CITRIC ACID AND POTASSIUM CITRATE

(SIT rik AS id and poe TASS ee um SIT rayt) Brand: Cytra-K, Poly-Citra K Crystals, Polycitra-K

What is the most significant information I must know about citric acid and potassium citrate?

• You must not use this medicine if you have kidney failure, a urinary tract infection, uncontrolled diabetes, a peptic ulcer in your stomach, Addison's malady, severe burns or another tissue injury, if you are dehydrated, if you take determined diuretics (water pills), or if you have tall levels of potassium in your blood (hyperkalemia).

• You must not take citric acid and potassium citrate tablets if you have problems with your esophagus, stomach, or intestines that create it difficult for you to swallow or digest pills.

• Avoid lying down for at least 30 minutes after you take this medication.

• To be certain this medicine is helping your condition, your blood may need to be tested often. Your heart course may also be checked using an electrocardiograph or ECG (sometimes called an EKG) to measure electrical activity of the heart. This test will help your doctor determine how long to treat you with potassium. Do not miss any scheduled appointments.

• Serious side effects of citric acid and potassium citrate include uneven heartbeat, muscle weakness or limp feeling, severe stomach pain, and numbness or tingling in your hands, foots, or near your mouth.

• Do not stop taking this medicine without first talking to your doctor. If you stop taking potassium suddenly, your condition may become worse.

What is citric acid and potassium citrate?

• Citric acid is an alkalinizing agent that create the urine smaller acidic.

• Potassium is a mineral that is found in much foods and is needed for different functions of your body, especially the beating of your heart.

• The combination of citric acid and potassium citrate is used to treat or prevent hypokalemia (low levels of potassium in the blood). Citric acid and potassium citrate is also used to treat digitalis overdose.

• Citric acid and potassium citrate may also be used for another purposes not listed in this medicine guide.

What must I discuss with my healthcare provider till taking citric acid and potassium citrate?

• You must not use this medicine if you are allergic to it, or if you have determined conditions. Be certain your doctor knows if you have:

· tall levels of potassium in your blood (hyperkalemia);

· a serious heart rhythm mess called ventricular fibrillation;

· kidney failure with sodium loss;

· Addison's malady (an adrenal gland disorder);

· a big tissue injury such as a severe burn; or

· if you are severely dehydrated.

• You must not take citric acid and potassium citrate tablets if you have problems with your esophagus, stomach, or intestines that create it difficult for you to swallow or digest pills.

• Till using citric acid and potassium citrate, speak your doctor if you are allergic to any drugs, or if you have:

· kidney disease;

· if you are taking a "potassium-sparing" diuretic (water pill) such as amiloride (Midamor, Moduretic), spironolactone (Aldactone, Aldactazide), triamterene (Dyrenium, Dyazide, Maxzide).

· a urinary tract infection;

· untreated or uncontrolled diabetes;

· a peptic ulcer in your stomach;

· congestive heart failure, enlarged heart, or history of heart attack;

· another heart malady or tall blood pressure;

· diabetes;

· a blockage in your stomach or intestines; or

· chronic diarrhea (such as ulcerative colitis, Crohn's disease).

• If you have any of these conditions, you may need a doze adjustment or particular trials to safely take citric acid and potassium citrate.

• It is not known whether this medicine is deleterious to an unborn child. Speak your doctor if you are pregnant or plan to become pregnant during treatment.

• It is not known whether potassium passes into breast milk or if it could harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

How must I take citric acid and potassium citrate?

• Take this medicine exactly as predesigned by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

• Measure the liquid medication with a particular dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

• The liquid form of this medicine must be mixed with at least 8 ounces (one cup) of cool water or fruit juice. Drink the mixture slowly, over 5 to 10 minutes in all. To create certain you get the entire doze, add a few more water to the same glass, swirl gently and drink right away.

• Citric acid and potassium citrate is generally taken 3 times daily after meals. Follow your doctor's instructions.

• Avoid lying down for at least 30 minutes after you take this medication.

• Your treatment may include a particular diet. It is very significant to follow the diet plan created for you by your doctor or nutrition counselor. You must become very familiar with the list of foods you must ate or avoid to help control your condition.

• Do not stop taking this medicine without first talking to your doctor. If you stop taking potassium suddenly, your condition may become worse.

• Store citric acid and potassium citrate at room temperature away from moisture, heat, or freezing. Hold the medicine in a closed container.

What happens if I miss a dose?

• Take the missed doze as soon as you remember. If it is nearly time for your following doze, wait before then to take the medication and skip the missed doze. Do not take extra medication to create up the missed dose.

What happens if I overdose?

• Search abnormal medical attention if you think you have used too many of this medicine.

• Overdose symptoms may include numbness and tingling, confusion, hard feeling in your arms or legs, muscle weakness, limp feeling, slow heart course, weak pulse, fainting, and slow breathing (breathing may stop).

What must I avoid while taking citric acid and potassium citrate?

• Avoid taking potassium supplements or using another foods or commodity that contain potassium without first asking your doctor. Salt substitutes or low-salt dietary commodity often contain potassium. If you take determined commodity together you may accidentally get too many potassium. Read the label of any another medication you are using to see if it contains potassium.

• You may also need to avoid eating potassium-rich foods while you are taking this medicine. Foods that are tall in potassium include much green leafy vegetables, squash, yams, beets, avocado, lima beans, kidney beans, pinto beans, lentils, split peas, soybeans, papaya, figs, prunes, and fish such as halibut, cod, snapper, and tuna.

• It is very significant to follow the diet plan created for you by your doctor or nutrition counselor. You must become very familiar with the list of foods you should avoid to help control your condition.

What are the possible side effects of citric acid and potassium citrate?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Call your doctor at once if you have any of these serious side effects:

· severe stomach pain, ongoing diarrhea or vomiting;

· black, bloody, or tarry stools;

· coughing up blood;

· quick, slow, or uneven heart rate;

· muscle weakness, pain, or twitching;

· numbness or tingly feeling in your hands or foots, or near your mouth;

· confusion, anxiety, weakness, mood changes, or feeling irritable;

· swelling in your ankles or foots; or

· seizure (convulsions).

• Smaller serious side effects may include:

· mild nausea, vomiting, or upset stomach;

· mild or casual diarrhea; or

· appearance of a citric acid and potassium citrate tablet in your stool.

• This is not a complete list of side effects and others may occur. Speak your doctor about any unusual or bothersome side effect. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect citric acid and potassium citrate?

• The next drugs can interact with citric acid and potassium citrate. Speak your doctor if you are using any of these:

· eplerenone (Inspra);

· candesartan (Atacand), losartan (Cozaar, Hyzaar), valsartan (Diovan), or telmisartan (Micardis);

· quinidine (Quinaglute, Quinidex, Quin-Release);

· an ACE inhibitor such as benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik); or

· any type of diuretic (water pill) such as bumetanide (Bumex), chlorothiazide (Diuril), chlorthalidone (Hygroton, Thalitone), ethacrynic acid (Edecrin), furosemide (Lasix), hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic), indapamide (Lozol), metolazone (Mykrox, Zarxolyn), or torsemide (Demadex).

• This list is not complete and there may be another drugs that can interact with citric acid and potassium citrate. Speak your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal commodity, and drugs predesigned by another doctors. Do not start a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about citric acid and potassium citrate.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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