Management of renal tubular acidosis w/ Ca stones, hypocitraturic Ca oxalate nephrolithiasis of any etiology, & uric acid lithiasis w/ or w/o Ca stones.
Should be taken with food: Swallow whole, do not crush/chew/suck.
Contraindications
Patients w/ hyperkalemia or who have conditions predisposing to hyperkalemia. Chronic renal failure, uncontrolled DM, acute dehydration, strenuous physical exercise in unconditioned individuals, adrenal insufficiency, extensive tissue breakdown, administration of K-sparing agents (eg, triamterene, spironolactone or amiloride). Patients w/ arrest or delay in tab passage through the GIT eg, delayed gastric emptying, esophageal compression, intestinal obstruction or stricture or those taking anticholinergics. PUD. Renal insufficiency (GFR <0.7 mL/kg/min).
Avoid in patients w/ chronic renal failure or any other conditions impairing K excretion eg, severe myocardial damage or heart failure. Discontinue immediately if severe vomiting, abdominal pain or GI bleeding occurs. Pregnancy & lactation. Childn.
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