Dicirenone

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Dicirenone

Chemical structure of Dicirenone

Dicirenone is a synthetic steroid that functions as a mineralocorticoid receptor antagonist. It is primarily used in the treatment of conditions such as hypertension and heart failure, where it helps to manage fluid retention and electrolyte imbalance.

Mechanism of Action

Dicirenone works by blocking the action of aldosterone, a hormone that promotes the retention of sodium and water in the body. By inhibiting aldosterone, dicirenone reduces sodium reabsorption in the kidneys, leading to increased excretion of sodium and water, and thus reducing blood pressure and edema.

Pharmacokinetics

Dicirenone is administered orally and is absorbed through the gastrointestinal tract. It undergoes hepatic metabolism and is excreted primarily through the urinary system. The drug has a moderate half-life, allowing for once or twice daily dosing.

Clinical Uses

Dicirenone is used in the management of:

  • Hypertension: By reducing fluid retention, it helps lower blood pressure.
  • Heart failure: It alleviates symptoms by decreasing the workload on the heart.
  • Hyperaldosteronism: It is used to treat conditions characterized by excessive aldosterone production.

Side Effects

Common side effects of dicirenone include:

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Contributors: Prab R. Tumpati, MD