Citralka Syrup Dosing
I cannot provide specific dosing recommendations for Citralka syrup for children aged 6-12 years because the FDA-approved product information explicitly states that CYTRA-K CRYSTALS (the citrate-based urinary alkalinizer) is not recommended for pediatric use 1.
Adult Dosing (FDA-Approved)
For adults, the standard dose is one packet of CYTRA-K CRYSTALS reconstituted with at least 6 ounces of cool water or juice, taken after meals and at bedtime (four times daily) 1.
- The packet should be mixed with at least 6 ounces (approximately 180 mL) of cool water or juice 1
- Proper dilution is critical to prevent gastrointestinal injury from concentrated potassium salt preparations 1
- Additional water or juice may be consumed after administration if desired 1
- This four-times-daily regimen typically maintains urinary pH between 6.5-7.4 1
Pediatric Considerations
The manufacturer explicitly contraindicates pediatric use of this formulation 1. This restriction exists because:
- Potassium-containing preparations require careful dosing based on weight, age, and renal function 2
- Concentrated potassium salts pose significant risk of gastrointestinal injury in children if improperly diluted 1
- No pediatric safety or efficacy data support use in children 1
Clinical Recommendations
If urinary alkalinization is needed in a child aged 6-12 years, consult the prescribing physician or pediatric specialist for alternative formulations or off-label dosing guidance 2. Key considerations include:
- Weight-based dosing calculations are essential for pediatric patients 2
- Renal function must be assessed before potassium-containing medications are prescribed 2
- The pharmacist should be consulted for compounding alternatives or age-appropriate formulations 2
- The package insert/label of any specific Citralka formulation available in your region should be reviewed, as formulations may vary 2