertension and idiopathic oedema. Spiroprop (spironolactone + propranolol, Searle) intended for treating hypertension was therefore withdrawn. This decision was taken because the Licensing Authority had issued new toxicity data on canrenoate. Two separate unpublished studies from a Japanese pharmaceutical company suggested that high doses of the drug caused monomyelocytic leukaemia in rats.

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