When you are taking spironolactone, you need regular check-ups with your doctor. The first visit may be as early as a week after you start taking it. Then visits are usually scheduled once a month until your blood pressure goals are met. Once you meet your blood pressure goals, you may only need to see your doctor every three to six months.
If you have other conditions like heart disease or diabetes, you may need to see your doctor more often. At these visits, your doctor will track your blood pressure and ask you about side effects.
People taking spironolactone need to have regular blood tests. These tests will check for kidney function and potassium levels. Very high levels of potassium can be dangerous. Usually potassium is checked a week after starting spironolactone. Then it may be checked monthly for several months. People with heart failure or kidney or liver disease may need more frequent potassium checks. This is also true of people taking other medicines that affect potassium.
Your doctor may also ask you to keep track of your blood pressure at home. Some doctors, health plans, and pharmacies have high blood pressure telehealth programs. They can help you keep track of your blood pressure over the phone or Web. This is a quick way to have more frequent personal check-ins with a health provider without having to go into a doctor’s office. These steps can really help you get your blood pressure under control.
With regular check-ups or calls, it won't be long before your blood pressure falls!