potassium-sparing
3 interactions related to potassium-sparing
salt substitute + spironolactone
Most salt substitutes replace ordinary table salt with potassium chloride, so they act as concentrated potassium supplements. Spironolactone is a potassium-sparing diuretic that reduces how much potassium the kidneys excrete. Using the two together can drive potassium high enough to cause dangerous, sometimes life-threatening heart rhythm problems (hyperkalemia).
bananas + spironolactone
Bananas are a well-known high-potassium food, and spironolactone is a potassium-sparing diuretic that makes the kidneys hold onto potassium. Eating large amounts of bananas (and other high-potassium foods) while taking spironolactone can push blood potassium too high (hyperkalemia), which in serious cases can disturb the heart's rhythm.
coconut water + spironolactone
Coconut water is naturally high in potassium and is often consumed in large volumes for hydration. Spironolactone is a potassium-sparing diuretic that reduces the kidneys' ability to excrete potassium. Regular high-volume coconut water consumption alongside spironolactone can raise blood potassium into a dangerous range (hyperkalemia), and at least one published case report links excessive coconut water plus spironolactone to life-threatening hyperkalemia.