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Spironolactone is a synthetic steroid compound, a low-efficiency diuretic, its structure is similar to aldosterone, and it is a competitive inhibitor of aldosterone. Because it only acts on the distal convoluted tubules and collecting ducts, and has no effect on the other segments of the renal tubules, the diuretic effect is weak. In addition, spironolactone also has an effect on aldosterone target organs other than the renal tubules.
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