Doctor insights on:
Bismuth Potassium Citrate
Diagnosed with chronic non-atrophic gastritis H. Pyori +. Is this combination of meds OK?: bismuth potassium citrate/ tinidazole/ clarithromycin.
H pylori regimens: We often use a combination of 3-4 medications for various 7-14d to treat H pylori infections (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3449761/table/t1-ceg-5-151/). There are some concerns for clarithromycin resistance. Don't consume alcohol while taking Metronidazole. While your regimen is "ok", it doesn't appear to match standard of care nor include proton pump inhibitor. ...Read more
I have cystinuria! 15ml potassium citrate 3 times a day. Is it dangerous to raise it by 5ml a little before dinner time to keep my pH at 8?
You're fine: I'm glad you got your diagnosis -- this is easier to manage than kidney stones from other causes. This is a very safe medication and unless your physician disagrees, you can be flexible. Drink plenty of water -- you know that already. Have you been offered penicillamine? ...Read more
I have cystinuria and have been taking potassium citrate as a liquid. I would like to know whether a slow release pill would be more beneficial?
Depends.: Urocit-k is useful in the treatment of recurrent kidney stones and its dose will vary depending on the clinical situation. The typical starting dose is 30meq per day, which is divided into two (15meq) or three (10meq) doses. The max dose is 100meq/day. The dose will depend on renal function, response measured through urine collection studies, and patient compliance. Please check with your doctor. ...Read more
24-48 hours: 24-48 hours if the combination is going to be effective. ...Read more
Potrate: Mb6 solution does not contain vitamin b2 (riboflavin), as far as i can tell. It does contain vitamin b6 (has multiple forms, but pyridoxal phosphate is active & involved in many metabolic reactions). The solution can be used to make urine less acidic -- a good idea if you have uric acid kidney stones. ...Read more
It can be used to..: It can be used to prevent calcium oxalate kidney stones. Since you have already had kidney stones, i supect that they were trhis type. It is not used to treat other types of stones as a preventitive. B6 decreases liver production of oxalate and magnesium binds it in the gut to prevent it being resorbed and producing calcium oxalate stones in the kidney! always ask what your medicine is for! ...Read moreSee 1 more doctor answer
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