Interaction databaseSupplement × PrescriptionReviewed May 2026

Fluconazole and Potassium, a synergy.

Hypokalemia is a major risk factor for QT prolongation and torsades de pointes, and fluconazole independently prolongs the QT interval. Patients on diuretics, with GI losses, or with renal disease are especially vulnerable. Keeping potassium in the normal range reduces the arrhythmic risk of fluconazole therapy.

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.

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At a glance

Substances
Fluconazole and Potassium
Pair type
Synergy
Evidence (highest tier)
Moderate
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 · Moderate evidence

Synergy

What is happening. Hypokalemia is a major risk factor for QT prolongation and torsades de pointes, and fluconazole independently prolongs the QT interval. Patients on diuretics, with GI losses, or with renal disease are especially vulnerable. Keeping potassium in the normal range reduces the arrhythmic risk of fluconazole therapy.

Mechanism. Low serum potassium prolongs cardiac repolarization. Fluconazole blocks hERG potassium current, also prolonging QT. The two effects are additive on torsades risk.

Recommendation. Have potassium checked before starting fluconazole if you take a diuretic, have vomiting/diarrhea, or have cardiac risk factors. Replace potassium as your clinician directs. Do not self-supplement high-dose potassium without labs.

Sources (2)
  1. Pham CP, et al. Long QTc interval and torsade de pointes caused by fluconazole. Ann Pharmacother. 2006;40(7-8):1456-61. PMID 16849620
  2. Buch T, Andersen SE. Combination therapy with fluconazole and other QTc-prolonging drugs increase the QTc interval. Ugeskr Laeger. 2015;177(41). PMID 26471025

Stack Score

How this pair moves the number.

Effect on the composite score

If both Fluconazole 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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