Citrates are alkalinizers used to make the urine less acidic. This drug is used as prophylaxis for kidney stones. This drug can also make the blood more alkaline in order to treat systemic acidosis. This drug requires a prescription.
2 What to Know Before Using
Before taking this drug, the risks and benefits for your body should be discussed with your healthcare provider.
Inform your healthcare provider for any allergic reactions to this medicine or any other medicines, foods, dyes, preservatives, or animals. Carefully read the label of non-prescription drugs for any possible allergic reaction or contraindications.
The effects of this drug are not expected to cause different side effects or problems in children than in adults. Due to lack of studies, it is not known whether this drug works exactly the same way they do in younger adults or if they cause different side effects or problems in the elderly.
Studies on the effects of this drug have not been done on pregnant humans or animals. It is still unknown whether citrates are passed into the breast milk while this drug has not been reported to cause effects in nursing babies.
Taking this drug with other drugs is not recommended. If it cannot be avoided, ask you healthcare provider to change the dose, or advise other precautions. Inform your healthcare professional if you are taking any other prescription or non-prescription drugs.
Intake of specific food or using alcohol or tobacco with citrate is associated with an increased risk of certain side effects. Your healthcare professional can give you special instructions about the use of food, alcohol, or tobacco.
Inform your doctor of any other current medical problems such as Addison's disease, Type 2 diabetes mellitus, kidney disease, heart problems, edema, hypertension, intestinal or esophageal blockage, somach ulcer or other stomach problems, or urinary tract infections.
Swallow this drug wholly in tablet form and refrain from crushing, chewing, or sucking it. This drug must be taken with a full glass of water to prevent it from sticking to your throat as this might cause severe irritation.
The liquid form of this drug must be diluted with a full glass of water or juice and drink. You can chill this drug for better taste but do not let it freeze. If the drug is in crystal form, add and stir well the contents of one packet to at least 6 ounces of cool water or juice.
This drug must be taken immediately after a meal or within 30 minutes after a meal or bedtime snack to prevent any stomach pain or a laxative effect.
It is recommended to increase fluid intake every hour to increase urine output and help prevent kidney stones.
This drug must be taken exactly as prescribed by your doctor. The dose of this drug will be variable for different patients. The directions on the label or the prescription by your healthcare professional should be followed.
The dosage of this drug you take depends on the medical problem for which you are using this drug. Potassium citrate tablets are used to make the urine less acidic and to prevent kidney stones.
1.08 to 2.16 grams three times a day with meals are prescribed to adults. Some people may take 1.62 grams four times a day with meals or within thirty minutes after a meal or bedtime snack. The dosage must not exceed 10.8 grams a day. Adults and children using potassium citrate or citric acid are prescribed with 2 to 3 teaspoonfuls of solution, mixed with water or juice, four times a day, after meals and at bedtime.
Dosage for children must be determined by your healthcare professional.
Consult with your healthcare professional for the correct dosage if you are taking any other form of this drug.
A missed dose should be taken as soon as possible. However, skip the missed dose and go back to your regular dosing schedule if it is almost time for your next dose.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing. Keep out of the reach of children. Dispose any outdated or expired drugs and ask your healthcare professional for the proper disposal of the drugs.
4 Precautions to Take
Consult with your healthcare professional to check your progress and if the drug is working appropriately and to decide if you should continue to use it.
Refrain from eating salty foods or adding extra table salt on your food while you are taking citrates. This will help in preventing the development of kidney stones and unwanted effects.
Consult with your healthcare professional before starting any strenuous physical exercise, especially if you are out of condition and are taking any other medication as these can increase the potassium level in the blood.
Consult with your healthcare professional before using salt substitutes and low-salt milk.
Inform your healthcare professional immediately if you experience any signs of gastrointestinal bleeding such as black, tarry stools or other signs of bleeding while taking the tablet form of this drug.
Do not be alarmed if you notice what appears to be a whole tablet in the stool after taking potassium citrate tablets. Your body has received the proper amount of medicine from the tablet and has expelled the tablet shell.
Also, consult with your doctor if you are on a potassium-restricted or sodium-restricted diet.
5 Potential Side Effects
Side effects may vary for each individual and prompt medical attention should be given if they occur.
Contact emergency medical services if you experience symptoms of abdominal or stomach pain, cramping, or black, tarry stools, or vomiting with blood.
Some side effects may occur that usually do not need medical attention as these may go away during treatment as your body adjusts to the drug. Consult with your healthcare professional about ways to prevent or reduce some of these side effects.
If any of the following side effects persists, or are inconvenient, or if you notice any other effects, or if you have any questions about them, consult with your health care professional. Report any side effects to the FDA hotline at 1-800-FDA-1088.
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