A 24-year-old female asked:
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if one is taking 50mg of aldactone per day for hirsutism/pcos.how much potassium from food is too much and can 1 day of eating a high potassium meal cause critical increases in serum potassium levels or is it ok if it's short term or a rare mistake?

1 doctor answer
Dr. Hishalah Zvulon
20 years experience Obstetrics and Gynecology
Normal diet: It is hard to say in your case: no chart/history available. However in general, aldactone prescribed to treat hirsutism/PCOS is given to pts with normally-functioning kidneys. If you have chronic kidney disease or approaching kidney failure, then this medication more likely to cause hyperkalemia. If kidneys are normal and your diet is normal/balanced, no problem. Eating 1-2 bananas/day is ok.
Answered on Jul 14, 2020
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Dr. Mazahir Alimohamed
7 years experience Internal Medicine
Agreed, without underlying kidney disease, would be rather difficult to get clinical hyperkalemia with just 1 high potassium meal. Just look how much potassium is in Cheetos!
Jul 14, 2020

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