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    Potassium Citrate

    Also known as: K citrate

    Potassium salt of citric acid; citrate is hepatically converted to bicarbonate, raising urinary citrate and reducing stone risk while replenishing K⁺.

    Last reviewed: 2026-06-23 · 1 indexed study

    Evidence Score
    68/100
    Electrolyte repletionAlkalising agentKidney stone preventionAcid-base buffering
    Data Completeness3/4 · 75%
    Evidence ScoreDosageSafetyLinked Studies

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    Overview

    Potassium citrate provides bioavailable potassium with citrate as a systemic alkaliser, useful for electrolyte repletion in athletes and as a clinically validated stone-prevention agent.

    Mechanism & Function

    Mechanism of Action

    Restores potassium losses from sweat and diuresis, supports cellular membrane potential, and alkalises urine and plasma.

    Physiological Role

    Replaces sweat potassium (~200–400 mg/L) in heat-stressed athletes; supports neuromuscular function and intracellular hydration.

    Primary Pathways

    Na⁺/K⁺-ATPaseMembrane potential maintenanceHepatic citrate→bicarbonate conversionUrinary alkalisation

    Performance / Health Relevance

    Best for endurance/heat-acclimatised athletes; modest BP-lowering effects in hypertension; clinically used for nephrolithiasis.

    Evidence Review

    Overall68/100
    Human Clinical72/100
    Meta-AnalysisN/A

    No meta-analyses or systematic reviews indexed for this ingredient yet.

    Mechanistic85/100
    Real-World68/100
    Safety80/100

    Dimensions marked N/A have no indexed evidence of that class. They are shown as unavailable rather than scored.

    Compare Potassium Forms

    6 potassium forms are indexed. Bioavailability, clinical evidence, and best-use cases differ meaningfully between them.

    FormEvidence
    Potassium CitrateThis page

    Highly bioavailable when dissolved.

    68/100
    Dietary Nitrate (Potassium Nitrate)

    Enterosalivary reduction (oral bacteria) is required for bioconversion to nitrite; use of antibacterial mouthwash can blunt the effect

    67/100
    Iodine

    Iodide salts and iodised oil were used in trials; urinary iodine increases reliably after supplementation.

    59/100
    Dipotassium Phosphate

    High intestinal absorption.

    58/100
    Potassium Chloride

    Oral potassium chloride increases urinary potassium excretion; slow‑release formulations were used in multiple trials

    55/100
    Potassium Bicarbonate

    Potassium salts are generally well absorbed orally.

    53/100
    Open full side-by-side comparison

    Practical Use & Dosage

    Minimum Effective Dose
    100 mg elemental K/day supplemental
    Optimal Range
    200–500 mg/day supplemental (food first)
    Upper / Caution Level
    ~99 mg per OTC dose in US; higher under clinician guidance
    Timing
    Split doses with meals
    Best Format
    Powder, capsule
    Bioavailability
    Highly bioavailable when dissolved.
    Absorption Considerations
    Active intestinal transport; rapid plasma equilibration.

    Safety & Interactions

    Side Effects

    • •GI upset
    • •Hyperkalaemia at very high doses

    Contraindications

    • Hyperkalaemia
    • Severe CKD
    • Adrenal insufficiency

    Drug Interactions

    • •ACE inhibitors
    • •ARBs
    • •K-sparing diuretics
    • •NSAIDs

    Who Should Avoid

    • •CKD stage 4-5
    • •Addison's disease

    Monitoring

    Serum K in at-risk patients.

    Frequently Asked Questions

    Auto-generated from indexed evidence — dosage, safety, interactions, and more.

    When is Potassium Citrate typically used or indicated?

    Potassium Citrate is most commonly used for: Electrolyte repletion, Alkalising agent, Kidney stone prevention, Acid-base buffering. Replaces sweat potassium (~200–400 mg/L) in heat-stressed athletes; supports neuromuscular function and intracellular hydration.

    How does Potassium Citrate work?

    Restores potassium losses from sweat and diuresis, supports cellular membrane potential, and alkalises urine and plasma.

    What is the recommended dose of Potassium Citrate?

    The optimal range is 200–500 mg/day supplemental (food first). with a minimum effective dose of 100 mg elemental K/day supplemental. Best taken: Split doses with meals. Upper / caution level: ~99 mg per OTC dose in US; higher under clinician guidance.

    What are the side effects of Potassium Citrate?

    Reported side effects include: GI upset; and Hyperkalaemia at very high doses. Monitoring: Serum K in at-risk patients.

    Does Potassium Citrate interact with medications?

    Known or theoretical interactions: ACE inhibitors; ARBs; K-sparing diuretics; and NSAIDs. Always check with a clinician before combining with prescription medication.

    Who should avoid Potassium Citrate?

    Potassium Citrate is generally not recommended for: CKD stage 4-5; Addison's disease; Hyperkalaemia; Severe CKD; and Adrenal insufficiency.

    How strong is the evidence for Potassium Citrate?

    Evidence level: Moderate (overall score 68/100), based on 1 indexed study on SuppIndex.

    Research & References (1)

    Potassium citrate prevents calcium oxalate stones: long-term RCT

    RCT2013Strong
    PubMed

    Reduced stone formation rate by 90% vs placebo.

    Related Ingredients

    Other top-rated ingredients in Minerals.

    Research Overview

    Moderate Evidence
    1Total Studies
    1Human Trials
    0Meta-Analyses
    2013Latest Study
    0Animal / In Vitro
    0Athlete Studies
    Primary data sourceClinical Patients
    Pooled evidence (meta-analysis / systematic review)No

    Cite this ingredient

    One-click citation export in APA, MLA, Chicago, BibTeX, or HTML. The URL below is stable and safe to link.

    Stable URL

    https://thesuppindex.com/ingredients/potassium-citrate

    SuppIndex. (2026). Potassium Citrate: Evidence summary, dosage and clinical studies. Retrieved October 16, 2026, from https://thesuppindex.com/ingredients/potassium-citrate

    Based on 1 indexed studies · Evidence level: Moderate.

    Goal Ratings

    Hydration
    Endurance
    General Health

    Stack Compatibility

    Pair with sodium for full electrolyte profile; combine with Mg.

    SodiumMagnesiumCalcium