How many milliequivalents (mEq) of potassium are in 1 banana?

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Potassium Content in One Banana

One medium banana contains approximately 450 mg of potassium, which equals about 12 mEq (milliequivalents) of potassium. 1

Clinical Context and Significance

Potassium Content Details

  • A medium-sized banana provides roughly 450 mg (12 mmol or 12 mEq) of potassium 1
  • Bananas are classified as high-potassium foods, as they contain well over 200 mg per serving 2
  • This makes bananas one of the most concentrated dietary sources of potassium among commonly consumed fruits 2

Relevance for Dietary Planning

For patients requiring potassium restriction:

  • Bananas should be avoided or strictly limited in patients with chronic kidney disease (CKD) stages 2-5, particularly those at risk for hyperkalemia 2
  • A single banana can represent a significant portion of the recommended daily potassium restriction (typically 2,000-3,000 mg or 50-75 mmol/day for adults with hyperkalemia) 2
  • Other high-potassium foods to restrict alongside bananas include oranges, potatoes, tomato products, legumes, lentils, yogurt, and chocolate 2

For patients requiring increased potassium intake:

  • Four to five servings of fruits and vegetables daily typically provide 1,500 to >3,000 mg of potassium 2
  • Dietary potassium from whole foods like bananas is preferred over supplementation for blood pressure management 2, 1
  • The recommended adequate intake for adults is 4,700 mg/day (approximately 120 mEq/day) 2

Important Clinical Caveats

Contraindications for high-potassium foods:

  • Patients with advanced chronic kidney disease should avoid excessive potassium intake from bananas and other high-potassium foods 1
  • Those taking potassium-sparing diuretics, ACE inhibitors, or angiotensin receptor blockers are at increased risk for hyperkalemia and may need to limit banana consumption 2, 1
  • Severe hyperkalemia (serum potassium ≥5.0 mEq/L) can cause life-threatening cardiac arrhythmias and requires urgent dietary restriction 2, 3

When to recommend bananas:

  • Patients with hypertension and normal renal function benefit from increased dietary potassium through fruits like bananas 2
  • Individuals on thiazide diuretics without renal impairment may need additional dietary potassium to prevent hypokalemia 1, 4

References

Guideline

Potassium Chloride Syrup Dosing for Hypokalemia

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Potassium Disorders: Hypokalemia and Hyperkalemia.

American family physician, 2023

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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