• Drug interactions
  • Neonatal Intensive Care Drug Manual




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    Contraindications

    Hyperkalaemia.(3)

    Hyperadrenalism associated with adrenogenital syndrome.

    Tissue breakdown.

    Acute dehydration.

    Renal impairment with oliguria and azotaemia.

    Untreated Addison's disease.

    Ventricular fibrillation.

    Atrioventricular or intraventricular heart block.

    Conditions with increased sensitivity to potassium : Adynamia episodica hereditaria, congenital paramyotonia (3)


    Precautions

    Renal impairment, adrenal insufficiency, impaired potassium excretion, heart block associated disease, bradycardia; cardiac, renal, sickle cell disease, acidosis.(3)

    Drug interactions

    Potassium sparing diuretics, including spironolactone: Increase serum potassium.

    Amphotericin B Liposomal: – Can cause hypokalaemia.(4)

    Doxapram: Can cause hypokalaemia.(5)

    ACE inhibitors, including enalapril and captopril: Elevate serum potassium.

    Beta adrenergic blockers: - Increase both peak serum potassium and the time required for serum potassium to return to basal levels.

    Nonsteroidal anti-inflammatory drugs (NSAIDs): May cause hyperkalaemia by inducing secondary hypoaldosteronism.

    Heparin: Reduces the synthesis of aldosterone which may result in hyperkalaemia.

    Digitalis glycosides: Potassium supplements are not recommended for concurrent use in digitalised patients with severe or complete heart block. In treating hyperkalaemia in digitalised patients, too rapid a lowering of the serum potassium concentration can produce digitalis toxicity.(3)

    Sodium bicarbonate: Concurrent use may decrease serum potassium.



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    Neonatal Intensive Care Drug Manual

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