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Aldactone (spironolactone) is primarily used as a diuretic to treat conditions such as high blood pressure (hypertension), heart failure, and edema (fluid retention). It works by increasing urine production and helping the body eliminate excess salt and water. While Aldactone can be effective in managing high blood pressure, it is not typically the first-line treatment for hypertension. There are other classes of medications, such as angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), beta-blockers, and diuretics like thiazides, that are often prescribed as initial choices for blood pressure management.