furosemide and spironolactone

[Asterix]

Anyone ever seen the combination, thought it would be one or the other for balance of diuresis. Also if loop was casuing low k all the time, you would switch to spironolactone no.

[Nik]

Combination is sometimes seen together, particularly in heart failure and for treatment of ascites due to alcoholic liver disease. Spironolactone on its own is not a potent diuretic to cover for the indications furosemide has. If pt's were consistently getting low K+ would consider switching to something like co-amilofruse.