What is potassium chloride? Potassium is a mineral that is found in many foods and is needed for several functions of your body, especially the beating of your heart. Potassium chloride is used to prevent or to treat low blood levels of potassium (hypokalemia). Potassium levels can be low as a result of a disease or from taking certain medicines, or after a prolonged illness with diarrhea or vomiting. Warnings You should not use potassium chloride if you have high levels of potassium in your blood (hyperkalemia), or if you also take a "potassium-sparing" diuretic. To be sure potassium chloride is helping your condition, your blood may need to be tested often. Your heart rate may also be checked using an electrocardiograph or ECG (sometimes called an EKG) to measure electrical activity of the heart. This test will help your doctor determine how long to treat you with potassium. Do not miss any scheduled appointments. Serious side effects of potassium include uneven heartbeat, muscle weakness or limp feeling, severe stomach pain, and numbness or tingling in your hands, feet, or mouth. Do not stop taking this medicine without first talking to your doctor. If you stop taking this medicine suddenly, your condition may become worse. Do not crush, chew, break, or suck on an extended-release tablet or capsule. Swallow the pill whole. Breaking or crushing the pill may cause too much of the drug to be released at one time. Sucking on a tablet can irritate your mouth or throat. Take potassium chloride with food or just after a meal. Before taking this medicine You should not use potassium chloride if you are allergic to it, or if: you have high levels of potassium in your blood (hyperkalemia); or you take a "potassium-sparing" diuretic (water pill) such as amiloride, spironolactone, or triamterene. To make sure this medicine is safe for you, tell your doctor if you have ever had: kidney disease; cirrhosis or other liver disease; an adrenal gland disorder; a large tissue injury such as a severe burn; severe dehydration; diabetes; heart disease or high blood pressure; stomach or intestinal bleeding; a blockage in your stomach or intestines; or chronic diarrhea (such as ulcerative colitis, Crohn's disease). It is not known whether this medicine will harm an unborn baby. Your dose needs may be different during pregnancy. Tell your doctor if you are pregnant or breastfeeding. Do not give this medicine to a child without medical advice. How should I take potassium chloride? Take potassium chloride exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions. Take potassium chloride with a full glass of water. Take potassium chloride with food or just after a meal if this medicine upsets your stomach. Measure liquid medicine with the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one. Do not crush, chew, or suck on a tablet or capsule. Sucking on the pill could irritate your mouth or throat. Call your doctor if you have trouble swallowing a potassium chloride capsule or tablet. You may be able to dissolve the tablet in water, or mix the medicine from a capsule with soft food. Carefully follow your doctor's instructions. Mix the powder form of this medicine with at least 4 ounces (one-half cup) of cold water or fruit juice before taking. Drink the mixture slowly, over 5 to 10 minutes in all. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away. To be sure this medicine is helping your condition, you may need frequent blood tests. You may not notice any change in your symptoms, but your blood work will help your doctor determine how long to treat you with potassium chloride. Your heart function may need to be checked using an electrocardiograph or ECG (sometimes called an EKG). Even if you have no symptoms, tests can help your doctor determine if this medicine is effective. Your treatment may include a special diet. Follow the diet plan created for you by your doctor or nutrition counselor. Get familiar with the list of foods you should eat or avoid to help control your condition. Potassium-rich foods include: squash, baked potatoes (skin on), spinach, lentils, broccoli, Brussels sprouts, zucchini, kidney or navy beans, raisins, watermelon, orange juice, bananas, cantaloupe, and low-fat milk or yogurt. Consume only the daily amounts recommended by your doctor or nutrition counselor. Some tablets are made with a shell that is not absorbed or melted in the body. Part of this shell may appear in your stool. This is normal and will not make the medicine less effective. Store at room temperature away from moisture and heat. Keep the medication in a closed container.   What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. Overdose symptoms may include irregular heartbeats, chest pain, or muscle weakness. What to avoid Avoid taking supplements or using other products that contain potassium without first asking your doctor. Salt substitutes or low-salt dietary products often contain potassium. If you take certain products together you may accidentally get too much potassium. Read the label of any other medicine you are using to see if it contains potassium. Potassium chloride side effects Get emergency medical help if you have signs of an allergic reaction to potassium chloride: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using this medicine and call your doctor at once if you have: severe throat irritation; stomach bloating, severe vomiting, severe stomach pain; high potassium level - nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement; or signs of stomach bleeding - bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds. Common potassium chloride side effects may include: nausea, vomiting, diarrhea; gas, stomach pain; or the appearance of a potassium chloride tablet in your stool. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect potassium chloride? Tell your doctor about all your current medicines and any you start or stop using, especially: a diuretic or "water pill"; or heart or blood pressure medication. This list is not complete. Other drugs may interact with potassium chloride, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed in this medication guide.

What is potassium citrate? Potassium is a mineral that is found in many foods and is needed for several functions of your body, especially the beating of your heart. Potassium citrate is used to treat a kidney stone condition called renal tubular acidosis. Potassium citrate may also be used for other purposes other than those listed in this medication guide. Warnings You should not use potassium citrate if you have kidney failure, a urinary tract infection, uncontrolled diabetes, a peptic ulcer in your stomach, Addison's disease, severe burns or other tissue injury, if you are dehydrated, if you take certain diuretics (water pills), or if you have high levels of potassium in your blood (hyperkalemia). You should not take potassium citrate tablets if you have problems with your esophagus, stomach, or intestines that make it difficult for you to swallow or digest pills. Do not crush, chew, break, or suck on an extended-release tablet. Swallow the pill whole. Breaking or crushing the pill may cause too much of the drug to be released at one time. Sucking on a potassium tablet can irritate your mouth or throat. Avoid lying down for at least 30 minutes after you take this medication. Take potassium citrate with a meal or bedtime snack, or within 30 minutes after a meal. To be sure this medication is helping your condition, your blood may need to be tested often. Your heart rate may also be checked using an electrocardiograph or ECG (sometimes called an EKG) to measure electrical activity of the heart. This test will help your doctor determine how long to treat you with potassium. Do not miss any scheduled appointments. Serious side effects of potassium citrate include uneven heartbeat, muscle weakness or limp feeling, severe stomach pain, and numbness or tingling in your hands, feet, or mouth. Do not stop taking potassium citrate without first talking to your doctor. If you stop taking potassium suddenly, your condition may become worse. Before taking this medicine You should not use this medication if you are allergic to it, or if you have certain conditions. Be sure your doctor knows if you have: high levels of potassium in your blood (hyperkalemia); kidney failure; a urinary tract infection; untreated or uncontrolled diabetes; Addison's disease (an adrenal gland disorder); a large tissue injury such as a severe burn; a peptic ulcer in your stomach; if you are severely dehydrated; or if you are taking a "potassium-sparing" diuretic (water pill) such as amiloride (Midamor, Moduretic), spironolactone (Aldactone, Aldactazide), triamterene (Dyrenium, Dyazide, Maxzide). You should not take potassium citrate tablets if you have problems with your esophagus, stomach, or intestines that make it difficult for you to swallow or digest pills. Before using potassium citrate, tell your doctor if you are allergic to any drugs, or if you have: kidney disease; congestive heart failure, enlarged heart, or history of heart attack; other heart disease or high blood pressure; diabetes; a blockage in your stomach or intestines; or chronic diarrhea (such as ulcerative colitis, Crohn's disease). If you have any of these conditions, you may need a dose adjustment or special tests to safely take potassium citrate. FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether potassium passes into breast milk or if it could harm a nursing baby. Do not use potassium citrate without telling your doctor if you are breast-feeding a baby. How should I take potassium citrate? Take potassium citrate exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label. Do not crush, chew, break, or suck on an extended-release tablet. Swallow the pill whole. Breaking or crushing the pill may cause too much of the drug to be released at one time. Sucking on a potassium tablet can irritate your mouth or throat. Call your doctor if it feels like the tablet is getting stuck in your throat when you swallow it. Measure the liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one. Liquid potassium should be mixed with at least 4 ounces (one-half cup) of cold water or fruit juice. Drink the mixture slowly, over 5 to 10 minutes in all. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away. Take potassium citrate with a meal or bedtime snack, or within 30 minutes after a meal. Your treatment may include a special diet. It is very important to follow the diet plan created for you by your doctor or nutrition counselor. You should become very familiar with the list of foods you should eat or avoid to help control your condition. To be sure this medication is helping your condition, your blood may need to be tested often. Your heart rate may also be checked using an electrocardiograph or ECG (sometimes called an EKG) to measure electrical activity of the heart. This test will help your doctor determine how long to treat you with potassium. Do not miss any scheduled appointments. Do not stop taking potassium citrate without first talking to your doctor. If you stop taking potassium suddenly, your condition may become worse. Store potassium citrate at room temperature away from moisture and heat. Keep the medication in a closed container. Detailed Potassium citrate dosage information What happens if I miss a dose? Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include heavy feeling in your arms or legs, muscle weakness, limp feeling, slow or uneven heartbeat, chest pain, or feeling like you might pass out. What should I avoid? Avoid lying down for at least 30 minutes after you take potassium citrate. Avoid taking potassium supplements or using other products that contain potassium without first asking your doctor. Salt substitutes or low-salt dietary products often contain potassium. If you take certain products together you may accidentally get too much potassium. Read the label of any other medicine you are using to see if it contains potassium. While taking this medication, avoid strenuous exercise if you are not in proper condition for it. Potassium citrate side effects Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using potassium citrate and call your doctor at once if you have any of these serious side effects: confusion, anxiety, feeling like you might pass out; uneven heartbeat; extreme thirst, increased urination; leg discomfort; muscle weakness or limp feeling; numbness or tingly feeling in your hands or feet, or around your mouth; severe stomach pain, ongoing diarrhea or vomiting; black, bloody, or tarry stools; or coughing up blood or vomit that looks like coffee grounds. Less serious side effects may include: mild nausea or upset stomach; mild or occasional diarrhea; or appearance of a potassium citrate tablet in your stool. This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.   What other drugs will affect potassium citrate? The following drugs can interact with potassium citrate. Tell your doctor if you are using any of these: eplerenone (Inspra); digoxin (digitalis, Lanoxin); candesartan (Atacand), losartan (Cozaar, Hyzaar), valsartan (Diovan), or telmisartan (Micardis); glycopyrrolate (Robinul); mepenzolate (Cantil); quinidine (Quinaglute, Quinidex, Quin-Release); atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop); a bronchodilator such as ipratroprium (Atrovent) or tiotropium (Spiriva); bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare); irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine); an ACE inhibitor such as benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik); or any type of diuretic (water pill) such as bumetanide (Bumex), chlorothiazide (Diuril), chlorthalidone (Hygroton, Thalitone), ethacrynic acid (Edecrin), furosemide (Lasix), hydrochlorothiazide (HCTZ, HydroDiuril, Hyzaar, Lopressor, Vasoretic, Zestoretic), indapamide (Lozol), metolazone (Mykrox, Zarxolyn), or torsemide (Demadex). This list is not complete and there may be other drugs that can interact with potassium citrate. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.