spironolactone
PrintTrade Name(s): Aldactone, CaroSpir, Spironolactone | |
Group 2: Non-Antineoplastic Hazardous | AHFS Class: Mineralocorticoid (Aldosterone) Receptor Antagonists |
Preparation:
In-Cell Hazardous Drug
Activity | Gloves | Gown | Eye/Face | Notes/Instructions |
Dispensing prepackaged formulations |
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Counting/Repackaging tablets and capsules | Recommended if pregnant, breast feeding or trying to conceive |
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Administration:
In-Cell Hazardous Drug
Formulation | Gloves | Gown | Eye/Face | Notes/Instructions |
Tablets and capsules | (If patient requires assistance) | (If patient requires assistance) |
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Topicals, creams, vaginal rings | (If patient requires assistance) | (If patient requires assistance) |
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Receiving and Storage:
Storage & Handling
Type of Instance | Gloves | Gown | Mask | Eye/Face | Notes/Instructions |
Receiving undamaged HD shipping container |
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Receiving damaged HD shipping container | If container must be opened | If container must be opened | If container must be opened |
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Spill Cleanup | Large volume | Large volume |
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Reference: USP <800>
Disposal:
Disposals - All
Hazardous Pharmaceutical | Trace Chemo | Biohazardous and Sharps |
1. Non-returnable hazardous, chemo and EPA regulated drugs. (Patient specific prescriptions, partially used blister packs, containers with more than 3% medication remaining) 2. Empty bottles or packaging of P-Listed drugs. (Warfarin, nicotine, epinephrine, nitroglycerin, physostigmine) 3. PPE with visible contamination from hazardous drug. | 1. Waste contaminated through contact with chemotherapeutic agents. (Empty vials, IV bags, syringes and tubing) 2. PPE worn while handling hazardous drugs with NO visible contamination. (Gowns, gloves and masks) 3. Used CSTD devices. | 1. All sharps capable of cutting or piercing the skin. (Needles/syringes, broken ampules, lancets) 2. Items contaminated with blood or other potentially infectious materials. (Tubing, bags or dressings containing blood, contaminated waste from isolation patients) |
Transport:
Transporting
Dosage Form | Ship to Institution or Pharmacy | Ship to Locations Outside of ODOC |
Tablets and Capsules |
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Liquid, Topical, and Transdermal |
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PPE:
PPE Standards
PPE | Standards |
Shoe Covers |
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Gowns |
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Gloves |
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Face Shields |
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Goggles |
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N95 Masks |
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Removal and Disposal |
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Reference: USP <800>
Additional Information:
Assessment of Risk:
Exposure Risk:
- Harmful if swallowed.
- Harmful in contact with skin.
- Harmful if inhaled.
- Suspected of causing cancer.
Reference: SDS - Cayman Chemical
Supplemental Information:
Black box warning for tumorogenicity in laboratory studies
Mechanism of Action:
Spironolactone competitively inhibits aldosterone dependant sodium potassium exchange channels in the distal convoluted tubule.Label This action leads to increased sodium and water excretion, but more potassium retention.Label The increased excretion of water leads to diuretic and also antihypertensive effects.Label
Reference: Drug Bank
Safety Data Sheet(s):
Approved on January 8, 2024