About potassium citrate + potassium hydrogen carbonate
Urinary alkalinising potassium salts
Used for
- Treats distal renal tubular acidosis.
- Helps prevent kidney stones caused by persistently acidic urine.
Usual adult dose
Usually 1–2 sachets twice daily, adjusted to urine pH and blood tests.
Usual dose in children
Used in children; dose is individualised by body weight, urine pH, and blood tests.
Common side effects
- Stomach discomfort, nausea, or diarrhoea.
- High blood potassium, which can cause muscle weakness or abnormal heart rhythm.
- High urine pH or kidney stones.
Important warnings
- Risk of dangerously high blood potassium, especially with kidney problems.
- Requires monitoring of blood potassium, kidney function, and urine pH.
- Do not use with severe kidney impairment or high blood potassium.
- Granules must be taken as directed; do not chew or crush.
Pregnancy
Use only when clinically needed; pregnancy-specific safety data are limited.
Breastfeeding
May be used if clinically needed; discuss suitability with a healthcare professional.
Interactions
- Potassium-sparing diuretics and other potassium supplements can raise blood potassium.
- ACE inhibitors, ARBs, and aliskiren can raise blood potassium.
- NSAIDs may increase blood potassium, especially with kidney problems.
- Medicines that slow stomach movement may affect prolonged-release granules.
AI-generated from general medical knowledge, not from this product's official leaflet. It may be incomplete or out of date. Not medical advice — ask a pharmacist or doctor before making any decision.