Mexrenone
Mexrenone is a diuretic and antihypertensive medication that belongs to the class of potassium-sparing diuretics. It is primarily used in the treatment of hypertension (high blood pressure) and edema (fluid retention) due to various causes, including heart failure, liver cirrhosis, and the nephrotic syndrome.
Pharmacology[edit | edit source]
Mexrenone works by blocking the actions of the hormone aldosterone in the body. Aldosterone is a hormone that promotes the retention of sodium and water in the body, which can lead to increased blood pressure. By blocking the effects of aldosterone, mexrenone promotes the excretion of sodium and water, while sparing potassium, thereby reducing blood pressure and fluid retention.
Clinical Use[edit | edit source]
Mexrenone is used in the management of hypertension and edema. It is particularly useful in patients who are at risk of developing hyperkalemia (high potassium levels in the blood) due to other medications or medical conditions, as it does not promote the excretion of potassium like other diuretics.
Side Effects[edit | edit source]
Like all medications, mexrenone can cause side effects. These may include hyperkalemia, gynecomastia (breast enlargement in men), menstrual irregularities, and impotence. Patients should be monitored for these side effects during treatment.
Contraindications[edit | edit source]
Mexrenone is contraindicated in patients with hyperkalemia, renal failure, and Addison's disease. It should also be used with caution in patients taking other medications that can increase potassium levels, such as ACE inhibitors, angiotensin II receptor blockers, and potassium supplements.
See Also[edit | edit source]
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Contributors: Prab R. Tumpati, MD