Citric Acid, Sodium Citrate Oral solution

What is this medicine?

CITRIC ACID; SODIUM CITRATE (SIH trik AS id; SOE dee um SIH trayt) makes blood and urine more alkaline or less acidic. This helps prevent some kidney stones. It is also used to treat metabolic acidosis, a condition in some people with kidney problems.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• Addison's disease
• dehydrated
• heart disease
• high levels of potassium in the blood
• kidney disease
• low sodium diet
• an unusual or allergic reaction to citric acid, sodium citrate, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine?

Take this medicine by mouth. Follow the directions on the prescription label. Take after meals. Before taking, mix the dose in 6 ounces of water. Take your medicine at regular intervals. Do not take it more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

Do not take this medicine with any of the following medications:

• ammonium chloride
• antacids with aluminum hydroxide or calcium carbonate

This medicine may also interact with the following medications:

• certain antibiotics like ciprofloxacin, norfloxacin
• lithium
• methenamine
• stimulant medicines for attention disorders, weight loss, or to stay awake

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor for regular check ups. You will need to have blood work done while you are taking this medicine.

You may need to be on a special diet while you are taking this medicine. Talk to your doctor about the foods that you eat and the vitamins that you take. Also, ask your doctor how much fluid you need to drink.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• breathing problems
• chest pain
• fast, irregular heart beat
• seizure
• swelling of the ankles, feet, hands
• tremor

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• diarrhea
• nausea, vomiting
• stomach upset

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Keep the container tightly closed. Throw away any unused medicine after the expiration date.

NOTE:This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

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.