Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D. See book keywords and concepts | Most kidney stone research involving potassium supplementation uses the form potassium citrate. When a group of stone formers was given 5 grams of potassium citrate three times daily in addition to their regular drug treatment for 28 months, they had a significantly lower rate of stone recurrence compared to those taking potassium for only eight months and to those taking no potassium at all.24 Although citrate itself may lower the risk of stone recurrence (see below), in some potassium research, a significant decrease in urinary calcium occurs even in the absence of added citrate. | | Some citrate research conducted with people who have a history of kidney stones involves supplementation with a combination of potassium citrate (page 572) and magnesium citrate (page 551). In one double-blind trial, the recurrence rate of kidney stones dropped from 64% to 13% for those receiving high amounts of borh supplements.26 In that trial, people were instructed to take six pills per day—enough potassium citrate to provide 1,600 mg of potassium and enough magnesium citrate to provide 500 mg of magnesium. | Jonathan V. Wright, M.D. and Alan R. Gaby, M.D. See book keywords and concepts | In fact, potassium citrate, a prescription drug that is used to increase urinary citrate excretion, has been shown to reduce the recurrence rate of calcium-oxalate stones by as much as 80%.9 However, potassium citrate is somewhat expensive and frequently causes gastrointestinal side effects. Another way to increase the concentration of citrate in the urine is to ingest foods that contain citric acid. Lemons are the richest source of citric acid, containing about 5 times as much as oranges. | Marshall Editions See book keywords and concepts | Medication: The medications hydrochlorothiazide, chorthalidone, amiloride, cellulose sodium phosphate, allopurinol, potassium citrate, or calcium carbonate, may be recommended for prevention. Again, the medication used depends on what type of stone is identified.
7s
O m -<
CO —I o
TRADITIONAL CHINESE MEDICINE
There are some clinical success stories in treating kidney stones with traditional Chinese medicine. A combination of Chinese herbal medicine and acupuncture works best if the stone is smaller then 1 cm in diameter and if the patient has normal kidney function. | Phyllis A. Balch, CNC See book keywords and concepts | Potassium citrate (Urocit-K) is effective on stones not of calcium origin. Allopurinol (Lopurin, Zyloprim) and hydrochlorothiazide (Esidrix, HydroDIURIL, and others) are other medications that may help to prevent the occurrence of stones.
Q Taking up to 100 milligrams of zinc daily can help inhibit the formation of crystals that later accumulate into stones.
Caution: While the recommended amount of zinc helps to enhance immune function, anything over 100 milligrams per day tends to depress immunity. | Joe Graedon, M.S. and Teresa Graedon, Ph.D. See book keywords and concepts | Ingredients include water, dextrose, potassium citrate, sodium chloride, sodium citrate, and citric acid. Pedialyte is sold in drugstores and supermarkets in the baby section. One athlete
*??? Pedialyte
This rehydration solution for babies and children provides a balance of electrolytes that may help adults avoid muscle cramps. Drinking about 4 ounces after exercising should help.
Downside: Somewhat expensive
Cost: Approximately $8 for a liter, or about
$1 per"dose" offered an amazing testimonial for its benefits against leg cramps. | The Editors of Prevention Magazine Health Books See book keywords and concepts | In a study done by researchers at the University of Texas Southwestern Medical Center at Dallas, people cut their chances of forming new stones to close to zero during three to four years of daily potassium citrate therapy.
"Potassium citrate changes the pH of urine, making it able to hold more calcium oxalate without forming crystals because citrate is increased," Dr. Ruml explains. "Instead of forming stones, the calcium oxalate is excreted in the urine. We use potassium citrate now in most of our patients who get calcium stones. | | One form of this mineral, potassium citrate, which is available by prescription, may be helpful not only for people with low blood levels of potassium but also for many who form calcium oxalate stones, Dr. Ruml adds.
In a study done by researchers at the University of Texas Southwestern Medical Center at Dallas, people cut their chances of forming new stones to close to zero during three to four years of daily potassium citrate therapy.
"Potassium citrate changes the pH of urine, making it able to hold more calcium oxalate without forming crystals because citrate is increased," Dr. | Joseph E. Mario See book keywords and concepts | Potassium Citrate.
5 grains Salicylate of soda 3 times a day, a specific remedy. Enzymatic Therapy's Diacomp spurs the pancreas.
A, Jude Herbs', and Licorice~, to clean out mucous, sedimentation, pancreatic infection; and normalize blood sugar.
Gluconase with Gymnema sylvestre, Vanadium, Magnesium, B6 Pyridoxine and Lipoic acid, to spur pancreas beta-cell production of Insulin, provide Insulin-like substances, and potentiate existing Insulin. | | Diuretics Juniper berries, Squill, potassium citrate, Potassium Acetate, and Colchicum. Tonics, and anodynes (forviscera). Skullcap root or Grapevine roottea 3-4 times daily. Take Potassium Iodide with Sarsaparilla syrup 3-4 times daily. Cathartic 10-20 grains Jalap pwd., and 3 grams Cream of Tartar, and 5 grains.
Half-oz. Potassium Acetate, 2 oz. Basharrf s Iron mixture, and 2 oz. Minderer's spirits, dose 1 tbs. 4 times a day.
Hydragogue cathartic of Jalap pwd., Cream oftartar, and Honey water every 4 hours.
T. W. Pomroy's dropsy recipe: Steep for 4 hours making 2.5 qts. | | Potassium Citrate in cold water or Lemonjuice. 2 grains Quinine every 4 hours. Treat as Typhus Fever. SEE Fever. Protracted Simple Continued Fever Lasts 2 weeks to 3 months without lesions, as after recovering from pneumonia and pleurisy. Causes slight chill, headache, fast pulse, temperature rise, constipation (Oranges), nausea or vomiting for 12-24 hours, roseola orprickly heat skin eruptions on the loins or back, fever for 12 hours to 10 days, overheated blood for Brain delirium (esp. at night). Then fever subsides, with copious perspiration, and herpes cold sore eruptions on the face. | | Citrate is a substance normally found in urine, deficient in Kidney stones; take citrus fruits' potassium citrate in 3 glasses/1.2 liters of orange juice per day to inhibit stone development.
The Kidneys excrete 100-200mg.of Calcium per day; kidney stones are 90% Calcium Phosphate, Calcium oxalate (acidify with Vitamin C and no sugar), or a mix from possible overactive parathyroid glands. Avoid oxalate foods and dairy. Take25mg.B6and2mg. VitaminKtocounteroxalicacid; and 600 mg. Magnesium Oxide for solubility.
Alkaline pH infection and stonesare Magnesium ammonia Phosphate; acidify the urine. | | Aconite tincture, and potassium citrate), thirst, red face, quick pulse, restless, delirious, eyes red, face swollen, thick white mucous on the tongue and red papi 1 lae/spots (the sooner the eruption, the shorterthe illness), red throat (Vinegar and water towel), and swollen tonsils. The next day scarlet eruption on the chest, rapidly spreading esp. in the joints and pressure/heat skin points. Full red appears in 3-4days with moisture, temperature decline, itching (cocoa butter or bacon fat), flaking off of scarf-skin scales for 6-8 weeks. | Phyllis A. Balch, CNC See book keywords and concepts | Use potassium citrate form.
Proteolytic enzymes
As directed on label. Take between meals.
Aids normal digestion.
Raw kidney glandular
500 mg daily.
Strengthens the kidneys. (See GLANDULAR THERAPY in Part Three.)
Vitamin A with
mixed carotenoids
25,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily.
Promotes healing of the urinary tract lining, which is often damaged by stones. If you are pregnant, use a natural carotenoid complex such as Betatene in place of vitamin A.
Vitamin C
with bioflavonoids
3,000-6,000 mg daily, in divided doses.
Acidifies urine. | Jonathan V. Wright, M.D. and Alan R. Gaby, M.D. See book keywords and concepts | However, potassium citrate is somewhat expensive and frequently causes gastrointestinal side effects. Another way to increase the concentration of citrate in the urine is to ingest foods that contain citric acid. Lemons are the richest source of citric acid, containing about 5 times as much as oranges. In one study, 12 patients with a history of kidney stones and low urinary citrate levels ingested 2 liters of lemonade per day. Urinary citrate excretion more than doubled and became normal in 7 of the 12 patients.10 Ingesting 1. | Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D. See book keywords and concepts | In that trial, people were instructed to take six pills per day—enough potassium citrate to provide 1,600 mg of potassium and enough magnesium citrate to provide 500 mg of magnesium. Both placebo and citrate groups were also advised to restrict salt, sugar, animal protein, and foods rich in oxalate. Other trials have also shown that potassium and magnesium citrate supplementation reduces kidney stone recurrences.27
Citric acid (citrate) is found in many foods and may also protect against kidney stone formation. | | When a group of stone formers was given 5 grams of potassium citrate three times daily in addition to their regular drug treatment for 28 months, they had a significantly lower rate of stone recurrence compared to those taking potassium for only eight months and to those taking no potassium at all.24 Although citrate itself may lower the risk of stone recurrence (see below), in some potassium research, a significant decrease in urinary calcium occurs even in the absence of added citrate.25 This finding suggests that increasing potassium itself may reduce the risk of kidney stone recurrence. | Kaayla T. Daniel, PhD, CCN See book keywords and concepts | The ingredient lists of most brands of soy formula reveal many additives of questionable safety such as carrageenan, guar gum, sodium hydroxide (caustic soda), potassium citrate monohydrate, tricalcium phosphate, dibasic magnesium, phosphate trihydrate, BHA and BHT.
ESTROGENS
Worst of all, soy formulas contain high levels of the phytoestrogens (plant estrogens) known as isoflavones. These put the infant's developing endocrine, nervous and immune systems at risk (see Chapters 26-28). | | Aluminum contamination comes from food additives (such as baking powder), additives that increase aluminum absorption (such as iron, fluoride, calcium citrate or potassium citrate); tap water used as part of the manufacturing process; aluminum vats and storage containers at the factory; and leaching from foil, cartons and cans used in consumer packaging. Finally, the aluminum burden increases with the tap water added at home to reconstitute soy formula from powder. | Joseph E. Mario See book keywords and concepts | Forexample: potassium citrate, a highly soluble aid to water balance, stimulates the adrenals and the thyroid gland, for energy and alertness. Contains: Mexican Yam extract and cow adrenal Protein complex helps the adrenals lessen fat synthesis and slow aging:
Up to 3 gr. | The Editors of Prevention Magazine Health Books See book keywords and concepts | We use potassium citrate now in most of our patients who get calcium stones."
Potassium citrate supplements should be taken only under medical supervision, Dr. Ruml says. People taking potassium-sparing diuretics or who have kidney disease or diabetes should not use potassium supplements of any kind without first consulting their doctors. | Michael T. Murray, N.D., Joseph E. Pizzorno, N.D. See book keywords and concepts | The best method for alkalinizing the urine appears to be the use of potassium citrate or sodium citrate. These salts are rapidly absorbed and metabolized without affecting gastric pH or producing a laxative effect. They are excreted partly as carbonate, thus raising the pH of the urine.
Potassium citrate and/or sodium citrate have long been employed in the treatment of lower urinary tract infections. They are often used as a treatment until the results of a urine culture are available because they will often provide complete relief from symptoms. | H. Winter Griffith, M.D. See book keywords and concepts | Urinary alkalizers* (acetazolamide, antacids with calcium or magnesium, citric acid, dichlorphenamide, methazolamide, potassium citrate, sodium bicarbonate, sodium citrate)
May slow elimination of mexiletine and cause need to adjust dosage.
SSI POSSIBLE INTERACTION XAJl WITH OTHER SUBSTANCES
INTERACTS WITH
COMBINED EFFECT
Alcohol:
Causes irregular effectiveness of mexiletine. Avoid.
Beverages:
Caffeine drinks, iced drinks.
Irregular heartbeat.
Cocaine:
Decreased mexiletine effect.
Foods:
None expected.
Marijuana:
Irregular heartbeat. Avoid.
Tobacco:
Dangerous combination. | Mark Blumenthal See book keywords and concepts | Each tablet contains 110 mg extract standardized to 8% ephedra alkaloids, equivalent to 5 mg ephedrine, 50 mg standardized kola nut extract (equivalent to 10 mg caffeine), 50 mg mustard seed powder, 50 mg spirulina, 50 mg ascorbic acid (vitamin C), potassium citrate 25 mg, magnesium aspartate 25 mg.
Escalation™: Enzymatic Therapy / 825 Challenger Drive / Green Bay, WI 54311 / U.S.A. / Tel: 920-469-1313 / www.enzy.com. |
Textbook of Natural Medicine 2nd Edition Volume 2Michael T. Murray, ND See book keywords and concepts | | The best method for alkalinizing the urine appears to be the use of citrate salts, e.g. potassium citrate and sodium citrate. These salts are rapidly absorbed and metabolized without affecting gastric pH or producing a laxative effect. They are excreted partly as carbonate, thus raising the pH of the urine.
Potassium citrate and /or sodium citrate have long been employed in the treatment of lower urinary tract infections. They are often used as a "holding exercise" until the results of a urine culture are available. There are some clinical studies to support this practice. | | Idiopathic hypocitraturic calcium-oxalate nephrolithiasis successfully treated with potassium citrate. Ann Int Med 1986; 104: 33-37
23. Whalley NA et al. Long-term effects of potassium citrate therapy on the formation of new stones in groups of recurrent stone formers with hypocitraturia. Br J Urology 1996; 78: 10-14
24. Nakagawa Y, Margolis H, Yokoyama S et al. Purification and characterization of a calcium oxalate monohydrate crystal growth inhibitor from human kidney tissue culture medium. J Biol Chem 1981; 256: 3936-3944
25. Dharmsathaphorn K, Freeman D, Binder H, Dobbins J. | Schuyler W. Lininger, Jr. DC See book keywords and concepts | Most citrate research conducted with people who have a history of kidney stones involves supplementation with potassium citrate or magnesium citrate. In one double-blind trial, recurrence of kidney stone formation dropped from 64% to 13% for those receiving high amounts of both supplements.21 In that trial, people were instructed to take 6 pills per day—enough potassium citrate to provide 1,600 mg of potassium and enough magnesium citrate to provide 500 mg of magnesium. Both placebo and citrate groups were also advised to restrict salt, sugar, animal protein, and foods rich in oxalate. | Michael T. Murray, N.D., Joseph E. Pizzorno, N.D. See book keywords and concepts | For example, in one study, potassium citrate supplementation in recurrent stone-formers resulted in a drop of stone formation from 0.7 to 0.13 per year.23 However, rather than potassium or sodium citrate, it appears that magnesium citrate would offer the greatest benefit.
Vitamin K
Vitamin K is necessary in the manufacture of a molecule that is a powerful inhibitor of kidney stone formation.24 The presence of vitamin K in green leafy vegetables may be one reason vegetarians have a lower incidence of kidney stones. |
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