Brand and Other Names:Urocit K
- Classes: Urinary Alkalinizing Agents
Dosing & Uses
Dosage Forms & Strengths
tablet, extended release
Urinary citrate <150 mg/day: 60 mEq/day PO (20 mEq with each meal) OR
Urinary citrate >150 mg/day: 30 mEq/day PO (10 mEq with each meal)
- Titrate dose to achieve urinary citrate 320-640 mg/day & urinary pH 6.0-7.0 (maximum dose 100 mEq/day)
Other Indications & Uses
Alkalinzing agent for maintaining long-term alkaline urine, alkalinizing agent for correcting acidosis of certain renal tubular disorders
Management of renal tubular acidosis w/ calcium stones, hypocitraturic calcium oxalate nephrolithiasis, uric acid lithiasis
Safety & efficacy not established
Serious - Use Alternative
Significant - Monitor Closely
Common: abdominal discomfort, vomiting, diarrhea, loose bowel movements or nausea
Serious: Hyperkalemia (potential for cardiac arrest), GI ulceration, GI irritation
Hypersensitivity, hyperkalemia, Addison's disease, anuria, uncontrolled DM, acute dehydration, adrenal insufficiency, renal insufficiency (GFR <0.7ml/kg/min)
Delayed gastric emptying, esophageal compression, GI obstruction, concomitant anticholinergic Rx, peptic ulcer dz, active UTI
Concomitant K+-sparing agents (e.g., triamterene, spironolactone, amiloride)
Large doses may cause hyperkalemia and alkalosis, esp in renal impairment
Pregnancy & Lactation
Pregnancy Category: A
A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.
B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.
C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.
D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.
X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.
NA:Information not available.
Onset: 1 hr
Duration: 12 hr
Metabolite: bicarbonate (active)
Mechanism of Action
Alkalinizes urine; citrate binds with urinary calcium
To view formulary information first create a list of plans. Your list will be saved and can be edited at any time.
Adding plans allows you to:
- View the formulary and any restrictions for each plan.
- Manage and view all your plans together – even plans in different states.
- Compare formulary status to other drugs in the same class.
- Access your plan list on any device – mobile or desktop.
The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information.
|1||This drug is available at the lowest co-pay. Most commonly, these are generic drugs.|
|2||This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.|
|3||This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs.|
|4||This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.|
|5||This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.|
|6||This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" brand drugs or specialty prescription products.|
|NC||NOT COVERED – Drugs that are not covered by the plan.|
Drugs that require prior authorization. This restriction requires that specific clinical criteria be met prior to the approval of the prescription.
Drugs that have quantity limits associated with each prescription. This restriction typically limits the quantity of the drug that will be covered.
Drugs that have step therapy associated with each prescription. This restriction typically requires that certain criteria be met prior to approval for the prescription.
Drugs that have restrictions other than prior authorization, quantity limits, and step therapy associated with each prescription.
Select a box to add or remove a plan.
Select a class to view formulary status for similar drugs