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Therapeutic action
- Potassium supplement
Indications
- Hypokalaemia induced by :
- thiazide diuretics (e.g. hydrochlorothiazide)
- loop diuretics (e.g. furosemide)
Forms and strengths
- 600 mg potassium chloride sustained-release tablet (8 mmol of K+)
Dosage
- Adult: 15 to 25 mmol daily = 1 tablet 2 to 3 times daily
- Do not exceed indicated doses if potassium serum levels cannot be measured.
Duration
- According to clinical response and duration of diuretic treatment
Contra-indications, adverse effects, precautions
- Administer with caution and reduce dosage in elderly patients and in patients with renal impairment (risk of hyperkalaemia).
- Do not combine with spironolactone and angiotensin-converting-enzyme inhibitors (e.g. enalapril).
- May cause: hyperkalaemia, gastroduodenal ulcerations, diarrhoea, nausea and vomiting.
- Pregnancy: no contra-indication
- Breast-feeding: no contra-indication
Remarks
- Take with or at the end meals in order to reduce the risk of gastrointestinal ulcerations.
- Hypokalaemia is defined as a serum potassium concentration below 3.5 mmol/litre.
- If tablets are not available, a lack of potassium may be corrected by a diet rich in dates, bananas, mangos, oranges, tomatoes, etc.