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. 2021 Oct;16(10):1491–1501. doi: 10.2215/CJN.01930221

Table 1.

Treatment modification for potassium, eGFR, and sodium levels

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