CITRIC ACID, POTASSIUM CITRATE, AND SODIUM CITRATE

(SIT rik AS id, poe TASS ee um, and SOE dee um SIT rayt) Brand: Cytra-3, Polycitra, Polycitra-LC, Tricitrates

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

• You must not use this medicine if you have severe kidney malady, severe heart hurt (such as from a prior heart attack), Addison's malady (an adrenal gland disorder), tall levels of potassium or sodium in your blood, or if you are severely dehydrated.

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

• Till you take citric acid, potassium citrate, and sodium citrate, speak your doctor about all your medical conditions, especially kidney malady, heart malady, tall blood pressure, a history of heart onslaught, urinary problems, diabetes, swelling (edema), urination problems, stomach ulcer or chronic diarrhea (such as ulcerative colitis, Crohn's disease), or if you are on a low-salt diet.

• Also speak your doctor about all another medications you use, including antacids, heart or blood pressure medications, or a diuretic (water pill).

• To be certain this medicine is helping your condition, your blood and urine 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. Follow your doctor's instructions carefully and do not miss any scheduled appointments.

• Serious side effects of citric acid, potassium citrate, and sodium citrate include numbness or tingly feeling, swelling or rapid weight gain, muscle twitching or cramps, quick or slow heart course, confusion, or mood changes, bloody or tarry stools, severe stomach pain, ongoing diarrhea, or seizure (convulsions).

What is citric acid, potassium citrate, and sodium citrate?

• Citric acid and sodium citrate are alkalinizing agents 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, potassium citrate, and sodium citrate is used to prevent gout or kidney stones, or metabolic acidosis in people with kidney problems.

• Citric acid, potassium citrate, and sodium 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, potassium citrate, and sodium citrate?

• You must not use this medicine if you are allergic to it, or if you have:

· severe kidney disease;

· severe heart hurt (such as from a prior heart attack);

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

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

· tall levels of sodium in your blood (hypernatremia); or

· if you are severely dehydrated.

• If you have determined conditions, you may need a doze adjustment or particular trials to safely take this medicine. Till you take citric acid, potassium citrate, and sodium citrate, speak your doctor if you have:

· kidney disease;

· low levels of calcium in your blood (hypocalcemia);

· congestive heart failure, heart rhythm problems, or history of heart attack;

· another heart malady or tall blood pressure;

· diabetes;

· a peptic ulcer in your stomach;

· swelling of your hands or foots, or in your lungs (pulmonary edema);

· toxemia of pregnancy;

· urination problems (or if you are unable to urinate);

· chronic diarrhea (such as irritable bowel malady, ulcerative colitis, Crohn's disease); or

· if you are on a low-salt diet.

• 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 this medicine 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, potassium citrate, and sodium 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.

• Citric acid, potassium citrate, and sodium citrate must be taken after meals to help prevent stomach or intestinal side effects. You may also need to take the medication at bedtime. Follow your doctor's instructions.

• 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 medication must be mixed with at lease 4 ounces of water or juice. Drink this mixture slowly and then add a few more water to the same glass, swirl gently and drink right away.

• You may chill the mixed medication to create it taste better, but do not let it to freeze.

• 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, potassium citrate, and sodium 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 you are more than 2 hours late in taking your medication, wait before your following scheduled time 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 muscle cramps or twitching, slow heart course, and seizure (convulsions).

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

• Avoid using antacids without your doctor's advice, including household baking soda (sodium bicarbonate). Antacids that contain aluminum or sodium can interact with citric acid, potassium citrate, and sodium citrate, causing a serious electrolyte imbalance or aluminum toxicity.

• 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.

• Avoid eating foods that are tall in salt, or using extra table salt on your meals.

• It is very significant to follow any 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.

What are the possible side effects of citric acid, potassium citrate, and sodium 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:

· swelling, rapid weight gain;

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

· muscle twitching or pain, leg pain or cramps;

· quick, slow, or uneven heart rate;

· unusual weakness, rapid and shallow breathing, dizziness, confusion, or mood changes;

· feeling restless, nervous, or irritable;

· black, bloody, or tarry stools;

· coughing up blood or vomit that looks like coffee grounds;

· severe stomach pain, ongoing diarrhea or vomiting; or

· seizure (convulsions).

• Smaller serious side effects may include:

· nausea, or vomiting, stomach pain;

· mild or casual diarrhea; or

· mild stomach pain.

• 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, potassium citrate, and sodium citrate?

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

· eplerenone (Inspra);

· digoxin (digitalis, Lanoxin);

· drospirenone (Angelique, Yasmin, Yaz);

· lithium (Eskalith, LithoBid);

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

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

· cool or allergy medication (decongestants), diet pills, ADHD medication;

· salicylates such as aspirin, Backache Relief Extra Power, Novasal, Nuprin Backache Caplet, Doan's Pills Extra Power, Tricosal, and others;

· a vitamin, mineral supplement, or medicine that contains potassium;

· 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);

· a diuretic (water pill) such as amiloride (Midamor), spironolactone (Aldactone, Aldactazide), or triamterene (Dyrenium); or

· an antacid that contains aluminum or sodium, including Alka-Seltzer, Maalox, Mylanta, Di-Gel, Gelusil, Alamag Plus, Rulox Plus, Tempo, and others.

• This list is not complete and there may be another drugs that can interact with citric acid, potassium citrate, and sodium 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, potassium citrate, and sodium 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.

(7)