Potassium Citrate For Kidney Stones: Examples


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Examples


Brand Name Generic Name
Urocit-K potassium citrate

How It Works


Potassium citrate attaches to calcium in the urine, preventing the formation of mineral crystals that can develop into kidney stones.

Potassium citrate also prevents the urine from becoming too acidic. This helps prevent uric acid or cystine kidney stones from forming.


Why It Is Used


Potassium citrate may prevent the formation of:

  • Calcium stones in people who have too little citrate in their urine.
  • Uric acid stones or cystine stones in people who have urine that is too acidic.

Potassium citrate may be used to replace potassium that is lost when a thiazide medication is used to prevent kidney stones.


How Well It Works


In one study, potassium citrate reduced calcium stones by 90%. 1 How well it works to prevent or reduce uric acid and cystine stones is less well known.


Side Effects


The liquid form of potassium citrate may cause nausea, vomiting, diarrhea, or gas.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)


What To Think About


You can also control the level of acid in your urine by taking baking soda. But potassium citrate has fewer side effects.

You will have to monitor your urinary acidity ( pH) to keep the pH between 6.0 and 7.0 while taking potassium citrate. If your urine pH is much lower than 6.0 or higher than 7.0, kidney stones are more likely to form.

You may be able to reduce or prevent side effects commonly caused by potassium citrate, such as nausea, bloating, or gas, by adding water to the medicine or taking it with food.

Drinking 4°fl oz (118.3°mL) of frozen concentrate lemonade in 1°qt (1°L) of water per day is also a way of increasing potassium citrate in your body.

Complete the new medication information form (PDF) Click here to view a form. (What is a PDF document?) to help you understand this medication.


References


Citations

  1. Spector DA (2007). Urinary stones. In NH Fiebach et al., eds., Principles of Ambulatory Medicine, 7th ed., pp. 754–766. Philadelphia: Lippincott Williams and Wilkins.


Credits


Author Monica Rhodes
Editor Kathleen M. Ariss, MS
Associate Editor Pat Truman
Primary Medical Reviewer Adam Husney, MD
- Family Medicine
Specialist Medical Reviewer Philip Belitsky, MD, FRCSC
- Urology
Last Updated May 30, 2007

Healthwise Logo
Last updated: May 30, 2007
Author: Monica Rhodes
Reviewed By: Adam Husney, MD - Family Medicine, Philip Belitsky, MD, FRCSC - Urology
Editors: Kathleen M. Ariss, MS, Pat Truman

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