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Drug interactions

Drospirenone + Potassium iodide

Severity: Moderate

Drospirenone and Potassium iodide: 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

Potassium iodide supplies a potassium load and drospirenone reduces renal potassium excretion. Hyperkalemia is possible, particularly with prolonged use or kidney impairment.

What this interaction means in plain words

Drospirenone and Potassium iodide 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.

Drospirenone belongs to Endocrine; Potassium iodide belongs to Endocrine.

Evidence level: Low

Why it happens

Additive effect: potassium load plus drospirenone anti-mineralocorticoid activity.

What to do

Monitor serum potassium if potassium iodide is used for more than short periods.

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 Drospirenone with Potassium iodide?

MediHelp rates the interaction as moderate. Drospirenone and Potassium iodide 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. Potassium iodide supplies a potassium load and drospirenone reduces renal potassium excretion. Hyperkalemia is possible, particularly with prolonged use or kidney impairment.

How serious is the interaction between Drospirenone and Potassium iodide?

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 if potassium iodide is used for more than short periods.

What other medicines interact with Drospirenone?

MediHelp also lists interactions of Drospirenone with, for example, Belzutifan, Bosentan, Carbamazepine. The full list is on the Drospirenone page.

Full monographs, dosing and an interaction checker in the MediHelp app

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