Effective Treatments for Primary Aldosteronism: What Works?
Published: Dec 02, 2023
Treating primary aldosteronism effectively is crucial for managing symptoms and preventing complications. Discover the most effective treatment options.
Contents
Surgical Interventions
For those with aldosterone-producing adenomas, surgical removal of the affected adrenal gland is often the best approach. This surgery can normalize blood pressure and potassium levels, reducing the risk of cardiovascular and kidney complications. It is most effective when the condition is localized to one adrenal gland.
Medication Management
For patients not suitable for surgery, medications like mineralocorticoid receptor antagonists (e.g., spironolactone) are used. These drugs block the effects of aldosterone, helping to control blood pressure and prevent potassium loss. Medication therapy can be a long-term solution for managing primary aldosteronism.

Lifestyle Adjustments
In addition to medical treatments, lifestyle changes can enhance treatment effectiveness. Reducing salt intake and maintaining a healthy weight can help control symptoms and improve overall outcomes. Regular monitoring and follow-ups with healthcare providers ensure that treatment remains effective.
Frequently Asked Questions
Surgical removal of the affected adrenal gland is the main treatment.
Yes, medications like spironolactone help manage symptoms effectively.
No, medication can be used when surgery isn't suitable.
Yes, they can improve treatment outcomes and control symptoms.
Key Takeaways
Are you on the right treatment path for primary aldosteronism?
References
- Mulatero P, et al. Treatment of primary aldosteronism: J Clin Endocrinol Metab 2004; 89:1045.
- Pitt B, et al. Spironolactone in heart failure: N Engl J Med 1999; 341:709.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
AI Doctor Visit Required
Appointments available 24/7
15-min consultation. No hidden costs.
AI Doctor Visit Required
For safety reasons we have been forced to end this consultation.
If you believe this is a medical emergency please call 911 or your local emergency services immediately.
If you are experiencing emotional distress, please call the the Suicide & Crisis Lifeline at 988 or your local crisis services immediately.
Contact us
You can also email us at help@doctronic.ai
We aim to reply within 5-7 days
How likely are you to recommend Doctronic to friends or family?