Table 2.
Association Between Dose of Spironolactone and Hyperkalemia
| Dose of Spironolactone | Number of Potassium Measurements >5.0 mmol/L/Total Number of Potassium Measurements (%) | Relative Risk (95% CI) | P Value |
|---|---|---|---|
| <100 mg/d | 2/17 (11.8) | 1.0 | |
| 100–200 mg/d | 2/74 (2.7) | 0.23 (0.03–1.52) | 0.13 |
| >200 mg/d | 3/98 (3.1) | 0.26 (0.05–1.44) | 0.12 |
Baseline potassium measurements were excluded. A spironolactone dose of 100 mg/d was the most common starting dose. A dose of spironolactone <100 mg/dL was designated as the reference. There was no increased risk of hyperkalemia with higher spironolactone dose categories.