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Oracit
Oracit (oral citric acid) is a potassium citrate medication used primarily to prevent and treat kidney stones and to manage conditions associated with urinary alkalinization. It helps to increase urinary pH and citrate levels, which can inhibit the formation of certain types of kidney stones.
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Frequently Asked Questions
How quickly does Oracit work?
Patients may start to notice changes in urinary pH within a few days, but it may take longer to see significant effects on stone formation.
Can I take Oracit with food?
Yes, Oracit can be taken with food to help minimize gastrointestinal side effects.
What should I do if I miss a dose?
If you miss a dose, take it as soon as you remember. If it’s close to the time for your next dose, skip the missed dose and continue with your regular schedule.
Is Oracit safe during pregnancy?
Consult your healthcare provider before using Oracit during pregnancy to evaluate potential risks and benefits.
What are the signs of serious side effects to watch for?
Monitor for signs of severe allergic reactions or symptoms of hyperkalemia, and seek immediate medical attention if these occur.
Comprehensive Drug Guide
How Does Oracit Work?
Oracit works by providing citrate, which can bind with calcium in the urine, thereby preventing the formation of calcium oxalate and calcium phosphate stones. Additionally, it raises the pH of urine, making it less acidic and further reducing the risk of stone formation.
Common Dosages
- Oral solution: Common strengths vary, and dosing should follow the healthcare provider's instructions.
Typical Dosing
- Adults: The usual recommended dose is typically 10 to 30 mL taken 1 to 3 times daily, adjusted based on urinary pH and clinical response.
Typical Dosing
FDA Approved Indications
- Prevention and management of urinary tract stones.
- Treatment of metabolic acidosis in certain conditions.
Who Shouldn't Take Oracit?
- Known hypersensitivity to potassium citrate or any component of the formulation.
- Severe renal impairment or hyperkalemia (high potassium levels).
Advice From The Pharmacist
- Use Oracit exactly as prescribed, and follow the dosing schedule closely to maintain the desired urinary pH.
- Monitor for signs of gastrointestinal discomfort, and report any persistent issues to your healthcare provider.
- Maintain adequate hydration to help facilitate the effects of the medication and reduce the risk of stone formation.
Side Effects of Oracit
Common Side Effects
- Nausea
- Diarrhea
- Stomach upset
- Abdominal pain
Uncommon/Severe Side Effects
- Severe allergic reactions (rash, itching, swelling)
- Hyperkalemia (symptoms may include muscle weakness, fatigue, or heart palpitations)
Risks and Warnings of Oracit
- Electrolyte Imbalance: Monitor potassium levels regularly, especially in patients with renal impairment or on other medications that affect potassium levels.
- Gastrointestinal Issues: Use with caution in patients with a history of gastrointestinal problems.
Interactions with Oracit
Common Drug Interactions
- Other Medications: Inform your healthcare provider about all medications you are taking, especially those affecting electrolyte levels or renal function.
Alternatives to Oracit
- Other Urinary Alkalinizers: Such as sodium bicarbonate for similar indications.
- Preventive Strategies: Dietary modifications and increased fluid intake to help reduce the risk of kidney stones.
