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Should I Stop Spironolactone For High Potassium Symptoms?

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Posted on Mon, 7 Apr 2014
Question: I am a 71 yr. old female who is taking 25mg spironolactone daily and my doctor just switched me from prozac to 75mg sertraline daily. He did a blood test on Thurs.to see if I had too much potaseum as I had symptums of this. This is Fri. and I will not know the results until Mon. What I would like to know is: "what should I avoid; and/or is there a specific diet for this" Thank you XXXXX
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Answered by Dr. Rakesh Karanwal (2 hours later)
Brief Answer: Avoid potassium-rich foods as listed below Detailed Answer: Hi Mrs. XXXXXXX Thanks for your query. You have not mentioned the reason for which you are taking spironolactone. I presume that it was prescribed for high blood pressure. Nevertheless, your doctor has taken the right step by ordering blood potassium level test, since Spironolactone- when used for a long time- progressively increase potassium levels in the blood. Further, Sertraline increases potassium levels by reducing sodium levels in the blood. Hence, pending the blood report, you should ideally STOP spironolactone (your treating doctor will prescribe a substitute); and, take a LOW-POTASSIUM DIET. Avoid/restrict the following foods which are rich in potassium :- * Whole-grain breads, wheat XXXXXXX granola and granola bars * Beverages : Sports drinks, soy milk * Snack foods/sweets : Peanut butter, nuts or seeds , chocolate * Fruits : Apricots, avocado, bananas, coconut, kiwi, mango, oranges, orange juice, dried fruits * Vegetables : baked or refried beans, beets, broccoli, sprouts, cabbage (raw), carrots (raw), olives, mushrooms (canned), potatoes, tomato, tomato sauce, tomato juice. * Dairy products : Milk and milk products, buttermilk, yogurt * Shellfish, sea foods and red meat. * Soups : Salt-free soups. I am sure that your treating doctor will modify the doses of current medications or, the prescription itself on seeing the test report. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Col (Dr.) Rakesh Karanwal
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Rakesh Karanwal

Internal Medicine Specialist

Practicing since :1980

Answered : 1357 Questions

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Should I Stop Spironolactone For High Potassium Symptoms?

Brief Answer: Avoid potassium-rich foods as listed below Detailed Answer: Hi Mrs. XXXXXXX Thanks for your query. You have not mentioned the reason for which you are taking spironolactone. I presume that it was prescribed for high blood pressure. Nevertheless, your doctor has taken the right step by ordering blood potassium level test, since Spironolactone- when used for a long time- progressively increase potassium levels in the blood. Further, Sertraline increases potassium levels by reducing sodium levels in the blood. Hence, pending the blood report, you should ideally STOP spironolactone (your treating doctor will prescribe a substitute); and, take a LOW-POTASSIUM DIET. Avoid/restrict the following foods which are rich in potassium :- * Whole-grain breads, wheat XXXXXXX granola and granola bars * Beverages : Sports drinks, soy milk * Snack foods/sweets : Peanut butter, nuts or seeds , chocolate * Fruits : Apricots, avocado, bananas, coconut, kiwi, mango, oranges, orange juice, dried fruits * Vegetables : baked or refried beans, beets, broccoli, sprouts, cabbage (raw), carrots (raw), olives, mushrooms (canned), potatoes, tomato, tomato sauce, tomato juice. * Dairy products : Milk and milk products, buttermilk, yogurt * Shellfish, sea foods and red meat. * Soups : Salt-free soups. I am sure that your treating doctor will modify the doses of current medications or, the prescription itself on seeing the test report. Hope I have addressed your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Col (Dr.) Rakesh Karanwal