Spiretic Spironolactone Lisinopril
MajorAdditive potassium retention can cause severe hyperkalaemia and renal impairment, especially in the elderly, diabetic or CKD patients.
These medicines can affect each other in a serious way. Do not start taking them together unless your doctor has said it is OK. If you already take both, do not stop either one on your own: speak to your doctor or pharmacist soon.
Clinical management: Monitor potassium and creatinine closely at baseline, 1 week and regularly thereafter; use low spironolactone doses.