ALZA | Bicitra (Medication)


Bicitra/citric acid and sodium citrate are both alkalinizing agents that make the urine less acidic. The combination of citric acid and sodium citrate is used to prevent gout or kidney stones, or metabolic acidosis in people with kidney problems.

Urine that is less acidic helps the kidneys get rid of uric acid, helping to prevent gout and certain types of kidney stones (urate). This medication can also prevent and treat certain metabolic problems (acidosis) caused by kidney disease. Citric acid and citrate salts (which contain potassium and sodium) belong to a class of drugs known as urinary alkalinizers. ...

Side Effect:

Side effects may occur after taking this drug such as:nausea, vomiting, diarrhea, and stomach pain. Mixing the medication with water or juice, taking it after meals, and drinking more fluids will help prevent these side effects. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Tell your doctor immediately if any of these unlikely but serious side effects occur:swelling of the hands/ankles/feet, tingling/numbness of the hands/feet, weakness . Tell your doctor immediately if any of these rare but very serious side effects occur:fast/slow/irregular heartbeat, mental/mood changes (e. g. , confusion, restlessness), muscle spasms, seizures. A very serious allergic reaction to this drug is rare. ...


You should not use this medication if you have kidney failure, severe heart damage (such as from a prior heart attack), Addison's disease (an adrenal gland disorder), high levels of potassium in your blood (hyperkalemia), or if you are severely dehydrated or have heat cramps.

Before you take citric acid and sodium citrate, tell your doctor about all your medical conditions, especially kidney disease, heart disease, high blood pressure, a history of heart attack, urinary problems, swelling (edema), or chronic diarrhea (such as ulcerative colitis, Crohn's disease).

Also tell your doctor about all other medications you use, including over-the-counter medications and household remedies. Citric acid and sodium citrate should be taken after meals to help prevent stomach or intestinal side effects.

The liquid medicine should be mixed with water or juice. Drink plenty of liquids while you are taking citric acid and sodium citrate. Your treatment may include a special diet. You should become very familiar with the list of foods you should eat or avoid to help control your condition.

Avoid using antacids without your doctor's advice, including household baking soda (sodium bicarbonate). Antacids that contain aluminum or sodium can interact with citric acid and sodium citrate, causing a serious electrolyte imbalance or aluminum toxicity. Avoid eating foods that are high in salt, or using extra table salt on your meals.

During pregnancy and breastfeeding is not recommended to use this medicine without your doctor's advice. ...