K-Effervescent

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using potassium bicarbonate and call your doctor at once if you have any of these serious side effects:

• confusion;
• uneven heartbeat;
• unusual tiredness, weakness, heavy feeling in your legs;
• severe stomach pain cramping; or
• black, bloody, or tarry stools.

Less serious side effects may include:

• nausea, vomiting, diarrhea, or upset stomach;
• a rash;
• slight tingling in the hands or feet; or
• anxiety.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

Take the missed dose as soon as you remember. If you are more than 2 hours late in taking your medicine, skip the missed dose and wait until your next regularly scheduled dose. Do not take extra medicine to make up the missed dose.

The following drugs can interact with potassium bicarbonate. Tell your doctor if you are using any of these:

• digoxin (Lanoxin);

• an ACE inhibitor such as benazepril (Lotensin), captopril (Capoten), fosinopril (Monopril), enalapril (Vasotec), lisinopril (Prinivil, Zestril), moexipril (Univasc), perindopril (Aceon), quinapril (Accupril), ramipril (Altace), or trandolapril (Mavik);

• a beta-blocker such as atenolol (Tenormin), labetalol (Normodyne, Trandate), metoprolol (Lopressor, Toprol), propranolol (Inderal, InnoPran), sotalol (Betapace), timolol (Blocadren);

• a diuretic (water pill) such as amiloride (Midamor, Moduretic), chlorothiazide (Diuril, others), hydrochlorothiazide (Hydrodiuril, HCTZ, others), indapamide (Lozol), metolazone (Zaroxolyn), spironolactone (Aldactone, Aldactazide), or triamterene (Dyrenium, Dyazide, Maxzide);

• aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis),, and others; or

• a steroid such as prednisone (Deltasone, Orasone), hydrocortisone (Cortef, Hydrocortone), dexamethasone (Decadron, Hexadrol), and others.

This list is not complete and there may be other drugs that can interact with potassium bicarbonate or affect your condition. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

• Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
• Have blood work checked as you have been told by the doctor. Talk with the doctor.
• You may need to have an ECG checked before starting K-Effervescent and while taking it. Talk with your doctor.
• Do not take more than what your doctor told you to take. Taking more than you are told may raise your chance of very bad side effects.
• If your diet has low-salt foods or you are taking a salt substitute, talk with your doctor.
• Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this medicine while you are pregnant.
• Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

Use K-Effervescent as ordered by your doctor. Read all information given to you. Follow all instructions closely.

• Take this medicine with food.
• Melt the effervescent tablet in water or fruit juice as you have been told. Do not swallow the tablet whole.
• Drink slowly.
• Do not keep the mixture to use later.

What do I do if I miss a dose?

• Take a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not take 2 doses at the same time or extra doses.