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POTASSIUM CHLORIDE


DIR Classification


Classification:Moderate-DIQT concern
Severity Score:2.0

Description in Drug Labeling: View Full Labeling: SPL in DailyMed | PDF

  • OVERDOSAGE
  • Symptoms
  • The administration of oral potassium salts to persons with normal excretory mechanisms for potassium rarely causes serious hyperkalemia. However, if excretory mechanisms are impaired, potentially fatal hyperkalemia can result.
  • Hyperkalemia is usually asymptomatic and may be manifested only by an increased serum potassium concentration (6.5- 8.0 mEq/L) and characteristic electrocardiographic changes (peaking of T-waves, loss of P-waves, depression of S-T segment, and prolongation of the QT-interval). Late manifestations include muscle paralysis and cardiovascular collapse from cardiac arrest (9-12 mEq/L).

Postmarketing Surveillance

Contingency Table:

Current Drug
Other Drugs
QT Prolongation
5
24087
Other ADRs
5760
38375827

Odds Ratio = 1.384

Drug Property Information



ATC Code(s):
  • A12BA01 - potassium chloride
    • A12BA - Potassium
    • A12B - POTASSIUM
    • A12 - MINERAL SUPPLEMENTS
    • A - ALIMENTARY TRACT AND METABOLISM
Active Ingredient:POTASSIUM CHLORIDE
Active Ingredient UNII:660YQ98I10
Drugbank ID:DB00761
PubChem Compound:4873
CTD ID:D011189
PharmGKB:PA451055
CAS Number:7447-40-7
Dosage Form(s):capsule, extended release
Route(s) Of Administrator:oral
Daily Dose:
  • 3.0 mg/day A12BA01
Chemical Structure:
SMILE Code:
[Cl-].[K+]

Reference

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[Jung Hyun Min,Paik Jin Hui,Kim Ji Hye,Han Seung Baik]
J Emerg Trauma Shock,Apr-Jun 2015;8(2):108-9. PMID: 25949041

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[Chen Xichuang,Shan Hongli,Zhao Jinlong,Hong Yuan,Bai Yunlong,Sun Iihua,Pan Zhenwei,Zhang Yong,Yang Baofeng,Du Zhimin]
Cell Physiol Biochem,2010;26(6):967-74. PMID: 21220927

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[Takaya Tomofumi,Okamoto Masashi,Yodoi Keiko,Hata Katsuya,Kijima Yoichi,Nakajima Hideto,Nishikawa Yuji,Kita Tomoyuki,Ito Mitsuaki,Seo Toshihiko,Kawashima Seinosuke]
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Assay Drug Dev Technol,2008 Apr;6(2):235-41. PMID: 18471077

8: A cardiovascular monitoring system used in conscious cynomolgus monkeys for regulatory safety pharmacology. Part 2: Pharmacological validation.

[Authier Simon,Tanguay Jean-Francois,Gauvin Dominique,Fruscia Rocky Di,Troncy Eric]
J Pharmacol Toxicol Methods,Sep-Oct 2007;56(2):122-30. PMID: 17587605

9: [An unusual cause of cardiac arrest].

[Campana Andrea,Manzo Michele,Brigante Michele,Marrazzo Natale,Melchiorre Gaetana]
Ital Heart J Suppl,2003 Jun;4(6):510-3. PMID: 19400057

10: Electrocardiographic QT prolongation and sudden death in renal hypokalemic alkalosis.

[Zanolari Calderari Maura,Vigier Rodo O,Bettinelli Alberto,Bianchetti Mario G]
Nephron,2002 Aug;91(4):762-3. PMID: 12138287

11: Normalization of acquired QT prolongation in humans by intravenous potassium.

[Choy A M,Lang C C,Chomsky D M,Rayos G H,Wilson J R,Roden D M]
Circulation,1997 Oct 7;96(7):2149-54. PMID: 9337183

12: Optical mapping of drug-induced polymorphic arrhythmias and torsade de pointes in the isolated rabbit heart.

[Asano Y,Davidenko J M,Baxter W T,Gray R A,Jalife J]
J Am Coll Cardiol,1997 Mar 15;29(4):831-42. PMID: 9091531

13: Electrophysiological and arrhythmogenic effects of the histamine type 1-receptor antagonist astemizole on rabbit Purkinje fibers: clinical relevance.

[Adamantidis M M,Lacroix D L,Caron J F,Dupuis B A]
J Cardiovasc Pharmacol,1995 Aug;26(2):319-27. PMID: 7475058

14: [Myoglobinuria secondary to hypokalemia during prolonged diuretic therapy].

[Rizzi D,Grossi C,Micoli A,Giaculli G]
Minerva Med,1984 Dec 15;75(47-48):2843-6. PMID: 6521955

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