Can I take 1.5mg and Spironolactone together?
Drug interaction guide
Originally published 14 Mar 2026
Meets Patient’s editorial guidelines
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Taking these two medicines together can cause your potassium levels to become dangerously high (hyperkalaemia). It can also lead to a significant drop in blood pressure and may affect how well your kidneys work.
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Why this happens
Both medicines work to lower blood pressure, so their effects add together. More importantly, both drugs stop the body from getting rid of potassium. Spironolactone is a 'potassium-sparing' diuretic, and Ramipril (an ACE inhibitor) also causes the body to retain potassium. When used together, potassium can build up to levels that are unsafe for the heart.
What you should do
Back to contentsYou must only take these two medicines together if they have been specifically prescribed by your doctor with full knowledge of both. You will need regular blood tests to monitor your potassium levels and kidney function. If you feel dizzy, lightheaded, or notice an irregular heartbeat, contact your doctor immediately.
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Using other medicines
Back to contentsTaking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
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Article history
The information on this page is written and peer reviewed by qualified clinicians.
14 Mar 2026 | Originally published

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