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drug interaction(s) of spironolactone with trimethoprim

Drug interactions: - spironolactone in combination with trimethoprim (including trimethoprim/sulfamethoxazole) potentiates hyperkalemia in the elderly - combination increases risk of sudden death in elderly [2]

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DRUGS: spironolactone trimethoprim

References

  1. Antoniou T et al. Trimethoprim-sulfamethoxazole induced hyperkalaemia in elderly patients receiving spironolactone: Nested case-control study. BMJ 2011 Sep 12; 343:d5228 PMID: 21911446
  2. Antoniou T et al. Trimethoprim-sulfamethoxazole and risk of sudden death among patients taking spironolactone. CMAJ 2015 Mar 3; 187:E138 PMID: 25646289 http://www.cmaj.ca/content/187/4/E138