spironolactone: meaning, definition, pronunciation and examples

C2
UK/ˌspaɪərəʊnəʊˈlæktəʊn/US/ˌspaɪroʊnoʊˈlæktoʊn/

Technical / Medical

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Quick answer

What does “spironolactone” mean?

A potassium-sparing diuretic and antiandrogen medication used primarily to treat fluid retention (edema) and high blood pressure, and as an antiandrogen in conditions like hirsutism and acne.

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Pronunciation

Definition

Meaning and Definition

A potassium-sparing diuretic and antiandrogen medication used primarily to treat fluid retention (edema) and high blood pressure, and as an antiandrogen in conditions like hirsutism and acne.

A synthetic steroid derivative that acts as an antagonist of the aldosterone receptor in the distal tubule of the nephron, promoting sodium and water excretion while conserving potassium. It also has antiandrogenic effects by inhibiting androgen production and blocking androgen receptors.

Dialectal Variation

British vs American Usage

Differences

No significant differences in usage or meaning. Spelling and pronunciation are identical. The brand name Aldactone is widely recognised in both regions.

Connotations

Solely medical/pharmacological. No cultural or colloquial connotations.

Frequency

Equally low-frequency in general language but standard in medical and healthcare professional discourse in both regions.

Grammar

How to Use “spironolactone” in a Sentence

[Patient] was started on spironolactone for [condition].Spironolactone is used to treat [condition].The dose of spironolactone was increased to [amount].

Vocabulary

Collocations

strong
to prescribe spironolactonespironolactone therapya dose of spironolactonespironolactone and amiloride
medium
taking spironolactoneside effects of spironolactonespironolactone for hypertensionspironolactone treatment
weak
effective spironolactoneoral spironolactonespironolactone alone

Examples

Examples of “spironolactone” in a Sentence

adjective

British English

  • The spironolactone dosage must be carefully monitored.
  • She is on a spironolactone-based regimen.

American English

  • The spironolactone dose must be carefully monitored.
  • He is on a spironolactone-based treatment plan.

Usage

Meaning in Context

Business

Not used.

Academic

Used in medical, pharmacological, and biomedical research papers discussing diuretics, heart failure management, or endocrine therapies.

Everyday

Virtually never used in casual conversation unless discussing personal medical treatment.

Technical

Core term in clinical medicine, pharmacy, endocrinology, and cardiology for describing a specific class of medication.

Vocabulary

Synonyms of “spironolactone”

Neutral

Aldactone (primary brand name)

Weak

potassium-sparing diureticaldosterone antagonist

Vocabulary

Antonyms of “spironolactone”

potassium-wasting diureticloop diureticthiazide diuretic

Watch out

Common Mistakes When Using “spironolactone”

  • Misspelling: 'spironolacton', 'spironolactane', 'spironolactin'.
  • Mispronunciation: stressing the wrong syllable (e.g., /spaɪˈrɒnəlæktoʊn/).
  • Confusing it with other diuretics like furosemide.

FAQ

Frequently Asked Questions

Yes, it is a standard, commonly prescribed medication in cardiology, nephrology, and endocrinology, but it is not an over-the-counter drug.

Key side effects include hyperkalaemia (high potassium levels), gynecomastia (breast enlargement in men), menstrual irregularities, and dizziness due to low blood pressure.

Yes, due to its antiandrogenic properties, it is sometimes used off-label at lower doses to treat hormonal acne and hirsutism (excessive hair growth) in women.

Because spironolactone prevents the excretion of potassium in the urine, it can lead to a dangerous accumulation of potassium in the blood (hyperkalaemia), which can affect heart rhythm.

A potassium-sparing diuretic and antiandrogen medication used primarily to treat fluid retention (edema) and high blood pressure, and as an antiandrogen in conditions like hirsutism and acne.

Spironolactone is usually technical / medical in register.

Spironolactone: in British English it is pronounced /ˌspaɪərəʊnəʊˈlæktəʊn/, and in American English it is pronounced /ˌspaɪroʊnoʊˈlæktoʊn/. Tap the audio buttons above to hear it.

Learning

Memory Aids

Mnemonic

Think: 'SPIRO' (like a spiral, it twists/turns the body's salt/water balance) + 'NO' (says no to aldosterone hormone) + 'LACTONE' (its chemical class).

Conceptual Metaphor

MEDICATION IS A KEY: Spironolactone is a key that blocks the aldosterone receptor lock, preventing salt/water retention.

Practice

Quiz

Fill in the gap
To prevent hypokalemia in patients requiring long-term diuretic therapy, a like spironolactone may be added to the regimen.
Multiple Choice

What is the primary mechanism of action of spironolactone?

Practise

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