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K-Citra® Tablets for Kidney Stone Prevention
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K-Citra® Potassium Citrate helps make urine less acidic to reduce certain kidney stones. It is a prescription alkali used for prevention and for renal tubular acidosis. This page explains dosing, safety, and access, including K-Citra without insurance, with US delivery from Canada.
What K-Citra Is and How It Works
Potassium citrate is a urinary alkalinizer. It provides citrate, which binds calcium in urine, and increases urinary pH. These actions can lower the chance that calcium oxalate and uric acid crystals form into stones. Potassium citrate extended-release tablets are taken with liquid and food to reduce stomach upset.
YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing.
This medicine is not a pain reliever. It supports stone prevention and helps correct metabolic acidosis in certain conditions. The treatment’s extended-release design spreads citrate over time. Swallow tablets whole; do not crush or chew.
Many prescribers check urine pH and citrate levels during therapy. Your healthcare professional may also monitor blood potassium and kidney function. Follow your prescriber’s directions and the official label.
Who It’s For
This therapy is used to prevent calcium oxalate and uric acid stones in adults who have low urinary citrate or acidic urine. It is also used to manage systemic acidosis in renal tubular acidosis. Generic potassium citrate tablets may be appropriate when your prescriber confirms the need for alkali therapy.
People with high blood potassium, severe kidney impairment, delayed gastric emptying, active peptic ulcer disease, or a history of gastrointestinal obstruction generally should avoid this class unless a prescriber decides otherwise. Do not use if you cannot swallow tablets whole.
Always tell your clinician about all conditions, including dehydration, heart disease, or adrenal disorders, before starting.
Dosage and Usage
Use exactly as prescribed. Typical regimens are divided through the day and taken with meals or snacks and a full glass of water. Your clinician may adjust the amount based on urine tests and symptoms. Do not change your schedule without professional guidance.
Swallow each dose whole. Taking with food reduces stomach discomfort. Aim for consistent timing each day. If your prescriber recommends urine pH checks, follow the plan and record values. Bring results to follow-up visits.
Do not combine with salt substitutes containing potassium. If you are taking diuretics, ACE inhibitors, ARBs, or NSAIDs, your prescriber may monitor potassium more closely.
Strengths and Forms
This prescription is available as extended-release oral tablets. Availability can vary by supplier.
- K-Citra 10 mEq tablets
- Other ER tablet strengths may be stocked depending on supply
Some regions also market liquid or crystal forms of citrate alkali; selection differs by country and by manufacturer. Stock and suppliers can change.
Missed Dose and Timing
If you miss a dose, take it when you remember unless it is almost time for your next dose. If it is close, skip the missed dose and resume your regular schedule. Do not double up. Keeping a simple reminder, such as phone alerts or a pillbox, can help with consistency.
Storage and Travel Basics
Store tablets at room temperature in a dry place, away from moisture. Keep the bottle closed tightly and out of reach of children and pets. Do not transfer to unlabelled containers. For travel, carry your medicine in original packaging with your prescription details. Pack enough for your trip plus a small buffer. If crossing borders, keep your prescription handy for inspection.
Benefits
This alkali therapy can make urine less acidic and raise citrate levels. Those changes can reduce the likelihood that calcium oxalate and uric acid crystals grow into stones. The extended-release design supports steady urinary alkalinization. When used as directed, the tablets fit into daily routines with meals.
Side Effects and Safety
- Stomach upset: nausea, bloating, or abdominal discomfort
- Loose stools: mild diarrhea or softer stools
- Burping or gas: gastrointestinal irritation may occur
- Bad taste: some people notice a metallic or salty taste
Serious but uncommon risks include high potassium, severe stomach pain, vomiting, black or bloody stools, trouble swallowing, or allergic reactions like rash, swelling, or breathing difficulty. Stop the medicine and seek care if severe symptoms occur. Risk of high potassium may be greater with kidney disease, certain blood pressure medicines, or dehydration. Follow your prescriber’s monitoring plan.
Drug Interactions and Cautions
Tell your clinician about all medicines and supplements. Interactions can occur with potassium-sparing diuretics, ACE inhibitors, ARBs, certain NSAIDs, calcineurin inhibitors, and other products that raise potassium. Avoid salt substitutes that contain potassium. Extra care is needed in conditions that slow the gut, or when there is active gastrointestinal inflammation or obstruction.
Alcohol may worsen stomach irritation. Check labels on over-the-counter products and supplements. For a background primer, see Drug Interactions.
What to Expect Over Time
With regular use, urinary citrate and pH may improve toward your clinician’s goals. Your prescriber may ask for periodic 24-hour urine collections and blood tests. Consistency with meals helps tolerance. Hydration matters; many kidney stone plans include a fluid goal. Do not expect pain relief from this therapy; prevention and metabolic correction are the aims. If you develop new flank pain, fever, or blood in the urine, contact your healthcare professional.
Compare With Alternatives
For uric acid–related stones or high uric acid, a prescriber may consider Allopurinol. For some calcium stone formers with high urinary calcium, thiazide-type options such as Triazide® may be recommended. In select cases, prescribers consider other citrate formats; Potassium citrate granules may be used when tablets are not suitable. Choice depends on stone type, labs, and tolerability.
Pricing and Access
Canadian pharmacy options can help with budget planning. Potassium citrate cost from Canada may compare favorably to local cash rates. You can view current pricing on this page and send your prescription for review. We offer encrypted checkout and clear status updates. Ships from Canada to US for eligible orders.
For broader stone information, visit our category pages: Kidney Stones and Renal Tubular Acidosis. You can also browse related care under Urology.
Availability and Substitutions
Supply can vary by strength and manufacturer. If your preferred format is unavailable, your prescriber may recommend an appropriate alternative or a different strength with adjusted instructions. This site cannot guarantee restock dates. Your clinician’s advice and local regulations guide any substitution.
Patient Suitability and Cost-Saving Tips
People most likely to benefit include those with documented low urinary citrate, acidic urine with uric acid stones, or renal tubular acidosis under a clinician’s care. It may not be suitable if you have advanced kidney disease, uncontrolled hyperkalemia, severe gastrointestinal motility disorders, or difficulty swallowing tablets. Potassium citrate cash price concerns can be eased by considering 60- or 90-day fills, aligning refills with follow-up visits, and using reminders to avoid gaps. Ask your prescriber about lab schedules to prevent unnecessary repeat tests.
For educational context on urinary health, see Kidney And Bladder Problems and Liver And Kidney Disease.
Questions to Ask Your Clinician
- Stone type and goals: what targets for urine pH and citrate
- Monitoring plan: which labs and how often
- Diet guidance: fluids and citrate-rich foods
- Interaction checks: blood pressure and pain medicines
- Side effect plan: what to do for stomach upset
- Travel tips: documentation and refill timing
Authoritative Sources
- FDA DailyMed: Potassium Citrate ER
- Health Canada Drug Product Database
- Manufacturer Information: Urocit-K
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How does potassium citrate help prevent stones?
It raises urinary pH and increases citrate, which binds calcium. Those changes make calcium oxalate and uric acid less likely to crystallize and form stones. Your prescriber may use 24‑hour urine testing to tailor your plan. Take doses with meals and water for better tolerance. Prevention, not pain relief, is the goal. Follow your clinician’s advice on lab checks and diet measures like adequate fluids.
Who should avoid this citrate therapy?
People with high blood potassium, severe kidney impairment, active peptic ulcer disease, significant gastrointestinal narrowing, or difficulty swallowing tablets may not be candidates. Extra caution is needed with medicines that raise potassium, such as potassium‑sparing diuretics, ACE inhibitors, or ARBs. Your clinician will review your history and labs before deciding. Always follow the official label and seek guidance for your situation.
When should I take doses during the day?
Most regimens are divided and taken with meals or snacks to reduce stomach upset. Take each tablet with a full glass of water. Try to space doses evenly and keep a consistent schedule. If your clinician asks you to check urine pH, record values at the suggested times. Do not crush or chew extended‑release tablets. Ask your prescriber how to proceed if you experience ongoing stomach discomfort.
What side effects should I watch for?
Common effects include nausea, abdominal discomfort, gas, or loose stools. Taking doses with food often helps. Seek care for severe stomach pain, persistent vomiting, black or bloody stools, rash, swelling, or trouble breathing. High potassium can be serious; symptoms may include weakness or irregular heartbeat. Your prescriber may monitor potassium and kidney function while you are on therapy.
Can I use salt substitutes with this medicine?
Avoid salt substitutes that contain potassium unless your prescriber specifically approves them. Combining potassium sources can raise blood potassium. Some blood pressure medicines, NSAIDs, and other therapies can also increase potassium. Share a complete medication list, including supplements and over‑the‑counter products, with your clinician and pharmacist to check for interactions and monitoring needs.
How long does it take to see changes in urine tests?
Your clinician may check progress with urine and blood tests during follow‑up visits. The timing depends on your plan and overall health. Many prescribers recheck within a routine interval to confirm urine pH and citrate goals. Continue daily use as directed, maintain good hydration, and keep appointments. Do not alter your dose based on home pH readings without professional guidance.
What if tablets are hard to swallow?
Do not crush or chew extended‑release tablets. If swallowing is difficult, speak with your prescriber. They may consider different strengths, spacing doses with food, or an alternative citrate form if appropriate. Report any choking sensation or prolonged throat discomfort promptly. Your pharmacist can also suggest safe swallowing techniques and timing with meals.
