1. Kidney Stones Slideshow Pictures

What happens if I miss a dose (Cytra-3, Polycitra, Polycitra-LC, Tricitrates)?

Take the missed dose as soon as you remember. If you are more than 2 hours late in taking your medicine, wait until your next scheduled time 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 (Cytra-3, Polycitra, Polycitra-LC, Tricitrates)?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include muscle cramps or twitching, slow heart rate, and seizure (convulsions).

What should I avoid while taking citric acid, potassium citrate, and sodium citrate (Cytra-3, Polycitra, Polycitra-LC, Tricitrates)?

Avoid using antacids without your doctor's advice, including household baking soda (sodium bicarbonate). Antacids that contain aluminum or sodium can interact with citric acid, potassium citrate, and sodium citrate, causing a serious electrolyte imbalance or aluminum toxicity.

Avoid taking potassium supplements or using other foods or 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.

Avoid eating foods that are high in salt, or using extra table salt on your meals.

It is very important to follow any 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.

What other drugs will affect citric acid, potassium citrate, and sodium citrate (Cytra-3, Polycitra, Polycitra-LC, Tricitrates)?

The following drugs can interact with citric acid, potassium citrate, and sodium citrate. Tell your doctor if you are using any of these:

• eplerenone (Inspra);
• digoxin (digitalis, Lanoxin);
• drospirenone (Angelique, Yasmin, Yaz);
• lithium (Eskalith, LithoBid);
• quinidine (Quinaglute, Quinidex, Quin-Release);
• candesartan (Atacand), losartan (Cozaar, Hyzaar), valsartan (Diovan), or telmisartan (Micardis);
• cold or allergy medicine (decongestants), diet pills, ADHD medication;
• salicylates such as aspirin, Backache Relief Extra Strength, Novasal, Nuprin Backache Caplet, Doan's Pills Extra Strength, Tricosal, and others;
• a vitamin, mineral supplement, or medication that contains potassium;
• 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);
• a diuretic (water pill) such as amiloride (Midamor), spironolactone (Aldactone, Aldactazide), or triamterene (Dyrenium); or
• an antacid that contains aluminum or sodium, including Alka-Seltzer, Maalox, Mylanta, Di-Gel, Gelusil, Alamag Plus, Rulox Plus, Tempo, and others.

This list is not complete and there may be other drugs that can interact with citric acid, potassium citrate, and sodium 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.

Where can I get more information?

Your pharmacist can provide more information about citric acid, potassium citrate, and sodium citrate.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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