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The medications that may interact with Inspra are Lithium because the risk of its side effects may be increased by eplerenone; Azole antifungals (eg, fluconazole, itraconazole, ketoconazole), macrolide antibiotics (eg, clarithromycin, erythromycin, troleandomycin ), nefazodone, protease inhibitors (eg, nelfinavir, ritonavir, saquinavir), or verapamil because they may increase the risk of eplerenone's side effects; Nonsteroidal anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, naproxen) because they may decrease eplerenone's effectiveness and increase the risk of high blood potassium levels and Angiotensin-converting enzyme (ACE) inhibitors (eg, enalapril), angiotensin-receptor blockers (eg, valsartan), potassium supplements, or potassium-sparing diuretics (eg, amiloride, spironolactone, triamterene) because the risk of high blood potassium levels may be increased.
Some medical conditions may interact with eplerenone. Tell your doctor or pharmacist if you have any medical conditions, especially if you are pregnant, planning to become pregnant, or are breast-feeding, if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement, if you have allergies to medicines, foods, or other substances, if you have kidney problems, diabetes, or protein in your urine and if you have a history of high blood potassium levels.
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Directions: Take eplerenone by mouth with or without food. The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. For congestive heart failure after a heart attack: Adults—At first, 25 milligrams (mg) once a day, then your dose may be increased to 50 mg once a day. For high blood pressure: Adults, teenagers, and children above 4 years of age—At first, 50 milligrams (mg) once a day. Your doctor may increase your dose to 50 mg two times a day.