Table 1.
Result | Action |
Potassium (mEq/L) | |
Participants on chlorthalidone | |
>3.5 | No action |
3.0–3.5 | Remeasure serum potassium in 2 wk. Dietary advice |
<3.0 | Stop drug |
Participants on spironolactone | |
5.5–5.9 | Reduce to alternate days |
6.0–6.5 | Stop for 1 wk and recommence on alternate day if potassium <5 mEq/L on repeat check |
>6.5 | Stop trial drug |
eGFR reduction (%) | |
<25 | No action |
25–30 | Stop trial drug and restart after 1 wk on alternate days |
>30 | Stop trial drug |
Sodium (mmol/L) | |
>135 | No action |
135–130 | Remeasure serum sodium in 2 wk |
<125 | Stop trial drug |