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Does Spironolactone cause a hot feeling in heart failure patients?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My mother has heart failure with preserved ejection fraction. Currently, she is using tablet Carvedilol and tablet Spironolactone. She is feeling too hot and is scared that the condition may worsen. Does she need to change the dosage of Spironolactone in the summer heat? Also, is a daily thiamine supplementation good, and if so, in what dosage? Kindly advise.

Thank you.

Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I understand your concern.

Tablet Spironolactone is a potassium-sparing diuretic. I suggest you monitor the levels of her serum electrolytes like sodium (Na+) and potassium (K+), water intake, and urine output to change the dose. If she is well tolerating the current dose, there is no need to change the dose.

Only increase the water intake as the ejection fraction is preserved. Thiamine is vitamin B1. It is better to take a B complex with vitamin B and folic acid. They can be taken in alternate months as they are water-soluble vitamins and do not accumulate like fat-soluble vitamins (Vitamins A, D, E, and K).

Also, I suggest she lives in cool places, on lower floors of a building, or in areas with AC (air conditioners) or air coolers, and avoid extreme sun.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At June 2, 2022
Reviewed At September 30, 2024

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

This doctor is not available for online consultations on the platform anymore.

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