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citric acid/sodium citrate - oral, Bicitra, Cytra-2, Oracit, Shoh (cont.)

PRECAUTIONS: Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: severe kidney disease (e.g., unable to make urine), sodium-restricted diet, high sodium levels.Before using this medication, tell your doctor or pharmacist your medical history, especially of: a certain breathing problem (pulmonary edema), low calcium levels, high blood pressure, heart problems (e.g., irregular heartbeat, heart failure), kidney disease, swollen ankles/legs/feet due to retaining water (peripheral edema).Liquid forms of this product may contain sugar. Caution is advised if you have diabetes. Ask your doctor or pharmacist about using this product safely.Because this medication contains salt (sodium), tell your doctor if you are on a salt-restricted diet.During pregnancy, this medication should be used only when clearly needed. This medication may worsen high blood pressure during pregnancy (toxemia of pregnancy). Discuss the risks and benefits with your doctor.It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.This drug should not be used with the following medications because very serious interactions may occur: antacids that contain aluminum.If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting this medication.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: aspirin and other salicylates (e.g., salsalate), lithium, quinidine, stimulants/decongestants (e.g., amphetamine, pseudoephedrine).This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.



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