A 26-year-old woman is started on the DRSP 4 mg POP and is also taking spironolactone for acne. What precaution is needed?...

Question

A 26-year-old woman is started on the DRSP 4 mg POP and is also taking spironolactone for acne. What precaution is needed?

Accepted Answer

Monitor urea and electrolytes - both drospirenone and spironolactone have potassium-sparing effects, increasing hyperkalaemia risk

Answer

No precaution is needed

Answer

Switch to a different POP; the combination is absolutely contraindicated

Answer

Double the spironolactone dose

Answer

The spironolactone reduces POP efficacy

uk-dfsrh MCQ (SBA): Drospirenone POP Spironolactone Hyperkalaemia Risk