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Pronunciation |
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(poe
TASS ee um SIT rate & SI trik
AS id) |
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U.S. Brand
Names |
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Polycitra®-K |
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Generic
Available |
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No |
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Synonyms |
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Citric Acid and Potassium Citrate |
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Pharmacological Index |
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Alkalinizing Agent |
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Use |
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Treatment of metabolic acidosis; alkalinizing agent in conditions where
long-term maintenance of an alkaline urine is desirable |
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Pregnancy Risk
Factor |
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A |
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Contraindications |
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Severe renal insufficiency, oliguria or azotemia, potassium-restricted diet,
untreated Addison's disease, adynamia episodica hereditaria, acute dehydration,
heat cramps, anuria, severe myocardial damage, hyperkalemia from any
cause |
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Warnings/Precautions |
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Use with caution in patients with congestive heart failure, hypertension,
pulmonary edema, or severe renal impairment. Large doses may cause hyperkalemia
and alkalosis. |
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Adverse
Reactions |
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>10%: Gastrointestinal: Diarrhea, nausea, stomach pain, flatulence,
vomiting (oral)
1% to 10%:
Cardiovascular: Bradycardia
Endocrine & metabolic: Hyperkalemia, metabolic alkalosis in patients with
severe renal failure
Neuromuscular & skeletal: Weakness
Respiratory: Dyspnea
<1% (Limited to important or life-threatening symptoms): Chest pain,
arrhythmias, heart block, hypotension |
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Usual Dosage |
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Oral:
Severe hypocitraturia: Initial: 20 mEq 3 times/day or 15 mEq 4 times/day with
meals or within 30 minutes after meals; do not exceed 100 mEq/day
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Patient
Information |
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Take as directed; do not take more than directed. Dilute crystals or solution
in 4-6 ounces of juice or water; stir and drink. Swallow tablet whole with full
glass of water or juice and stir before sipping slowly, with or after meals (do
not take on an empty stomach). Take any antacids 2 hours before or after
potassium. Consult prescriber about advisability of increasing dietary
potassium. Report tingling of hands or feet; unresolved nausea or vomiting;
chest pain or palpitations; persistent abdominal pain; feelings of weakness,
dizziness, listlessness, confusion, acute muscle weakness or cramping; blood in
stool or tarry stools; or easy bruising or unusual
bleeding. |
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Nursing
Implications |
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Potassium citrate 3.4 mmol/5 mL and citric acid 1.6 mmol/5 mL = total of 5.0
mmol/5 mL citrate content |
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Dosage Forms |
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Crystals for reconstitution: Potassium citrate 3300 mg and citric acid 1002
mg per packet
Solution, oral: Potassium citrate 1100 mg and citric acid 334 mg per 5 mL
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