A high-K plan does not override the pregnancy box
If the test is positive, enalapril stops. A salt-sub conversation is over. The pregnancy scan is that boxed warning.
The panel can sit next to this kitchen card. Chart the INN so a later dietitian sees the ACE.
A thiazide on the list changes the mean, not the rule
Enalapril alone raised mean potassium about 0.2 mEq/L over up to 48 weeks. With a thiazide, the mean change was essentially none. Averages do not bless a salt substitute on 20 mg.
Loops waste potassium. ACE inhibitors can hold it. The net is still a number. Do not freelance ions from the aisle because a loop 'cancels' the ACE.
A regular meal is not this warning
Food does not block enalapril absorption. That job is the food scan. This page is only the potassium shaker.
Bananas and potatoes belong in a diet talk. They are not the labelled salt-substitute sentence. Do not ban a fruit from this card and then use lite salt freely.
What the patient block already forbids
Do not use salt substitutes that contain potassium unless the prescriber said yes. That is a labelled counseling line, not a food-blog caution. 'Lite salt' and some heart-healthy shakers are potassium chloride.
Bring the bottle to the visit. A green lid is not a lab. The potassium scan has the 5.7 cut. The renal-lane signal is the combined watch.
Which stacks the label names
Spironolactone, triamterene, amiloride, potassium tablets, and potassium salt substitutes. If hypokalemia is proven and those agents are still needed, the label wants caution and frequent potassium checks.
In heart failure, potassium-sparing agents should generally not be used with VASOTEC. That sentence is stronger than a kitchen maybe. Someone has to own the draws if both stay.
Who is already closer to a high K
Renal insufficiency and diabetes are named risk factors. They do not need a salt substitute to get into trouble. Adding one is how a Friday BMP surprises everyone.
GFR 30 mL/min or below also changes the enalapril start to 2.5 mg on the hypertension table. The creatinine scan has that row. Twenty milligrams is not a kitchen experiment.