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Drug interactions

Deflazacort + Sodium polystyrene sulfonate

Severity: Moderate

Deflazacort and Sodium polystyrene sulfonate: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Sodium polystyrene sulfonate removes potassium through the gut and corticosteroids increase renal potassium excretion, so hypokalemia may be more pronounced. Sodium load from the resin may also add to corticosteroid-related fluid retention.

What this interaction means in plain words

Deflazacort and Sodium polystyrene sulfonate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Deflazacort belongs to Miscellaneous; Sodium polystyrene sulfonate belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Additive potassium lowering through cation exchange in the colon and corticosteroid-induced kaliuresis.

What to do

Monitor serum potassium regularly and stop or reduce the resin when potassium approaches the normal range.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Deflazacort with Sodium polystyrene sulfonate?

MediHelp rates the interaction as moderate. Deflazacort and Sodium polystyrene sulfonate can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Sodium polystyrene sulfonate removes potassium through the gut and corticosteroids increase renal potassium excretion, so hypokalemia may be more pronounced. Sodium load from the resin may also add to corticosteroid-related fluid retention.

How serious is the interaction between Deflazacort and Sodium polystyrene sulfonate?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum potassium regularly and stop or reduce the resin when potassium approaches the normal range.

What other medicines interact with Deflazacort?

MediHelp also lists interactions of Deflazacort with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Deflazacort page.

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