Special Precautions:
Chronic renal failure or impaired K excretion eg severe myocardial damage or heart failure. Monitor regularly serum K. Avoid food w/ high salt content. Determine periodically acid-base balance, other serum electrolyte levels & ECG. Discontinue if hyperkalemia, significant rise in serum creatinine, fall in blood hematocrit or Hb, severe vomiting, abdominal pain or GI bleeding occurs. Pregnancy & lactation. Childn.
Side Effects / Adverse Reactions:
Minor GI complaints eg, abdominal discomfort, vomiting, diarrhea, loose bowel movement & nausea.
Dosage / Direction for Use:
Adult Severe hypocitraturia (urinary citrate <150 mg/day) 60 mEq/day in 2 or 3 divided oral doses (30 mEq bid or 20 mEq tid). Mild to moderate hypocitraturia (urinary citrate >150 mg/day) 30 mEq/day in 2 or 3 divided oral doses (15 mEq bid or 10 mEq tid).