The drug companies have to list any reported side effects of what they sell. The risk may be banishingly small, but if not listed, some one will sue. One reason among many why drugs are so expensive. All drugs are tested on animals to see a number of effects. They are given increasing doses until an effect is seen. That dose is then calculated from the body volume of the rat/ mouse etc to the body volume of a human, if it is percivable that a human that size exists, the warning goes on.
To be a bit radicle and hoping not to scare everyone. We all have cancer. It is how our physiology takes care of cells carrying mutations is important. We have many known, and godess knows how many unknown ways of dealing with this. Our genetic material in each cell is scrutinised and repaired, if not the cell is programmed to die (called apoptosis BTW), our cells are examined by cells from our immune system to see if they are "odd" if so they are destroyed (necrosis). But we have a lot of cells, we have a lot of cell divisions, we have a lot of genetic material. Things can go wrong.
In taking ANY drug we put ourselves at risk. By not taking medication we are also at risk. Spirolactone is not equivalent to walking into high dose radiation. No HRT is. Some chemotherapies are not far off it but what alternative is there?
Please don't get too worried, worry itself increases the risk of cancer

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NONE OF THE ABOVE IS MEDICAL OPINION, MY PERSONNAL COMMENTS ONLY AND SHOULD BE REGARDED ONLY IN THAT WAY.
Cindy