Effects of varying doses of spironolactone without and with nitrates on portal vein pressure and kidney function in partial portal vein ligated rats
M Van de Castelle, G Van Roey, F Nevens, J Fevery – 1 December 1996 – The optimal dose of spironolactone to reduce portal vein pressure, alone or in combination with isosorbide‐5‐mononitrate (IsMn), has not been identified. We studied the effects of 8 days oral treatment with spironolactone, IsMn or both on portal pressure, plasma volume and renal sodium handling in rats with partial portal vein ligation. At daily doses of 0.33; 0.50; 1, and 1.50 mg/kg, spironolactone reduced portal pressure (all P < .05) as compared with placebo.