Treatment for aldosteronism depends on the underlying cause, but the goal is to reduce high blood pressure and correct low potassium levels caused by the illness. If aldosteronism is caused by a tumor in the adrenal gland, then the most common treatment involves surgery to remove the tumor. If it is caused by a non-cancerous tumor, medication is an additional treatment option. Medication is the only option for those who have overactive adrenal glands and no tumor. Medications are used to lower blood pressure, and potassium supplements are used to treat low potassium levels. Additional treatment includes a low salt diet.
Sometimes, surgical removal of the tumor reduces the need for additional medications, but a person with aldosteronism usually requires life-long treatment with medication.
Treatment for aldosteronism may include:
- Amlodipine (Norvasc)
- Diltiazem (Cardizem, Dilacor, Tiazac, Diltia XL)
- Felodipine (Plendil)
- Isradipine (DynaCirc)
- Nicardipine (Cardene)
- Nifedipine (Procardia, Adalat)
- Nimodipine (Nimotop)
- Nisoldipine (Sular)
- Verapamil (Isoptin, Calan, Verelan, Covera-HS)
Aldosteronism Questions For Doctor
The following are some important questions to ask before and after the treatment of aldosteronism.
Questions to ask before treatment:
- What are my treatment options?
- Is surgery an option for me?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for having this problem again?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Physicians from the following specialties evaluate and treat aldosteronism:
Continue to Aldosteronism Home Care
- Capricchione A, Winer N, Sowers JR. Adrenocortical hypertension. Curr Hypertens Rep. 2004 Jun;6(3):224-9. 
- Kaplan NM. The current epidemic of primary aldosteronism: causes and consequences. J Hypertens. 2004 May;22(5):863-9. 
- Mulatero P, Dluhy RG, Giacchetti G, Boscaro M, Veglio F, Stewart PM. Diagnosis of primary aldosteronism: from screening to subtype differentiation. Trends Endocrinol Metab. 2005 Apr;16(3):114-9. 
- Vaughan ED Jr. Diseases of the adrenal gland. Med Clin North Am. 2004 Mar;88(2):443-66.