Should you limit potassium with spironolactone?

Avoid potassium supplements Spironolactone may cause high blood potassium, a potentially hazardous condition. Many spironolactone side effects are due to high potassium.

How much can spironolactone raise potassium?

Potassium and BP changes in the entire population Spironolactone caused a highly significant increase in the potassium level of 0.5 +/-0.5 mmol/L (p <0.0001) in the entire study population (Table 2).

How do I avoid high potassium on spironolactone?

Avoid taking salt substitutes that contain potassium or potassium supplements while taking spironolactone. Try to avoid foods high in potassium (such as avocados, bananas, coconut water, spinach, and sweet potato) because eating these foods may lead to potentially fatal hyperkalemia (high blood potassium levels).

Can 50 mg of spironolactone cause high potassium?

Spironolactone can cause high blood potassium. Your healthcare provider will likely check your potassium regularly while taking spironolactone to make sure it’s not too high. If your potassium levels rise too much, your spironolactone dose may need to be changed or stopped.

Is spironolactone potassium-sparing?

Spironolactone is a potassium-sparing diuretic (water pill). It prevents your body from absorbing too much salt and keeps your potassium levels from getting too low.

What is considered too much potassium?

A typical potassium level for an adult falls between 3.5 and 5.0 millimoles per liter (mmol/L). Hyperkalemia occurs when levels go above 5.5 mmol/L. A reading above 6.5 mmol/L can cause heart problems that require immediate medical attention.

Is spironolactone potassium sparing?

How many mg of potassium is spironolactone per day?

Spironolactone dosage for diuretic-induced hypokalemia Serum potassium less than or equal to 5 mEq/L is an indication for using spironolactone over another diuretic. A typical dose of spironolactone for diuretic-induced hypokalemia is 25 to 100 mg spread out over one to four doses throughout the day.

Can spironolactone cause hyperkalemia?

Spironolactone has become a favored add-on drug choice for treating patients with resistant hypertension. However, spironolactone causes hyperkalemia — and thus is relatively contraindicated — in patients with renal dysfunction.

Is 200 mg of spironolactone too much?

Adults should never take more than 400 mg of spironolactone per day or give more than 100 mg per day to children. Too much spironolactone can cause a drop in blood pressure from sitting to standing (postural hypotension), which can cause dizziness, lightheadedness, or fainting.