Indication
Prevention of gout and kidney
stones, Urine alkalinization, Renal tubular acidosis
Administration
Dilute oral solution in water
according to directions, followed by additional water, if desired Proper
dilution may help prevent gastrointestinal injury associated with the oral
ingestion of concentrated potassium salt preparations Palatability enhanced if
chilled
Adult Dose
Urinary Alkalinization Indicated
for long-term maintenance of an alkaline urine (eg, patients with uric acid and
cystine calculi of the urinary tract), especially when the administration of
sodium salts is undesirable or contraindicated Usual dose: 15-30 mL PO diluted
with 1 glass of water QID (after meals and at bedtime)
Child Dose
Urinary Alkalinization Indicated
for long-term maintenance of an alkaline urine (eg, patients with uric acid and
cystine calculi of the urinary tract), especially when the administration of
sodium salts is undesirable or contraindicated Usual dose: 5-15 mL PO diluted
with one-half glass of water QID (after meals and at bedtime)
Contraindication
The drug is contraindicated in
severe renal impairment with oliguria or azotemia, untreated Addison's disease,
acute dehydration, severe myocardial damage, and hyperkalemia from any cause.
Mode of Action
Potassium citrate is absorbed and
metabolized to potassium bicarbonate and this acts as a systemic alkalizer .
Precaution
The solution should be used with
caution in patients with low urinary output. It should be diluted adequately with
water to minimize the possibility of gastrointestinal injury associated with
the oral ingestion of concentrated potassium salt preparations; and preferably,
to take each dose after meals. Large doses may cause hyperkalemia and
alkalosis, especially in the presence of renal disease. Lactation: Unknown
whether distributed in breast milk
Side Effect
This solution is generally well
tolerated without any unpleasant side effect when given in recommended doses to
patients with normal renal function and urinary output. However, as with any
alkalinizing agent, caution must be used in certain patients with abnormal
renal mechanisms to avoid development of hyperkalemia or alkalosis. Potassium
intoxication causes listlessness, weakness, mental confusion, tingling of
extremities, and other symptoms associated with a high concentration of
potassium in the serum.
No review given yet!
You need to Sign in to view this feature
This address will be removed from this list