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ACE inhibitor and potassium supplement — GPhC CRA MCQ

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ModerateDrug InteractionsACE inhibitor and potassium supplementGPhC CRA

A patient taking ramipril and spironolactone asks to buy potassium tablets because of leg cramps. His renal function is reduced. What is the most important interaction to flag?

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Correct answer: CPotassium supplements can increase hyperkalaemia risk with ramipril and spironolactone

ACE inhibitors and potassium-sparing diuretics both increase potassium. Adding potassium supplements without blood tests and clinical review may cause dangerous hyperkalaemia, especially in renal impairment. Leg cramps should be assessed rather than self-treated with potassium.

Reference: BNF