Dofetilide and Potassium, a synergy.
Dofetilide prolongs the QT interval and can cause torsades de pointes, particularly when potassium is low. Maintaining normal serum potassium is a core safety measure during dofetilide initiation and ongoing therapy. Potassium supplements should be treated like a monitored medication because both low and high potassium can be dangerous.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.
From the interaction database
What the row says.
Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.
At a glance
- Substances
- Dofetilide and Potassium
- Pair type
- Synergy
- Evidence (highest tier)
- Strong
- Source citations
- 2 sources
- Stack Score effect
- +2 to your Stack Score (per scored synergy row).
- Scope
- Supplement × Prescription
- Last verified
- May 30, 2026
Synergy · Strong evidence
Synergy
What is happening. Dofetilide prolongs the QT interval and can cause torsades de pointes, particularly when potassium is low. Maintaining normal serum potassium is a core safety measure during dofetilide initiation and ongoing therapy. Potassium supplements should be treated like a monitored medication because both low and high potassium can be dangerous.
Mechanism. Dofetilide is a selective IKr blocker. Hypokalemia further suppresses repolarizing potassium current and increases early afterdepolarizations, making torsades more likely.
Recommendation. Keep potassium in the normal range and follow your prescriber's lab-monitoring plan, especially during dofetilide initiation, dose changes, illness with vomiting or diarrhea, or diuretic use. Do not start potassium supplements unless your clinician is monitoring your blood level and kidney function.
Sources (2)
- Jaiswal A, Goldbarg S. Dofetilide induced torsade de pointes: mechanism, risk factors and management strategies. Indian Heart J. 2014;66(6):640-648. PMID 25634399
- Tisdale JE. Drug-induced QT interval prolongation and torsades de pointes: Role of the pharmacist in risk assessment, prevention and management. Can Pharm J (Ott). 2016;149(3):139-152. PMID 27212965
Stack Score
How this pair moves the number.
Effect on the composite score
If both Dofetilide and Potassium are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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