“…In separate studies there was no significant relationship between PUA and the plasma or urinary levels of canrenone, the principal unconjugated metabolite of spironolactone, and there was therefore no evidence that the pharmacological relationship reflects a link between PUA and spironolactone metabolism. It has been shown that PUA concentration also relates to the urinary electrolyte excretion following single doses of frusemide (Ramsay, Tidd, Auty, Levine & Branch, 1975;Branch, Levine, Read, Vander Elst, Rupp, Shelton & Ramsay, 1976). The evidence available at present would favour a relationship not specifically between PUA and spironolactone response, but some more general relationship between PUA and the response to diuretic agents, the nature of which remains to be elucidated.…”