Potassium Bicarbonate and Potassium Chloride

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|Potassium Bicarbonate and Potassium Chloride

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POTASSIUM SUPPLEMENTS (Systemic)

Some commonly used brand names are:

In the U.S.—

  • Cena-K 5
  • Effer-K 4
  • Gen-K 5
  • Glu-K 6
  • K-8 5
  • K+ 10 5
  • Kaochlor 10% 5
  • Kaochlor S-F 10% 5
  • Kaon 6
  • Kaon-Cl 5
  • Kaon-Cl-10 5
  • Kaon-Cl 20% Liquid 5
  • Kato 5
  • Kay Ciel 5
  • Kaylixir 6
  • K+ Care 5
  • K+ Care ET 2
  • K-Dur 5
  • K-Electrolyte 2
  • K-G Elixir 6
  • K-Ide 3
  • K-Lease 5
  • K-Lor 5
  • Klor-Con 8 5
  • Klor-Con 10 5
  • Klor-Con/EF 2
  • Klor-Con Powder 5
  • Klor-Con/25 Powder 5
  • Klorvess 3
  • Klorvess Effervescent Granules 3
  • Klorvess 10% Liquid 5
  • Klotrix 5
  • K-Lyte 2
  • K-Lyte/Cl 3
  • K-Lyte/Cl 50 3
  • K-Lyte/Cl Powder 5
  • K-Lyte DS 4
  • K-Norm 5
  • Kolyum 7
  • K-Sol 5
  • K-Tab 5
  • K-Vescent 2
  • Micro-K 5
  • Micro-K 10 5
  • Micro-K LS 5
  • Potasalan 5
  • Rum-K 5
  • Slow-K 5
  • Ten-K 5
  • Tri-K 9
  • Twin-K 8

In Canada—

  • Apo-K 5
  • K-10 5
  • Kalium Durules 5
  • Kaochlor-10 5
  • Kaochlor-20 5
  • Kaon 6
  • KCL 5% 5
  • K-Dur 5
  • K-Long 5
  • K-Lor 5
  • K-Lyte 2
  • K-Lyte/Cl 5
  • K-Med 900 5
  • Micro-K 5
  • Micro-K 10 5
  • Neo-K 3
  • Potassium-Rougier 6
  • Potassium-Sandoz 3
  • Roychlor-10% 5
  • Slow-K 5

Another commonly used name for trikates is potassium triplex .

Note:

For quick reference, the following potassium supplements are numbered to match the corresponding brand names.

This information applies to the following:
1. Potassium Acetate (poe-TAS-ee-um AS-a-tate)
2. Potassium Bicarbonate (poe-TAS-ee-um bi-KAR-bo-nate)
3. PotassiumBicarbonate and Potassium Chloride (poe-TAS-ee-um bi-KAR-bo-nate and poe-TAS-ee-um KLOR-ide)
4. Potassium Bicarbonate and Potassium Citrate (poe-TAS-ee-um bi-KAR-bo-nate and poe-TAS-ee-um SIH-trayt)
5. PotassiumChloride (poe-TAS-ee-umKLOR-ide)§
6. PotassiumGluconate (poe-TAS-ee-umGLOO-ko-nate)
7. Potassium Gluconate and Potassium Chloride (poe-TAS-ee-um GLOO-ko-nate and poe-TAS-ee-um KLOR-ide)
8. Potassium Gluconate and Potassium Citrate (poe-TAS-ee-um GLOO-ko-nate and poe-TAS-ee-um SIH-trayt)
9. Trikates (TRI-kates)
† Not commercially available in Canada
‡ Generic name product may be available in the U.S.
§ Generic name product may be available in Canada

Category

  • Antihypokalemic—Potassium Acetate; Potassium Bicarbonate; Potassium Bicarbonate and Potassium Chloride; Potassium Bicarbonate and Potassium Citrate; Potassium Chloride; Potassium Gluconate; Potassium Gluconate and Potassium Chloride; Potassium Gluconate and Potassium Citrate; Trikates
  • Electrolyte replenisher—Potassium Acetate; Potassium Bicarbonate; Potassium Bicarbonate and Potassium Chloride; Potassium Bicarbonate and Potassium Citrate; Potassium Chloride; Potassium Gluconate; Potassium Gluconate and Potassium Chloride; Potassium Gluconate and Potassium Citrate; Trikates

Description

Potassium is needed to maintain good health. Although a balanced diet usually supplies all the potassium a person needs, potassium supplements may be needed by patients who do not have enough potassium in their regular diet or have lost too much potassium because of illness or treatment with certain medicines.

There is no evidence that potassium supplements are useful in the treatment of high blood pressure.

Lack of potassium may cause muscle weakness, irregular heartbeat, mood changes, or nausea and vomiting.

Injectable potassium is administered only by or under the supervision of your doctor. Some forms of oral potassium may be available in stores without a prescription. Since too much potassium may cause health problems, you should take potassium supplements only if directed by your doctor. Potassium supplements are available with your doctor"s prescription in the following dosage forms:

  • Oral
  • Potassium Bicarbonate
    • Tablets for solution (U.S. and Canada)
  • Potassium Bicarbonate and Potassium Chloride
    • Powder for solution (U.S. and Canada)
    • Tablets for solution (U.S. and Canada)
  • Potassium Bicarbonate and Potassium Citrate
    • Tablets for solution (U.S.)
  • Potassium Chloride
    • Extended-release capsules (U.S. and Canada)
    • Solution (U.S. and Canada)
    • Powder for solution (U.S. and Canada)
    • Powder for suspension (U.S.)
    • Extended-release tablets (U.S. and Canada)
  • Potassium Gluconate
    • Elixir (U.S. and Canada)
    • Tablets (U.S.)
  • Potassium Gluconate and Potassium Chloride
    • Solution (U.S.)
    • Powder for solution (U.S.)
  • Potassium Gluconate and Potassium Citrate
    • Solution (U.S.)
  • Trikates
    • Solution (U.S.)
  • Parenteral
  • Potassium Acetate
    • Injection (U.S.)
  • Potassium Chloride
    • Concentrate for injection (U.S. and Canada)

Importance of Diet

For good health, it is important that you eat a balanced and varied diet. Follow carefully any diet program your health care professional may recommend. For your specific dietary vitamin and/or mineral needs, ask your health care professional for a list of appropriate foods.

The following table includes some potassium-rich foods.

Food (amount) Milligrams of potassium Milliequivalents of potassium
Acorn squash, cooked (1 cup) 896 23
Potato with skin, baked (1 long) 844 22
Spinach, cooked (1 cup) 838 21
Lentils, cooked (1 cup) 731 19
Kidney beans, cooked (1 cup) 713 18
Split peas, cooked (1 cup) 710 18
White navy beans, cooked (1 cup) 669 17
Butternut squash, cooked (1 cup) 583 15
Watermelon (1/16) 560 14
Raisins (1/2 cup) 553 14
Yogurt, low-fat, plain (1 cup) 531 14
Orange juice, frozen (1 cup) 503 13
Brussel sprouts, cooked (1 cup) 494 13
Zucchini, cooked, sliced (1 cup) 456 12
Banana (medium) 451 12
Collards, frozen, cooked (1 cup) 427 11
Cantaloupe (1/4) 412 11
Milk, low-fat 1% (1 cup) 348 9
Broccoli, frozen, cooked (1 cup) 332 9
The daily amount of potassium needed is defined in several different ways.
  • For U.S.—
  • Recommended Dietary Allowances (RDAs) are the amount of vitamins and minerals needed to provide for adequate nutrition in most healthy persons. RDAs for a given nutrient may vary depending on a person"s age, sex, and physical condition (e.g., pregnancy).
  • Daily Values (DVs) are used on food and dietary supplement labels to indicate the percent of the recommended daily amount of each nutrient that a serving provides. DV replaces the previous designation of United States Recommended Daily Allowances (USRDAs).
  • For Canada—
  • Recommended Nutrient Intakes (RNIs) are used to determine the amounts of vitamins, minerals, and protein needed to provide adequate nutrition and lessen the risk of chronic disease.

Because lack of potassium is rare, there is no RDA or RNI for this mineral. However, it is thought that 1600 to 2000 mg (40 to 50 milliequivalents [mEq]) per day for adults is adequate.

Remember:

  • The total amount of potassium that you get every day includes what you get from food and what you may take as a supplement. Read the labels of processed foods. Many foods now have added potassium.
  • Your total intake of potassium should not be greater than the recommended amounts, unless ordered by your doctor. In some cases, too much potassium may cause muscle weakness, confusion, irregular heartbeat, or difficult breathing.

Before Using This Medicine

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For potassium supplements, the following should be considered:

Allergies—Tell your doctor if you have ever had any unusual or allergic reaction to potassium preparations. Also tell your doctor and pharmacist if you are allergic to any other substances, such as foods, preservatives, or dyes.

Pregnancy—Potassium supplements have not been shown to cause problems in humans.

Breast-feeding—Potassium supplements pass into breast milk. However, this medicine has not been reported to cause problems in nursing babies.

Children—Although there is no specific information comparing use of potassium supplements in children with use in other age groups, they are not expected to cause different side effects or problems in children than they do in adults.

Older adults—Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of potassium supplements in the elderly with use in other age groups, they are not expected to cause different side effects or problems in older people than they do in younger adults.

Older adults may be at a greater risk of developing high blood levels of potassium (hyperkalemia).

Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking potassium supplements, it is especially important that your doctor and pharmacist know if you are taking any of the following:

  • Amantadine (e.g., Symmetrel) or
  • Anticholinergics (medicine for abdominal or stomach spasms or cramps) or
  • Antidepressants (medicine for depression) or
  • Antidyskinetics (medicine for Parkinson"s disease or other conditions affecting control of muscles) or
  • Antihistamines or
  • Antipsychotic medicine (medicine for mental illness) or
  • Buclizine (e.g., Bucladin) or
  • Carbamazepine (e.g., Tegretol) or
  • Cyclizine (e.g., Marezine) or
  • Cyclobenzaprine (e.g., Flexeril) or
  • Disopyramide (e.g., Norpace) or
  • Flavoxate (e.g., Urispas) or
  • Ipratropium (e.g., Atrovent) or
  • Meclizine (e.g., Antivert) or
  • Methylphenidate (e.g., Ritalin) or
  • Orphenadrine (e.g., Norflex) or
  • Oxybutynin (e.g., Ditropan) or
  • Procainamide (e.g., Pronestyl) or
  • Promethazine (e.g., Phenergan) or
  • Quinidine (e.g., Quinidex) or
  • Trimeprazine (e.g., Temaril)—Use with potassium supplements may cause or worsen certain stomach or intestine problems
  • Angiotensin-converting enzyme (ACE) inhibitors (benazepril [e.g., Lotensin], captopril [e.g., Capoten], enalapril [e.g., Vasotec], fosinopril [e.g., Monotril], lisinopril [e.g., Prinivil, Zestril], quinapril [e.g., Accupril], ramipril [e.g., Altace]) or
  • Amiloride (e.g., Midamor) or
  • Beta-adrenergic blocking agents (acebutolol [e.g., Sectral], atenolol [e.g., Tenormin], betaxolol [e.g., Kerlone], carteolol [e.g., Cartrol], labetalol [e.g., Normodyne], metoprolol [e.g., Lopressor], nadolol [e.g., Corgard], oxprenolol [e.g., Trasicor], penbutolol [e.g., Levatol], pindolol [e.g., Visken], propranolol [e.g., Inderal], sotalol [e.g., Sotacor], timolol [e.g., Blocadren]) or
  • Heparin (e.g., Panheprin) or
  • Inflammation or pain medicine (except narcotics) or
  • Potassium-containing medicines (other) or
  • Salt substitutes, low-salt foods, or milk or
  • Spironolactone (e.g., Aldactone) or
  • Triamterene (e.g., Dyrenium)—Use with potassium supplements may further increase potassium blood levels, which may cause or worsen heart problems
  • Digitalis glycosides (heart medicine)—Use with potassium supplements may make heart problems worse
  • Thiazide diuretics (water pills)—If you have been taking a potassium supplement and a thiazide diuretic together, stopping the thiazide diuretic may cause hyperkalemia (high blood levels of potassium)

Other medical problems—The presence of other medical problems may affect the use of potassium supplements. Make sure you tell your doctor if you have any other medical problems, especially:

  • Addison"s disease (underactive adrenal glands) or
  • Dehydration (excessive loss of body water, continuing or severe)
  • Type 2 diabetes mellitus or
  • Kidney disease—Potassium supplements may increase the risk of hyperkalemia (high blood levels of potassium), which may worsen or cause heart problems in patients with these conditions
  • Diarrhea (continuing or severe)—The loss of fluid in combination with potassium supplements may cause kidney problems, which may increase the risk of hyperkalemia (high blood levels of potassium)
  • Heart disease—Potassium supplements may make this condition worse
  • Intestinal or esophageal blockage—Potassium supplements may damage the intestines
  • Stomach ulcer—Potassium supplements may make this condition worse

Proper Use of This Medicine

For patients taking the liquid form of this medicine:

  • This medicine must be diluted in at least one-half glass (4 ounces) of cold water or juice to reduce its possible stomach-irritating or laxative effect.
  • If you are on a salt (sodium)-restricted diet, check with your doctor before using tomato juice to dilute your medicine. Tomato juice has a high salt content.

For patients taking the soluble granule, soluble powder, or soluble tablet form of this medicine:

  • This medicine must be completely dissolved in at least one-half glass (4 ounces) of cold water or juice to reduce its possible stomach-irritating or laxative effect.
  • Allow any "fizzing" to stop before taking the dissolved medicine.
  • If you are on a salt (sodium)-restricted diet, check with your doctor before using tomato juice to dilute your medicine. Tomato juice has a high salt content.

For patients taking the extended-release tablet form of this medicine:

  • Swallow the tablets whole with a full (8-ounce) glass of water. Do not chew or suck on the tablet.
  • Some tablets may be broken or crushed and sprinkled on applesauce or other soft food. However, check with your doctor or pharmacist first, since this should not be done for most tablets.
  • If you have trouble swallowing tablets or if they seem to stick in your throat, check with your doctor. When this medicine is not properly released, it can cause irritation that may lead to ulcers.

For patients taking the extended-release capsule form of this medicine:

  • Do not crush or chew the capsule. Swallow the capsule whole with a full (8-ounce) glass of water.
  • Some capsules may be opened and the contents sprinkled on applesauce or other soft food. However, check with your doctor or pharmacist first, since this should not be done for most capsules.

Take this medicine immediately after meals or with food to lessen possible stomach upset or laxative action .

Take this medicine only as directed by your doctor . Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This is especially important if you are also taking both diuretics (water pills) and digitalis medicines for your heart .

Dosing—The dose of these single or combination medicines will be different for different patients. Follow your doctor"s orders or the directions on the label . The following information includes only the average dose of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.

The number of ounces of solution that you drink, or the number of tablets or capsules you take, depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are taking the single or combination medicine .

  • For potassium bicarbonate
  • For oral dosage form (tablets for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—25 to 50 milliequivalents (mEq) dissolved in one-half to one glass of cold water, taken one or two times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose must be determined by your doctor.
  • For potassium bicarbonate and potassium chloride
  • For oral dosage form (granules for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—20 milliequivalents (mEq) dissolved in one-half to one glass of cold water, taken one or two times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose must be determined by your doctor.
  • For oral dosage form (tablets for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—20, 25, or 50 mEq dissolved in one-half to one glass of cold water, taken one or two times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose must be determined by your doctor.
  • For potassium bicarbonate and potassium citrate
  • For oral dosage form (tablets for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—25 or 50 milliequivalents (mEq) dissolved in one-half to one glass of cold water, taken one or two times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose must be determined by your doctor.
  • For potassium chloride
  • For oral dosage form (extended-release capsules):
    • To replace potassium lost by the body:
      • Adults and teenagers—40 to 100 milliequivalents (mEq) a day, divided into two or three smaller doses during the day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
    • To prevent potassium loss:
      • Adults and teenagers—16 to 24 mEq a day, divided into two or three smaller doses during the day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose must be determined by your doctor.
  • For oral dosage form (liquid for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—20 mEq mixed into one-half glass of cold water or juice, taken one to four times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 1 to 3 mEq of potassium per kilogram (kg) (0.45 to 1.36 mEq per pound) of body weight taken in smaller doses during the day. The solution should be well mixed in water or juice.
  • For oral dosage form (powder for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—15 to 25 mEq dissolved in four to six ounces of cold water, taken two or four times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 1 to 3 mEq per kg (0.45 to 1.36 mEq per pound) of body weight taken in smaller doses during the day. The solution should be mixed into water or juice.
  • For oral dosage form (powder for suspension):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—20 mEq dissolved in two to six ounces of cold water, taken one to five times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose must be determined by your doctor.
  • For oral dosage form (extended-release tablets):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—6.7 to 20 mEq taken three times a day. However, most people will not take more than 100 mEq a day.
      • Children—Dose must be determined by your doctor.
  • For potassium gluconate
  • For oral dosage form (liquid for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—20 milliequivalents (mEq) mixed into one-half glass of cold water or juice, taken two to four times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 2 to 3 mEq per kilogram (kg) (0.9 to 1.36 mEq per pound) of body weight a day, taken in smaller doses during the day. The solution should be completely mixed into water or juice.
  • For oral dosage form (tablets):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—5 to 10 mEq taken two to four times a day. However, most people will not take more than 100 mEq a day.
      • Children—Dose must be determined by your doctor.
  • For potassium gluconate and potassium chloride
  • For oral dosage form (liquid for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—20 milliequivalents (mEq) diluted in 2 tablespoonfuls or more of cold water or juice, taken two to four times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 2 to 3 mEq per kilogram (kg) (0.9 to 1.36 mEq per pound) of body weight taken in smaller doses during the day. The solution should be well mixed into water or juice.
  • For oral dosage form (powder for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—20 mEq mixed in 2 tablespoonfuls or more of cold water or juice taken two to four times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose is base on body weight and must be determined by your doctor. The usual dose is 2 to 3 mEq per kg (0.9 to 1.36 mEq per pound) of body weight taken in smaller doses during the day. The solution should be well mixed into water or juice.
  • For potassium gluconate and potassium citrate
  • For oral dosage form (liquid for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—20 milliequivalents (mEq) mixed into one-half glass of cold water or juice, taken two to four times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 2 to 3 mEq per kg (0.9 to 1.36 mEq per pound) of body weight taken in smaller doses during the day. The solution should be well mixed into water or juice.
  • For trikates
  • For oral dosage form (liquid for solution):
    • To prevent potassium loss or replace potassium lost by the body:
      • Adults and teenagers—15 milliequivalents (mEq) mixed into one-half glass of cold water or juice, taken three or four times a day. Your doctor may change the dose if needed. However, most people will not take more than 100 mEq a day.
      • Children—Dose is based on body weight and must be determined by your doctor. The usual dose is 2 to 3 mEq per kilogram (kg) (0.9 to 1.36 mEq per pound) of body weight taken in smaller doses during the day. The solution should be well mixed into water or juice.

Missed dose—If you miss a dose of this medicine and remember within 2 hours, take the missed dose right away with food or liquids. Then go back to your regular dosing schedule. However, if you do not remember until later, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage—To store this medicine:

  • Keep out of the reach of children.
  • Store away from heat and direct light.
  • Do not store in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
  • Keep the liquid form of this medicine from freezing.
  • Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.

Precautions While Using This Medicine

Your doctor should check your progress at regular visits to make sure the medicine is working properly and that possible side effects are avoided. Laboratory tests may be necessary.

Do not use salt substitutes, eat low-sodium foods, especially some breads and canned foods, or drink low-sodium milk unless you are told to do so by your doctor, since these products may contain potassium. It is important to read the labels carefully on all low-sodium food products .

Check with your doctor before starting any physical exercise program, especially if you are out of condition and are taking any other medicine. Exercise and certain medicines may increase the amount of potassium in the blood.

Check with your doctor at once if you notice blackish stools or other signs of stomach or intestinal bleeding . This medicine may cause such a condition to become worse, especially when taken in tablet form.

Side Effects of This Medicine

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Stop taking this medicine and check with your doctor immediately if any of the following side effects occur :

Less common

Confusion; irregular or slow heartbeat; numbness or tingling in hands, feet, or lips; shortness of breath or difficult breathing; unexplained anxiety; unusual tiredness or weakness; weakness or heaviness of legs

Also, check with your doctor if any of the following side effects occur:

Rare

Abdominal or stomach pain, cramping, or soreness (continuing); chest or throat pain, especially when swallowing; stools with signs of blood (red or black color)

Other side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, check with your doctor if any of the following side effects continue or are bothersome:

More common

Diarrhea; nausea; stomach pain, discomfort, or gas (mild); vomiting

Sometimes you may see what appears to be a whole tablet in the stool after taking certain extended-release potassium chloride tablets. This is to be expected. Your body has absorbed the potassium from the tablet and the shell is then expelled.

Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.

Revised: 07/11/1995

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Typical mistypes for Potassium Bicarbonate and Potassium Chloride
ootassium bicarbonate and potassium chloride, lotassium bicarbonate and potassium chloride, -otassium bicarbonate and potassium chloride, 0otassium bicarbonate and potassium chloride, pitassium bicarbonate and potassium chloride, pktassium bicarbonate and potassium chloride, pltassium bicarbonate and potassium chloride, pptassium bicarbonate and potassium chloride, p0tassium bicarbonate and potassium chloride, p9tassium bicarbonate and potassium chloride, porassium bicarbonate and potassium chloride, pofassium bicarbonate and potassium chloride, pogassium bicarbonate and potassium chloride, poyassium bicarbonate and potassium chloride, po6assium bicarbonate and potassium chloride, po5assium bicarbonate and potassium chloride, potzssium bicarbonate and potassium chloride, potsssium bicarbonate and potassium chloride, potwssium bicarbonate and potassium chloride, potqssium bicarbonate and potassium chloride, potaasium bicarbonate and potassium chloride, potazsium bicarbonate and potassium chloride, potaxsium bicarbonate and potassium chloride, potadsium bicarbonate and potassium chloride, potaesium bicarbonate and potassium chloride, potawsium bicarbonate and potassium chloride, potasaium bicarbonate and potassium chloride, potaszium bicarbonate and potassium chloride, potasxium bicarbonate and potassium chloride, potasdium bicarbonate and potassium chloride, potaseium bicarbonate and potassium chloride, potaswium bicarbonate and potassium chloride, potassuum bicarbonate and potassium chloride, potassjum bicarbonate and potassium chloride, potasskum bicarbonate and potassium chloride, potassoum bicarbonate and potassium chloride, potass9um bicarbonate and potassium chloride, potass8um bicarbonate and potassium chloride, potassiym bicarbonate and potassium chloride, potassihm bicarbonate and potassium chloride, potassijm bicarbonate and potassium chloride, potassiim bicarbonate and potassium chloride, potassi8m bicarbonate and potassium chloride, potassi7m bicarbonate and potassium chloride, potassiun bicarbonate and potassium chloride, potassiuk bicarbonate and potassium chloride, potassiuj bicarbonate and potassium chloride, potassium vicarbonate and potassium chloride, potassium nicarbonate and potassium chloride, potassium hicarbonate and potassium chloride, potassium gicarbonate and potassium chloride, potassium bucarbonate and potassium chloride, potassium bjcarbonate and potassium chloride, potassium bkcarbonate and potassium chloride, potassium bocarbonate and potassium chloride, potassium b9carbonate and potassium chloride, potassium b8carbonate and potassium chloride, potassium bixarbonate and potassium chloride, potassium bivarbonate and potassium chloride, potassium bifarbonate and potassium chloride, potassium bidarbonate and potassium chloride, potassium biczrbonate and potassium chloride, potassium bicsrbonate and potassium chloride, potassium bicwrbonate and potassium chloride, potassium bicqrbonate and potassium chloride, potassium bicaebonate and potassium chloride, potassium bicadbonate and potassium chloride, potassium bicafbonate and potassium chloride, potassium bicatbonate and potassium chloride, potassium bica5bonate and potassium chloride, potassium bica4bonate and potassium chloride, potassium bicarvonate and potassium chloride, potassium bicarnonate and potassium chloride, potassium bicarhonate and potassium chloride, potassium bicargonate and potassium chloride, potassium bicarbinate and potassium chloride, potassium bicarbknate and potassium chloride, potassium bicarblnate and potassium chloride, potassium bicarbpnate and potassium chloride, potassium bicarb0nate and potassium chloride, potassium bicarb9nate and potassium chloride, potassium bicarbobate and potassium chloride, potassium bicarbomate and potassium chloride, potassium bicarbojate and potassium chloride, potassium bicarbohate and potassium chloride, potassium bicarbonzte and potassium chloride, potassium bicarbonste and potassium chloride, potassium bicarbonwte and potassium chloride, potassium bicarbonqte and potassium chloride, potassium bicarbonare and potassium chloride, potassium bicarbonafe and potassium chloride, potassium bicarbonage and potassium chloride, potassium bicarbonaye and potassium chloride, potassium bicarbona6e and potassium chloride, potassium bicarbona5e and potassium chloride, potassium bicarbonatw and potassium chloride, potassium bicarbonats and potassium chloride, potassium bicarbonatd and potassium chloride, potassium bicarbonatr and potassium chloride, potassium bicarbonat4 and potassium chloride, potassium bicarbonat3 and potassium chloride, potassium bicarbonate znd potassium chloride, potassium bicarbonate snd potassium chloride, potassium bicarbonate wnd potassium chloride, potassium bicarbonate qnd potassium chloride, potassium bicarbonate abd potassium chloride, potassium bicarbonate amd potassium chloride, potassium bicarbonate ajd potassium chloride, potassium bicarbonate ahd potassium chloride, potassium bicarbonate ans potassium chloride, potassium bicarbonate anx potassium chloride, potassium bicarbonate anc potassium chloride, potassium bicarbonate anf potassium chloride, potassium bicarbonate anr potassium chloride, potassium bicarbonate ane potassium chloride, potassium bicarbonate and ootassium chloride, potassium bicarbonate and lotassium chloride, potassium bicarbonate and -otassium chloride, potassium bicarbonate and 0otassium chloride, potassium bicarbonate and pitassium chloride, potassium bicarbonate and pktassium chloride, potassium bicarbonate and pltassium chloride, potassium bicarbonate and pptassium chloride, potassium bicarbonate and p0tassium chloride, potassium bicarbonate and p9tassium chloride, potassium bicarbonate and porassium chloride, potassium bicarbonate and pofassium chloride, potassium bicarbonate and pogassium chloride, potassium bicarbonate and poyassium chloride, potassium bicarbonate and po6assium chloride, potassium bicarbonate and po5assium chloride, potassium bicarbonate and potzssium chloride, potassium bicarbonate and potsssium chloride, potassium bicarbonate and potwssium chloride, potassium bicarbonate and potqssium chloride, potassium bicarbonate and potaasium chloride, potassium bicarbonate and potazsium chloride, potassium bicarbonate and potaxsium chloride, potassium bicarbonate and potadsium chloride, potassium bicarbonate and potaesium chloride, potassium bicarbonate and potawsium chloride, potassium bicarbonate and potasaium chloride, potassium bicarbonate and potaszium chloride, potassium bicarbonate and potasxium chloride, potassium bicarbonate and potasdium chloride, potassium bicarbonate and potaseium chloride, potassium bicarbonate and potaswium chloride, potassium bicarbonate and potassuum chloride, potassium bicarbonate and potassjum chloride, potassium bicarbonate and potasskum chloride, potassium bicarbonate and potassoum chloride, potassium bicarbonate and potass9um chloride, potassium bicarbonate and potass8um chloride, potassium bicarbonate and potassiym chloride, potassium bicarbonate and potassihm chloride, potassium bicarbonate and potassijm chloride, potassium bicarbonate and potassiim chloride, potassium bicarbonate and potassi8m chloride, potassium bicarbonate and potassi7m chloride, potassium bicarbonate and potassiun chloride, potassium bicarbonate and potassiuk chloride, potassium bicarbonate and potassiuj chloride, potassium bicarbonate and potassium xhloride, potassium bicarbonate and potassium vhloride, potassium bicarbonate and potassium fhloride, potassium bicarbonate and potassium dhloride, potassium bicarbonate and potassium cgloride, potassium bicarbonate and potassium cbloride, potassium bicarbonate and potassium cnloride, potassium bicarbonate and potassium cjloride, potassium bicarbonate and potassium culoride, potassium bicarbonate and potassium cyloride, potassium bicarbonate and potassium chkoride, potassium bicarbonate and potassium chporide, potassium bicarbonate and potassium chooride, potassium bicarbonate and potassium chliride, potassium bicarbonate and potassium chlkride, potassium bicarbonate and potassium chllride, potassium bicarbonate and potassium chlpride, potassium bicarbonate and potassium chl0ride, potassium bicarbonate and potassium chl9ride, potassium bicarbonate and potassium chloeide, potassium bicarbonate and potassium chlodide, potassium bicarbonate and potassium chlofide, potassium bicarbonate and potassium chlotide, potassium bicarbonate and potassium chlo5ide, potassium bicarbonate and potassium chlo4ide, potassium bicarbonate and potassium chlorude, potassium bicarbonate and potassium chlorjde, potassium bicarbonate and potassium chlorkde, potassium bicarbonate and potassium chlorode, potassium bicarbonate and potassium chlor9de, potassium bicarbonate and potassium chlor8de, potassium bicarbonate and potassium chlorise, potassium bicarbonate and potassium chlorixe, potassium bicarbonate and potassium chlorice, potassium bicarbonate and potassium chlorife, potassium bicarbonate and potassium chlorire, potassium bicarbonate and potassium chloriee, potassium bicarbonate and potassium chloridw, potassium bicarbonate and potassium chlorids, potassium bicarbonate and potassium chloridd, potassium bicarbonate and potassium chloridr, potassium bicarbonate and potassium chlorid4, potassium bicarbonate and potassium chlorid3, otassium bicarbonate and potassium chloride, ptassium bicarbonate and potassium chloride, poassium bicarbonate and potassium chloride, potssium bicarbonate and potassium chloride, potasium bicarbonate and potassium chloride, potasium bicarbonate and potassium chloride, potassum bicarbonate and potassium chloride, potassim bicarbonate and potassium chloride, potassiu bicarbonate and potassium chloride, potassiumbicarbonate and potassium chloride, potassium icarbonate and potassium chloride, potassium bcarbonate and potassium chloride, potassium biarbonate and potassium chloride, potassium bicrbonate and potassium chloride, potassium bicabonate and potassium chloride, potassium bicaronate and potassium chloride, potassium bicarbnate and potassium chloride, potassium bicarboate and potassium chloride, potassium bicarbonte and potassium chloride, potassium bicarbonae and potassium chloride, potassium bicarbonat and potassium chloride, potassium bicarbonateand potassium chloride, potassium bicarbonate nd potassium chloride, potassium bicarbonate ad potassium chloride, potassium bicarbonate an potassium chloride, potassium bicarbonate andpotassium chloride, potassium bicarbonate and otassium chloride, potassium bicarbonate and ptassium chloride, potassium bicarbonate and poassium chloride, potassium bicarbonate and potssium chloride, potassium bicarbonate and potasium chloride, potassium bicarbonate and potasium chloride, potassium bicarbonate and potassum chloride, potassium bicarbonate and potassim chloride, potassium bicarbonate and potassiu chloride, potassium bicarbonate and potassiumchloride, potassium bicarbonate and potassium hloride, potassium bicarbonate and potassium cloride, potassium bicarbonate and potassium choride, potassium bicarbonate and potassium chlride, potassium bicarbonate and potassium chloide, potassium bicarbonate and potassium chlorde, potassium bicarbonate and potassium chlorie, potassium bicarbonate and potassium chlorid, optassium bicarbonate and potassium chloride, ptoassium bicarbonate and potassium chloride, poatssium bicarbonate and potassium chloride, potsasium bicarbonate and potassium chloride, potasisum bicarbonate and potassium chloride, potassuim bicarbonate and potassium chloride, potassimu bicarbonate and potassium chloride, potassiu mbicarbonate and potassium chloride, potassiumb icarbonate and potassium chloride, potassium ibcarbonate and potassium chloride, potassium bciarbonate and potassium chloride, potassium biacrbonate and potassium chloride, potassium bicrabonate and potassium chloride, potassium bicabronate and potassium chloride, potassium bicarobnate and potassium chloride, potassium bicarbnoate and potassium chloride, potassium bicarboante and potassium chloride, potassium bicarbontae and potassium chloride, potassium bicarbonaet and potassium chloride, potassium bicarbonat eand potassium chloride, potassium bicarbonatea nd potassium chloride, potassium bicarbonate nad potassium chloride, potassium bicarbonate adn potassium chloride, potassium bicarbonate an dpotassium chloride, potassium bicarbonate andp otassium chloride, potassium bicarbonate and optassium chloride, potassium bicarbonate and ptoassium chloride, potassium bicarbonate and poatssium chloride, potassium bicarbonate and potsasium chloride, potassium bicarbonate and potasisum chloride, potassium bicarbonate and potassuim chloride, potassium bicarbonate and potassimu chloride, potassium bicarbonate and potassiu mchloride, potassium bicarbonate and potassiumc hloride, potassium bicarbonate and potassium hcloride, potassium bicarbonate and potassium clhoride, potassium bicarbonate and potassium cholride, potassium bicarbonate and potassium chlroide, potassium bicarbonate and potassium chloirde, potassium bicarbonate and potassium chlordie, potassium bicarbonate and potassium chloried, ppotassium bicarbonate and potassium chloride, pootassium bicarbonate and potassium chloride, pottassium bicarbonate and potassium chloride, potaassium bicarbonate and potassium chloride, potasssium bicarbonate and potassium chloride, potasssium bicarbonate and potassium chloride, potassiium bicarbonate and potassium chloride, potassiuum bicarbonate and potassium chloride, potassiumm bicarbonate and potassium chloride, potassium bicarbonate and potassium chloride, potassium bbicarbonate and potassium chloride, potassium biicarbonate and potassium chloride, potassium biccarbonate and potassium chloride, potassium bicaarbonate and potassium chloride, potassium bicarrbonate and potassium chloride, potassium bicarbbonate and potassium chloride, potassium bicarboonate and potassium chloride, potassium bicarbonnate and potassium chloride, potassium bicarbonaate and potassium chloride, potassium bicarbonatte and potassium chloride, potassium bicarbonatee and potassium chloride, potassium bicarbonate and potassium chloride, potassium bicarbonate aand potassium chloride, potassium bicarbonate annd potassium chloride, potassium bicarbonate andd potassium chloride, potassium bicarbonate and potassium chloride, potassium bicarbonate and ppotassium chloride, potassium bicarbonate and pootassium chloride, potassium bicarbonate and pottassium chloride, potassium bicarbonate and potaassium chloride, potassium bicarbonate and potasssium chloride, potassium bicarbonate and potasssium chloride, potassium bicarbonate and potassiium chloride, potassium bicarbonate and potassiuum chloride, potassium bicarbonate and potassiumm chloride, potassium bicarbonate and potassium chloride, potassium bicarbonate and potassium cchloride, potassium bicarbonate and potassium chhloride, potassium bicarbonate and potassium chlloride, potassium bicarbonate and potassium chlooride, potassium bicarbonate and potassium chlorride, potassium bicarbonate and potassium chloriide, potassium bicarbonate and potassium chloridde, potassium bicarbonate and potassium chloridee, etc.



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