Treatment:

Primary hyperaldosteronism caused by a tumor is usually treated with surgery. Removing adrenal tumors may control the symptoms. Even after surgery, some people have high blood pressure and need to take medication.

Watching your salt intake and taking medication may control the symptoms without surgery. Medications used to treat hyperaldosteronism are the diuretic ("water pill") spironolactone (Aldactone; Aldactazide) or eplerenone (Inspra), which blocks the action of aldosterone.

Surgery is not used for secondary hyperaldosteronism, but medications and diet are part of treatment.

Expectations (prognosis):

The prognosis for primary hyperaldosteronism is good with early diagnosis and treatment. The prognosis for secondary hyperaldosteronism will vary depending on the cause of the condition.

Complications:

Impotence and gynecomastia (enlarged breasts in men) may occur with long-term spironolactone treatment in men, but this is uncommon.

Calling your health care provider:

Call for an appointment with your health care provider if you develop symptoms of hyperaldosteronism.