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Spironolactone Therapy and Amenorrhea
John I. Levitt, MD
JAMA. 1970;211(12):2014-2015.
Abstract
Administration of spironolactone in standard dosage to nine women with mild renal disease resulted in amenorrhea in six and marked menstrual irregularity in a seventh. Discontinuation of therapy resulted in normal menstrual periods within two months in every patient. The drug action causing this side effect may be responsible for previously reported gynecomastia, but this action is unknown. The high incidence of amenorrhea in this group may be due to increased drug susceptibility or decreased drug elimination in patients with kidney disease.
Author Affiliations
From the Department of Internal Medicine, University of Minnesota Medical School, Minneapolis.
Footnotes
Reprint requests to Box 240, University of Minnesota Medical School, Minneapolis 55455 (Dr. Levitt).
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