Propan Mist Pot Cit Simplex (Potassium Citrate/Citric Acid): Uses, Dosing, and Precautions

Alkalinizing Agent for Urinary Conditions

This combination (potassium citrate + citric acid) raises urinary pH, used for:

• Uric acid kidney stones (dissolution/prevention)
• Metabolic acidosis (renal tubular acidosis)
• Cystinuria (adjunct)
• Prophylaxis of calcium stones (hypocitraturia)

Forms & Dosing (Adults)

• Oral solution: 10–30 mL (1–3 tsp) diluted in water, 3–4 times daily.
• Tablets: 10–20 mEq (2–4 tablets) 3–4 times daily.
• IV: In hospital for severe acidosis.

Dose adjusted to maintain urine pH 6.5–7.0 (test with pH strips).

Contraindications/Precautions

• Hyperkalemia, severe renal failure (K⁺ retention)
• Addison's disease
• Severe cardiac disease
• Dehydration
• Pregnancy/breastfeeding: use if benefit > risk.

Side Effects

GI upset (nausea, diarrhea), hyperkalemia (monitor K⁺), alkalosis.