Significant interaction — talk to your prescriber before combining
Significant documented interaction. Talk to your prescriber before combining these two.
Mechanism and evidence
ACE inhibitors and ARBs lower aldosterone, which normally excretes potassium; adding a potassium supplement can push serum potassium into the arrhythmia range, especially with kidney disease or diabetes.
Evidence tier: pharmacology-standard
No single PMID anchors this pair: the grading rests on established pharmacology (label practice and clinical standard) as agreed with the reviewer.
What to discuss with your prescriber
- Do not take potassium supplements on an ACE inhibitor or ARB without a doctor order and a potassium level.
- This combination is standard pharmacology, not a theoretical edge case.
← All reviewed pairs for ACE inhibitors or ARBs (lisinopril, enalapril, losartan, valsartan)