What is the most important information I should know about citric acid and sodium citrate?
You should not use this medication if you have kidney failure, severe heart damage (such as
from a prior heart attack), Addison's disease (an adrenal gland disorder), high levels of potassium in
your blood (hyperkalemia), or if you are severely dehydrated or have heat cramps.
Before you take citric acid and sodium citrate, tell your doctor about all your medical
conditions, especially kidney disease, heart disease, high blood pressure, a history of heart attack,
urinary problems, swelling (edema), or chronic diarrhea (such as ulcerative colitis, Crohn's disease).
Also tell your doctor about all other medications you use, including over-the-counter
medications and household remedies.
Citric acid and sodium citrate should be taken after meals to help prevent stomach or intestinal
side effects.
The liquid medicine should be mixed with water or juice. Drink plenty of liquids while you
are taking citric acid and sodium citrate.
Your treatment may include a special diet. You should become very familiar with the list of
foods you should eat or avoid to help control your condition.
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 and sodium citrate,
causing a serious electrolyte imbalance or aluminum toxicity.
Avoid eating foods that are high in salt, or using extra table salt on your meals.
To be sure citric acid and sodium citrate is helping your condition, your blood and urine may
need to be tested often. Follow your doctor's instructions carefully and do not miss any scheduled
appointments.
Serious side effects of citric acid and sodium citrate include muscle twitching or cramps,
swelling or weight gain, weakness, mood changes, rapid and shallow breathing, fast heart rate, restless
feeling, black or bloody stools, severe diarrhea, or seizure (convulsions).