A member asked:

I have hypertension i take enalapril 10mg each day. my doctor prescribed me bactrim 800/160 12hrs for 6 days for urinary infection. i found out that this combination can cause hyperkalemia. i only took one dose. should i worry ?

2 doctors weighed in across 2 answers

I think you can keep taking your medications. I've never seen clinically significant hyperkalemia in this particular case. Of course, the underlying medical conditions should be considered; but, if your doctor prescribed you those medications you should be fine.

Answered 5/20/2021

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Bactrim has been known to cause hyperkalemia. This is uncommon. However, the risk may be increased if combined with ACE inhibitor or ARB which have a greater potential to increase serum potassium. Please ask your physician about the need for any special precautions.

Answered 5/20/2021

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