Supplements and diuretics.
Diuretics change the body’s mineral balance, and that is where supplements meet them. Loop diuretics (furosemide) and thiazides (bendroflumethiazide) increase the loss of magnesium, potassium and zinc in the urine, so replacing these can be sensible, but it should be tracked with blood tests rather than guessed. Thiazides do the opposite with calcium, holding onto it, so calcium and high-dose vitamin D can push blood calcium too high.
The one to take seriously is potassium with a potassium-sparing diuretic (spironolactone, eplerenone, amiloride): together they can raise blood potassium to a dangerous level, so this is a combination to avoid without monitoring. Blood-pressure-lowering supplements (beetroot, hibiscus, taurine) can also stack on top of a diuretic’s effect, and lithium levels rise with thiazides. Most of this is manageable with the right blood tests; we flag the ones that are not.
How we grade severity, choose what's in scope, and what we exclude.
Every call on this page is reasoned. We publish the full rubric for severity tiers, the medication inclusion logic, the evidence grades we accept, and what we deliberately leave out. About three thousand words. Worth reading once if you use this tool more than occasionally.
Read the full methodologyWant this checked across everything you take?
This page checks the pairs you enter. The personalised Distil report goes further:
- the same graded, cited interaction check across your whole stack, not just the pairs you thought to type in
- where your current routine may be leaving you short of your goals
- the evidence-backed compounds worth adding, and the ones worth dropping
It's a paid report: £79, or £49 for the first 25 customers. The interactions check is one section of it, and you can read a real one in full before you buy.
See a real sample reportSomething missing?
If a supplement or medication you take isn't in our autocomplete, tell us. We go through what people flag every week and add what's missing.