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Drug interactions

Drospirenone + Sulphasalazine

Severity: Minor

Drospirenone and Sulphasalazine: minor 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

Drospirenone has antimineralocorticoid activity and can raise potassium. Sulfasalazine has no established potassium-raising effect, so the combination adds little beyond drospirenone's own risk.

What this interaction means in plain words

Drospirenone and Sulphasalazine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Drospirenone belongs to Endocrine; Sulphasalazine belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

No established mechanism; hyperkalemia risk arises from drospirenone's antimineralocorticoid action.

What to do

Monitor potassium only if other risk factors such as renal impairment or other potassium-raising drugs are present.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Sulphasalazine?

MediHelp rates the interaction as minor. Drospirenone and Sulphasalazine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Drospirenone has antimineralocorticoid activity and can raise potassium. Sulfasalazine has no established potassium-raising effect, so the combination adds little beyond drospirenone's own risk.

How serious is the interaction between Drospirenone and Sulphasalazine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor potassium only if other risk factors such as renal impairment or other potassium-raising drugs are present.

What other medicines interact with Sulphasalazine?

MediHelp also lists interactions of Sulphasalazine with, for example, Deferiprone, Pexidartinib, Sepiapterin. The full list is on the Sulphasalazine page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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