{"id":4101,"date":"2021-09-03T08:00:00","date_gmt":"2021-09-03T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=4101"},"modified":"2026-05-18T09:55:32","modified_gmt":"2026-05-18T02:55:32","slug":"%d1%86%d0%b8%d1%82%d1%80%d0%b0%d1%82-%d0%ba%d0%b0%d0%bb%d0%b8%d1%8f-%d0%be%d1%82-%d0%ba%d0%b0%d0%bc%d0%bd%d0%b5%d0%b9-%d0%b2-%d0%bf%d0%be%d1%87%d0%ba%d0%b0%d1%85","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ru\/2021\/09\/03\/potassium-citrate-kidney-stone\/","title":{"rendered":"\u0420\u043e\u043b\u044c \u043f\u0435\u0440\u043e\u0440\u0430\u043b\u044c\u043d\u044b\u0445 \u043f\u0440\u0435\u043f\u0430\u0440\u0430\u0442\u043e\u0432 \u0432 \u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u043a\u0430\u043c\u043d\u0435\u0439 \u0432 \u043f\u043e\u0447\u043a\u0430\u0445"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" 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0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">The FAQ (Frequently ask question) from patients at Urology clinic; what about Potassium citrate therapy for kidney stone treatment or stone prevention for the post successful stone operation? In this point I have to answer that &#8220;Most of kidney stone cannot be treated or get rid of by just medication but it more likely just has a key role on reducing the recurrence rate.&#8221; I will tell you why.<\/p>\n\n\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"FAQPage\",\r\n  \"mainEntity\": [\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Can potassium citrate dissolve kidney stones?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Potassium citrate can dissolve kidney stones only if they are uric acid stones. Uric acid stones form in acidic urine, and potassium citrate alkalinizes the urine to a therapeutic pH of 6.5\u20137.0, which can dissolve them. However, most other types of kidney stones cannot be dissolved by medication alone. Approximately 20.9% of kidney stone patients in Thailand have uric acid stones, so about 1 in 5 patients may benefit from oral citrate dissolving therapy.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What are the two main protective effects of potassium citrate against kidney stones?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"First, potassium citrate alkalinizes urine, which can dissolve uric acid stones when urine pH is maintained at 6.5\u20137.0. Second, citrate acts as a kidney stone inhibitor by binding to calcium ions in the urine and preventing crystallization, which helps reduce the formation and recurrence of calcium-containing stones, the most common type accounting for up to 80% of all kidney stones.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Does potassium citrate prevent kidney stone recurrence?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Yes. A large systematic review published in 2015 confirmed that citrate therapy significantly prevents stone growth and reduces kidney stone recurrence rates, particularly for calcium-containing stones. It is often recommended after successful stone surgery as a preventive measure.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What are the side effects of potassium citrate therapy?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Common side effects of potassium citrate include gastrointestinal complaints such as stomach upset, nausea, bloating, and diarrhea. These side effects, combined with the need to take the medication three times daily and regularly monitor urine pH, often lead patients to discontinue the therapy.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Is potassium citrate guaranteed to prevent kidney stones from coming back?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"No. Even with strict compliance to potassium citrate therapy and regular urine pH monitoring, there is no 100% guarantee against kidney stone recurrence. Kidney stone formation is multifactorial, and citrate therapy is just one component of a comprehensive prevention strategy.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"Should I take potassium citrate for my kidney stone without consulting a doctor?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"No. While potassium citrate is available over the counter, whether it is appropriate for your specific type of kidney stone depends on the stone composition and your individual condition. You should consult a urologist to determine if citrate therapy is the right choice for you.\"\r\n      }\r\n    }\r\n  ]\r\n}\r\n<\/script>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"489\" data-attachment-id=\"4112\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/2021\/09\/03\/potassium-citrate-kidney-stone\/pepper-powder\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Citrate-powder.jpg?fit=1200%2C734&amp;ssl=1\" data-orig-size=\"1200,734\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;11&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;NIKON D7100&quot;,&quot;caption&quot;:&quot;pepper powder on wood spoon&quot;,&quot;created_timestamp&quot;:&quot;1438355841&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;105&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.01&quot;,&quot;title&quot;:&quot;pepper powder&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Potassium citrate powder\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Potassium citrate powder&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Citrate-powder.jpg?fit=800%2C489&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Citrate-powder.jpg?resize=800%2C489&#038;ssl=1\" alt=\"Role of the Potassium citrate in kidney stone treatment\" class=\"wp-image-4112\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Citrate-powder.jpg?resize=1024%2C626&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Citrate-powder.jpg?resize=300%2C184&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Citrate-powder.jpg?resize=768%2C470&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Citrate-powder.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Citrate-powder.jpg?w=1200&amp;ssl=1 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Potassium citrate powder has a role in kidney stone treatment<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Potassium citrate salts has 2 protective effects against kidney stone.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">2 Protective effects of <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/26439475\/\">Potassium citrate<\/a> against kidney stone<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Alkalinizes urine &#8211; Uric acid stone is the only stone type that thrives in acidic urine. Maintaining urine pH 6.5-7.0 with citrate therapy can dissolve uric acid stones. Thai data shows approximately 20.9% of stone patients have uric acid stones, so roughly 1 in 5 patients may benefit from oral citrate therapy alone.<\/li>\n\n\n\n<li>Prevents calcium stone formation &#8211; Calcium stones account for up to 80% of kidney stones. Citrate binds to calcium ions in urine and inhibits crystallization. A 2015 large systematic review confirmed that citrate therapy significantly prevents stone growth and reduces recurrence rate.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"484\" data-attachment-id=\"4116\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/2021\/09\/03\/potassium-citrate-kidney-stone\/ph-scale-vector-indicator-chart-diagram-acidic-alkaline-measure\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/pH.jpg?fit=1200%2C727&amp;ssl=1\" data-orig-size=\"1200,727\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;pH scale vector indicator chart diagram acidic alkaline measure isolated on white background illustration. Infographic acid-base balance 10 eps&quot;,&quot;created_timestamp&quot;:&quot;1624297145&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;pH scale vector indicator chart diagram acidic alkaline measure&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Potassium citrate therapy makes urine alkalinized which can treat uric acid stone\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Potassium citrate therapy makes urine alkalinized which can treat uric acid stone &lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/pH.jpg?fit=800%2C484&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/pH.jpg?resize=800%2C484&#038;ssl=1\" alt=\"\" class=\"wp-image-4116\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/pH.jpg?resize=1024%2C620&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/pH.jpg?resize=300%2C182&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/pH.jpg?resize=768%2C465&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/pH.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/pH.jpg?w=1200&amp;ssl=1 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Potassium citrate therapy alkalinizes urine which can treat uric acid stones.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Cons of citrate therapy include gastrointestinal side effects (stomach upset, nausea, bloating, diarrhea), need for strict 3-times-daily dosing compliance with regular urine pH self-monitoring, and no absolute guarantee of stone recurrence prevention due to the multifactorial nature of stone formation.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"4114\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ru\/2021\/09\/03\/potassium-citrate-kidney-stone\/young-brunette-in-pink-sweater-isolated-on-purple-background-suffering-stomach-ache-with-painful-grimace-feeling-sudden-period-cramps-gynecology-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Stomach-upset.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;6.3&quot;,&quot;credit&quot;:&quot;\\&quot;Anastasiya Kargapolova \\n\\&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark III&quot;,&quot;caption&quot;:&quot;Young brunette in pink sweater isolated on purple background suffering stomach ache with painful grimace, feeling sudden period cramps, gynecology concept&quot;,&quot;created_timestamp&quot;:&quot;1617831445&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;50&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.008&quot;,&quot;title&quot;:&quot;Young brunette in pink sweater isolated on purple background suffering stomach ache with painful grimace, feeling sudden period cramps, gynecology concept&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Stomach upset is usually complaint during citrate therapy\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Stomach upset is usually complaint during citrate therapy&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Stomach-upset.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Stomach-upset.jpg?resize=800%2C534&#038;ssl=1\" alt=\"\" class=\"wp-image-4114\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Stomach-upset.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Stomach-upset.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Stomach-upset.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Stomach-upset.jpg?resize=18%2C12&amp;ssl=1 18w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/09\/Stomach-upset.jpg?w=1200&amp;ssl=1 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Stomach upset is a common complaint during citrate therapy.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">It&#8217;s better to discuss with your urologist whether your stone condition is worth for citrate therapy or not. You can visit my homepage <a href=\"https:\/\/drsoaraweeurology.com\/\">here<\/a>!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Q1: Can potassium citrate dissolve kidney stones?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Potassium citrate can dissolve kidney stones only in a specific situation: uric acid stones. By alkalinizing the urine to a pH of 6.5-7.0, citrate therapy creates an environment where uric acid crystals dissolve over time. For the more common calcium-containing stones, which account for up to 80% of kidney stones, citrate therapy helps prevent new stone formation but cannot dissolve existing stones.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q2: How does potassium citrate prevent kidney stones?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Potassium citrate works in two ways. First, it alkalinizes urine, which specifically targets and helps dissolve uric acid stones. Second, citrate acts as a natural inhibitor of calcium stone formation by binding to calcium ions in the urine and preventing them from crystallizing into stones. A large systematic review in 2015 confirmed that citrate therapy significantly reduces stone recurrence rates.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q3: Who should take potassium citrate for kidney stones?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Potassium citrate is most beneficial for patients with uric acid kidney stones, those with low urinary citrate levels (hypocitraturia), and patients with calcium oxalate stones who have had prior stone surgery and want to reduce recurrence risk. Your urologist can determine whether citrate therapy is appropriate based on your stone type (ideally confirmed by stone analysis), urine studies, and overall stone history.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q4: What are the side effects of potassium citrate therapy?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Common side effects of potassium citrate include gastrointestinal complaints such as stomach upset, nausea, bloating, and diarrhea. These are usually related to the dosing schedule, as optimal therapy requires taking the medication three times daily. Taking citrate with meals and adequate water can help reduce gastrointestinal discomfort. If side effects are severe, your doctor can adjust the formulation or dosage.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q5: Can I buy potassium citrate over the counter for kidney stones?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">While some citrate-containing supplements are available over the counter, self-medicating without medical guidance is not recommended. Effective citrate therapy requires knowing your stone type (confirmed by stone analysis), monitoring urine pH regularly, and maintaining appropriate dosing. Kidney stone formation is multifactorial and requires a comprehensive evaluation by a urologist to design the most effective prevention strategy for your individual situation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have kidney stones and would like guidance on whether potassium citrate therapy is appropriate for you, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The FAQ (Frequently ask question) from patients at Urology clinic; what about Potassium citrate therapy for kidney stone treatment or stone prevention for the post successful stone operation? In this point I have to answer that &#8220;Most of kidney stone cannot be treated or get rid of by just medication but it more likely just [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10072,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Can potassium citrate dissolve kidney stones? Learn how citrate therapy prevents calcium and uric acid stones. 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