Aldactonespironolactone
According to the FDA label: Spironolactone is an aldosterone antagonist indicated for: The treatment of NYHA Class III-IV heart failure and reduced ejection fraction to increase survival, manage edema, and to reduce the need for hospitalization for heart failure ( 1.1 ). Use as an add-on therapy for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions ( 1.2 ).
136,778 adverse event reports submitted to the FDA (2001–2026)
Top Reported Adverse Events
The most frequently reported events in association with Aldactone in the FAERS database. These are events reported by patients taking this medication, not necessarily caused by it. A single report may include multiple events.
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Dyspnoea 10,606 reports
Shortness of breath or difficulty breathing. Also spelled dyspnea in American English.
Full definition in the glossary → See all drugs reporting this event →Fatigue 8,372 reports
Extreme tiredness or lack of energy that does not improve with rest.
Full definition in the glossary → See all drugs reporting this event →Nausea 7,995 reports
The feeling of sickness in your stomach that often comes before vomiting.
Full definition in the glossary → See all drugs reporting this event →Diarrhoea 7,587 reports
Loose or watery bowel movements, often frequent. Also spelled diarrhea in American English.
Full definition in the glossary → See all drugs reporting this event →Acute Kidney Injury 6,899 reports
A sudden drop in how well the kidneys are working. It is often temporary and can have many causes.
Full definition in the glossary →Dizziness 6,379 reports
A feeling of being lightheaded, unsteady, or like the room is spinning.
Full definition in the glossary → See all drugs reporting this event →Headache 6,028 reports
Pain in the head or upper neck.
Full definition in the glossary → See all drugs reporting this event →Hypotension 5,906 reports
Off Label Use 5,769 reports
Using a medication for a condition or in a way that the FDA has not officially approved. This is common and often legal, and a report of it does not mean something went wrong. Doctors sometimes prescribe drugs off label based on their judgment.
Full definition in the glossary →Drug Ineffective 5,306 reports
A report that the medication did not work as expected for the person taking it. This is a reporting category, not a sign the drug is defective. It simply means someone felt it was not helping their condition.
Full definition in the glossary →Fall 5,170 reports
A report that the person fell down. Falls are tracked because they can signal issues like dizziness, weakness, or balance problems.
Full definition in the glossary →Asthenia 5,091 reports
Physical weakness or lack of strength.
Full definition in the glossary →Death 4,998 reports
A report that the person died. A death appearing in reports for a drug does not mean the drug caused it. Reports record that a death occurred while the medication was being used, which can happen for many unrelated reasons.
Full definition in the glossary →Hyperkalaemia 4,987 reports
A high level of potassium in the blood. Also spelled hyperkalemia in American English.
Full definition in the glossary →Vomiting 4,955 reports
Throwing up the contents of the stomach.
Full definition in the glossary → See all drugs reporting this event →
Ranked by frequency of reports, not severity. The most-reported event is not necessarily the most dangerous or the most common in patients taking this drug.
Who Is Reporting
Demographics of patients in FAERS reports that included this information. Not all reports include patient demographics.
By Sex
View reporter sex data as a table
| Sex | Reports |
|---|---|
| Female | 74,923 |
| Male | 52,473 |
| Unknown | 172 |
By Age Group
View age group data as a table
| Age group | Reports |
|---|---|
| 0-17 | 2,770 |
| 18-34 | 4,968 |
| 35-49 | 10,015 |
| 50-64 | 26,055 |
| 65-74 | 25,221 |
| 75+ | 30,070 |
This shows who filed reports, reflecting who takes this drug and who tends to report, not who is at greatest risk.
Reported Outcomes
Outcomes recorded in FAERS reports that included Aldactone. A single report may involve multiple reactions, each with a different outcome. These categories are defined by FDA reporting guidelines, not by PillSignal.
View outcome data as a table
| Outcome | Reports |
|---|---|
| Hospitalization | 65,179 |
| Other Serious | 60,384 |
| Non-Serious | 29,124 |
| Death | 17,855 |
| Life-Threatening | 8,951 |
| Disability | 3,365 |
Serious outcomes are far more likely to be reported than mild ones, so this overstates how often outcomes are serious. A recorded death does not mean the drug caused it.
Report Volume Over Time
Number of FAERS reports received per quarter for Aldactone. Changes in volume may reflect shifts in prescribing rates, media attention, or reporting behavior, not changes in the medication's safety profile.
View report trend as a table
| Year | Reports |
|---|---|
| 2001 | 2 |
| 2003 | 2 |
| 2004 | 1,611 |
| 2005 | 1,927 |
| 2006 | 1,912 |
| 2007 | 1,862 |
| 2008 | 2,086 |
| 2009 | 2,527 |
| 2010 | 3,341 |
| 2011 | 3,578 |
| 2012 | 4,304 |
| 2013 | 3,937 |
| 2014 | 5,468 |
| 2015 | 7,144 |
| 2016 | 8,775 |
| 2017 | 8,040 |
| 2018 | 9,683 |
| 2019 | 9,985 |
| 2020 | 9,245 |
| 2021 | 8,772 |
| 2022 | 8,910 |
| 2023 | 9,815 |
| 2024 | 10,764 |
| 2025 | 10,604 |
| 2026 (partial) | 2,484 |
The steep increase around 2004 reflects the FDA's move to electronic submission, not a change in this drug's safety. Trends track reporting volume, not risk.
Medications commonly reported with Aldactone
In FDA adverse event reports that mention Aldactone, these medications appeared most often in the same report.
- Furosemide (56,627 reports)
- Aspirin (20,873 reports)
- Omeprazole (17,286 reports)
- Carvedilol (16,267 reports)
- Ergocalciferol (14,221 reports)
This reflects co-occurrence in submitted reports, not evidence of drug interaction or combined risk. People often report several medications taken for the same condition or for unrelated reasons. Talk to a doctor or pharmacist about your specific medications.
Related Drugs
Other medications with similar adverse event profiles in FDA FAERS reports.
Data Source
This data is sourced from the FDA's Adverse Event Monitoring System (AEMS), formerly FAERS, via the OpenFDA API. PillSignal is not affiliated with the FDA.
View this data on the FDA website →Data last updated: June 2026