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Potassium citrate may cause serious side effects. Call your doctor at once if you have: severe vomiting or stomach pain; high blood potassium -- nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement; or. signs of stomach bleeding--bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.Initial dose: 30 mEq orally per day; either as 15 mEq two times a day OR 10 mEq three times a day with meals or within 30 minutes after meals or bedtime snack. -The objective of therapy is to normalize urinary citrate (over 320 mg/day and as close to the normal mean of 640 mg/day as possible), and to increase urinary pH to 6.0 to 7.0.You can take this 1 to 3 times a day, depending on the severity of the gout attack. Space each dose out by about an hour. Always consume this on an empty stomach at least an hour before eating. What to avoid if you have gout : • Sugar (all forms of sugar) • Refined grains and refined carbs • Xylitol • Alcohol (especially beer)The rise in citrate excretion is directly dependent on the Potassium Citrate dosage . Following long-term treatment, Potassium Citrate at a dosage of 60 mEq/day raises urinary citrate by approximately 400 mg/day and increases urinary pH by approximately 0.7 units.Follow your doctor's dosing instructions very carefully. Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon). Mix the medicine with at least 4 ounces of water or juice. Stir and drink this mixture right away.
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