Spironolactone (aldosterone antagonist)

You prescribe this aldosterone antagonist for Mr. Hill. Mr. Hill is finally feeling more optimistic and feels that this new medication will be right for him.

Two weeks later, he presents to his GP complaining that his blood pressure remains elevated. The GP looks over to you and asks why you have chosen to prescribe this drug at this stage. Spironolactone is generally prescribed as adjunct therapy for patients with persistently elevated blood pressure, when other first line drugs have failed.

Please go back and re-consider.