Potassium citrate extended-release tablets (Urocit-K) help treat and prevent kidney stones in adults. The medication makes your urine less acidic, which helps stop stones from forming. It's taken by mouth 2 or 3 times a day, depending on the dosage strength you're taking. The medication is usually taken with meals. Some people might have stomach pain, vomiting, or diarrhea as side effects.
Treatment and prevention of kidney stones made of calcium and uric acid
Potassium citrate (Urocit-K) is an alkalinizing agent. The potassium salt works by making your urine less acidic. This prevents kidney stones from forming.
Source:Â DailyMed
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
Get emergency help immediately if any of the following symptoms of overdose occur:
Symptoms of overdose
Abdominal or stomach pain
confusion
difficult breathing
irregular heartbeat
nervousness
numbness or tingling in the hands, feet, or lips
shortness of breath
weakness or heaviness of the legs
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
Works for the most common types of kidney stones
Dose can be adjusted based on your response to the medication
Must swallow tablets whole 2 to 3 times a day
Not safe if you have kidney failure, urinary tract infections, high potassium levels, stomach ulcers, or certain stomach problems
Swallow potassium citrate (Urocit-K) whole with plenty of water. Don't cut, crush, chew, or suck on the tablets. This can affect the way the medication works. Talk to your prescriber if you have trouble swallowing the tablet whole. Also let them know if the tablet seems to stick to your throat.
Potassium citrate (Urocit-K) can cause stomach upset, vomiting, and diarrhea. Taking it along with a meal or bedtime snack (or within 30 minutes after eating) can help ease these side effects. Talk to your prescriber if taking the medication with food doesn't help.
You might see pieces of the potassium citrate tablet (Urocit-K) in your stool. This is normal and harmless.
Help treat and prevent kidney stones by staying hydrated. It helps dilute your urine so there's less chance of stones forming. Some drinks include water, orange juice, coffee, and green tea. But avoid soda and alcohol because they can raise your risk of forming new kidney stones.
Ask your healthcare team if you need to follow a special diet while taking potassium citrate (Urocit-K). Eating certain foods and avoiding others might help prevent kidney stones.
Get any urine tests, blood tests, and electrocardiograms (EKGs) done on time while taking potassium citrate (Urocit-K). Urine tests help your prescriber check how well the medication is working. And blood tests and EKGs check that the medication isn't causing serious side effects.
Tell your prescriber if you are pregnant, plan to become pregnant, or breastfeeding. It isn't known whether potassium citrate (Urocit-K) can harm the baby. Your prescriber can talk to you about the risks and benefits. Usually, you'll take the medication only if it's absolutely needed.
Potassium citrate (Urocit-K) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.
Risk factors: Chronic kidney disease (CKD) | Heart failure | Taking other medications that raise potassium | Using potassium-based salt substitutes
Potassium citrate (Urocit-K) can raise the potassium levels in the body. It can be dangerous and cause heart problems if potassium levels get too high.
Avoid this medication if you have a health condition that makes it harder for your body to get rid of potassium. These include chronic kidney disease (CKD) and heart failure. The risk for high potassium levels is also greater if you take other medications that can raise potassium levels or use potassium-based salt substitutes.
Your prescriber will check your potassium levels with blood tests. They might also check your heart rhythm using electrocardiograms. These tests help make sure potassium citrate (Urocit-K) is safe for you to take. Tell your care team if you have symptoms of high potassium like fatigue, muscle weakness, tingling, numbness, nausea, or irregular heartbeat.
Risk factors: Taking medications that can damage the stomach | Taking medications that slow down digestion
Although rare, other potassium salts have caused stomach lining damage. This can sometimes cause stomach bleeding and be life-threatening.
To stay safe, be aware of the risk for damage to the stomach lining. The risk might be higher if you take medications that are hard on the stomach, like nonsteroidal anti-inflammatory drugs (NSAIDs). It could also be higher if you're taking medications that slow digestion, like anticholinergics.
Stop taking potassium citrate (Urocit-K) and get medical help right away if you have severe vomiting, stomach pain, or bloody or dark stools. These could be signs of stomach bleeding or damage.
The dosage depends on the amount of citrate in your urine and the pH of your urine (how acidic it is). This is measured with a 24-hour urinary citrate test and a urinary pH test.
Mild-to-moderately low citrate levels (more than 150 mg of citrate in the urine per day): The typical starting dose is 15 mEq by mouth twice a day with meals. Another option is 10 mEq by mouth three times a day with meals.
Severely low citrate levels (less than 150 mg of citrate in the urine per day): The typical starting dose is 30 mEq by mouth twice a day with meals. Another option is 20 mEq by mouth three times a day with meals.
Your prescriber will adjust the dose based on how well the medication works for you. Don't take more than 100 mEq per day.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.
Have or are at risk of having high potassium levels
Certain digestive problems that could make it take longer for potassium citrate (Urocit-K) to go through your digestive system
Certain kidney problems
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He, F. J., et al. (2005). Effect of short-term supplementation of potassium chloride and potassium citrate on blood pressure in hypertensives. Hypertension.
KC, M., et al. (2023). Uric acid nephrolithiasis. StatPearls.
Leslie, S. W., et al. (2024). 24-hour urine testing for nephrolithiasis: Interpretation and treatment guidelines. StatPearls.
National Kidney Foundation. (n.d.). Kidney stones.
Rising Pharma Holdings, Inc. (2025). Potassium citrate tablet, extended release [package insert]. DailyMed.
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