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Independent analysis of NHS open data
PharmaInsight

Spironolactone

Cardiovascular System Diuretics BNF 0202030S0
Data updated May 2026 Download CSV

Spironolactone was ranked 70th of 1,792 medicines by items in May 2026, with 359,260 items, up 5.1% on a year earlier.

359,260items +5.1%

Dispensed in May 2026

3,876,057items

Rolling 12 months

£1,236,422

Net ingredient cost · May 2026

Figure 1. Spironolactone: national items dispensed by month

0 188k 375k Jan 2021 Nov 2021 Sep 2022 Jul 2023 May 2024 Mar 2025 May 2026 359,260 Jan 2021: 234k Feb 2021: 220k Mar 2021: 248k Apr 2021: 242k May 2021: 232k Jun 2021: 250k Jul 2021: 253k Aug 2021: 243k Sep 2021: 253k Oct 2021: 243k Nov 2021: 253k Dec 2021: 267k Jan 2022: 251k Feb 2022: 236k Mar 2022: 268k Apr 2022: 254k May 2022: 266k Jun 2022: 260k Jul 2022: 261k Aug 2022: 272k Sep 2022: 268k Oct 2022: 267k Nov 2022: 274k Dec 2022: 277k Jan 2023: 274k Feb 2023: 254k Mar 2023: 291k Apr 2023: 264k May 2023: 284k Jun 2023: 292k Jul 2023: 286k Aug 2023: 295k Sep 2023: 289k Oct 2023: 296k Nov 2023: 299k Dec 2023: 298k Jan 2024: 306k Feb 2024: 290k Mar 2024: 297k Apr 2024: 308k May 2024: 318k Jun 2024: 300k Jul 2024: 328k Aug 2024: 320k Sep 2024: 312k Oct 2024: 332k Nov 2024: 320k Dec 2024: 331k Jan 2025: 336k Feb 2025: 303k Mar 2025: 323k Apr 2025: 328k May 2025: 342k Jun 2025: 334k Jul 2025: 358k Aug 2025: 334k Sep 2025: 351k Oct 2025: 363k Nov 2025: 336k Dec 2025: 375k Feb 2026: 334k Mar 2026: 367k Apr 2026: 364k May 2026: 359k

Source: NHSBSA Prescription Cost Analysis, to May 2026

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At a glance

  • Therapeutic class Diuretics
  • Presentations 15 shown
  • Average cost / item £3.44
  • Year on year Up 5.1% on a year earlier
What this is
Net ingredient cost is the list price before discounts and dispensing fees, not what the NHS finally pays.

Top presentations, May 2026

The individual products dispensed under Spironolactone this month.

Presentations of Spironolactone, May 2026
Presentation BNF code Items Net ingredient cost
Spironolactone 25mg tablets 0202030S0AAATAT 261,178 £231,860
Spironolactone 50mg tablets 0202030S0AAAUAU 38,893 £70,927
Spironolactone 12.5mg tablets 0202030S0AAEGEG 35,274 £723,303
Spironolactone 100mg tablets 0202030S0AAAVAV 23,138 £46,267
Urospir 50mg/5ml oral solution 0202030S0BKAAEH 195 £53,783
Qaialdo 10mg/ml oral suspension 0202030S0BLAAEB 127 £35,575
Urospir 25mg/5ml oral solution 0202030S0BKABEI 112 £15,367
Spironolactone 25mg/5ml oral solution sugar free 0202030S0AAEIEI 100 £18,814
Aldactone 25mg tablets 0202030S0BBAAAT 79 £233
Spironolactone 50mg/5ml oral suspension 0202030S0AAEBEB 31 £9,348
Spironolactone 25mg/5ml oral suspension 0202030S0AAEAEA 27 £5,252
Spironolactone 25mg/5ml oral solution 0202030S0AAEFEF 26 £3,486
Aldactone 100mg tablets 0202030S0BBACAV 17 £254
Aldactone 50mg tablets 0202030S0BBABAU 16 £106
Spironolactone 5mg/5ml oral suspension 0202030S0AAECEC 14 £6,244

Source: NHSBSA Prescription Cost Analysis · to May 2026 OGL v3.0

Where Spironolactone is dispensed

The regions and dispensing practices with the highest Spironolactone volumes.

Regional volumes from NHSBSA Prescription Cost Analysis; practice volumes from NHS dispensing data.

Compare Spironolactone with

Other medicines in the same BNF section, by prescribing volume.