diff --git a/include/mbedtls/config.h b/include/mbedtls/config.h
index 50239e1ff..0cc8351d3 100644
--- a/include/mbedtls/config.h
+++ b/include/mbedtls/config.h
@@ -333,6 +333,16 @@
  *            dependencies on them, and considering stronger message digests
  *            and ciphers instead.
  *
+ * \warning   If both MBEDTLS_ECDSA_SIGN_ALT and MBEDTLS_ECDSA_DETERMINISTIC are
+ *            enabled, then the deterministic ECDH signature functions pass the
+ *            the static HMAC-DRBG as RNG to mbedtls_ecdsa_sign(). Therefore
+ *            alternative implementations should use the RNG only for generating
+ *            the ephemeral key and nothing else. If this is not possible, then
+ *            MBEDTLS_ECDSA_DETERMINISTIC should be disabled and an alternative
+ *            implementation should be provided for mbedtls_ecdsa_sign_det_ext()
+ *            (and for mbedtls_ecdsa_sign_det() too if backward compatibility is
+ *            desirable).
+ *
  */
 //#define MBEDTLS_MD2_PROCESS_ALT
 //#define MBEDTLS_MD4_PROCESS_ALT