Is it possible to combine the drugs Noliprel Bi-Forte and Espiro?

The use of eplerenone (the active ingredient in Espiro) together with perindopril (one of the active ingredients in Noliprel Bi Forte) may increase the level of potassium in the blood, leading to hyperkalaemia, which in severe cases can lead to kidney failure, muscle paralysis, irregular heart rhythm and cardiac arrest. The risk of developing this condition may be increased by old age, dehydration, kidney disease, diabetes, advanced heart failure, and regular or long-term use of non-steroidal anti-inflammatory drugs such as ibuprofen (https://www.gdziepolek.pl/substancje/ibuprofen) or naproxen (https://www.gdziepolek.pl/substancje/naproksen). It is important, especially during long-term treatment with these drugs, to maintain an adequate fluid supply. In addition, it is worth consulting a doctor and determining whether you should limit the consumption of foods rich in potassium, such as tomatoes, raisins, figs, potatoes, lima beans, bananas, papayas, pears and salt substitutes containing potassium . You may also need to adjust your dose or monitor your doctor more frequently. If you experience symptoms of hyperkalemia, such as nausea, vomiting, weakness, confusion, tingling of the hands and feet, heaviness in the legs, weak pulse or slow or irregular heartbeat, you should see a doctor immediately. Below are the leaflets of drugs and useful materials: https://www.gdziepolek.pl/produkty/54343/noliprel-bi-forte-tabletki-powlekane/ulotka https://www.gdziepolek.pl/produkty/27638/espiro-tabletki-powlekane/ulotka https://www.gdziepolek.pl/artykuly/czy-mozna-laczyc-leki-ze-soba