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2.2.4 Potassium-sparing diuretics with other diuretics

ChoiceDrug
1st choiceCo-amilofruse tablets
2.5/20 (amiloride 2.5mg, furosemide 20mg) 5/40 (amiloride 5mg, furosemide 40mg)

Prescribing Notes

  • Where combinations of diuretics with amiloride are prescribed generically, the prescriber must state the dose and strength required.
  • Combination products containing a diuretic plus potassium do not contain sufficient potassium to reliably correct hypokalaemia and are not recommended.
  • Diuretics should not be used on a long-term basis to treat simple gravitational oedema. This will usually respond to increased ambulation, raising the legs and support stockings.
  • Counsel patients on ‘sick day guidance’ with diuretics

Cautions