HealthRX.com · Printable lab tracker
Spironolactone potassium lab tracker for acne use
Use this sheet to record potassium and kidney test dates and results while taking spironolactone for acne. Bring it to your prescriber or pharmacist to review your monitoring questions and lab follow-up.
Medicine and contacts
Copy names exactly from your label and lab forms.
Reason for useWrite the reason your prescriber gave you
Other medicines, supplements and salt substitutesList every one you use, including over the counter products
Before each blood test
Use this list the day before and the morning of each lab visit.
- Bring the lab request or order from your prescriber
- Note any potassium supplements, salt substitutes or new medicines you started
- Write down any symptoms you noticed since the last test
- Confirm with the lab where and when you should go
- Check with your pharmacist that your full medicine list is current
- Bring this sheet and your current medicine list to the visit
Test results and follow-up
Copy results and units exactly as the lab reports them.
| Test date | Potassium result | Kidney result | Advice given | Next test date |
|---|---|---|---|---|
Questions for your prescriber or pharmacist
- How often should my potassium be checked while I take this medicine?
- Which lab results would make you change my dose or stop the medicine?
- Should I avoid potassium supplements or salt substitutes with this medicine?
- Do any of my other medicines affect my potassium levels?
- Does my kidney function change how often I need blood tests?
- Does this medicine affect any other medicine I take, such as lithium?
- What symptoms should prompt me to call you before my next test?
- Who should I contact if a lab result comes back outside the expected range?
This sheet records information for a conversation with your prescriber or pharmacist. It does not replace their instructions or the medication's prescribing information.