Overview: Potassium supplements are used to increase potassium levels. They come in various salts, forms, and strengths. Some are available only by prescription, while others are available over the counter as a dietary supplement. Common side effects include nausea, vomiting, diarrhea, gas, and stomach pain. Serious side effects are rare, unless you take too much. It is possible to get too much potassium from supplements, so it is important not to take more than the amount recommended on the product label or by your health care provider. Ask your health care provider if you are not sure whether you need a potassium supplement or which one to take. If you are prescribed a potassium supplement, take it as your health care provider recommends.
Uses
What are potassium supplements used for?
Potassium supplements are commonly used to treat or prevent low potassium levels (hypokalemia).
These uses may vary depending on the specific potassium supplement prescribed or used. Potassium supplements may also be used for other conditions as determined by your health care provider.
Note: The FDA has not reviewed some potassium supplements for safety and effectiveness. Learn more about dietary supplements here.
How do potassium supplements work (mechanism of action)?
Potassium supplements provide potassium, which is a mineral. Taking potassium supplements can help increase potassium levels. Your body uses potassium for many important functions related to your muscles, heart, nerves, blood pressure, and kidneys.
In the U.S., most people get enough potassium from their diet. It is found in fruits, vegetables, beans, nuts, milk, yogurt, meat, and fish. For most adults, the recommended daily intake of potassium is 2,600-3,400 milligrams (mg). However, some people may not get enough from their diet or may have trouble absorbing it. Some health conditions or medicines may also lower potassium levels. When this happens, you can take potassium supplements to increase your potassium levels.
How are potassium supplements supplied (dosage forms)?
Potassium supplements are available as a prescription with brand names that may include the following.
- Effer-K
- K-Dur
- K-Tab
- Klor-Con
- Klotrix
- Micro-K
- Pokonza
- Slow K
Potassium supplements are available as a prescription in various dosage forms and strengths, such as the following.
- 10 mEq, 20 mEq, 25 mEq effervescent tablets for oral solution
- 8 mEq, 10 mEq extended-release oral capsules
- 8 mEq, 10 mEq, 15 mEq, 20 mEq extended-release oral tablets
- 10 mEq, 20 mEq powder for oral solution
- 20 mEq/15 mL (10%), 40 mEq/15 mL (20%) oral solution
Potassium supplements are also available over the counter (OTC) as a dietary supplement in various strengths and dosage forms. Potassium may also be found in products that contain other ingredients, such as multivitamins. Only use the product prescribed or recommended for you by a health care provider.
How should I store potassium supplements?
Most potassium supplements should be stored at room temperature, between 68 F and 77 F (20 C and 25 C). They can be exposed to temperatures between 59 F and 86 F (15 C and 30 C) for shorter periods of time, such as when transporting them. Store in a cool, dry place, and protect from light. Do not freeze. Storage requirements for some potassium supplements may not be provided with the product. If you are not sure how to store your potassium supplement, ask your pharmacist.
Side Effects
What are the most common side effects of potassium supplements?
The most common side effects of potassium supplements are listed below. These side effects may vary depending on the dose you are taking or the product you are using. Tell your health care provider if you have any of these side effects that bother you.
- Nausea or vomiting
- Diarrhea
- Gas
- Stomach pain or discomfort
There may be other side effects of potassium supplements that are not listed here. Contact your health care provider if you think you are having a side effect of a medicine. In the U.S., you can report side effects to the FDA at www.fda.gov/medwatch or by calling 800-FDA-1088 (800-332-1088). In Canada, you can report side effects to Health Canada at www.health.gc.ca/medeffect or by calling 866-234-2345.
What are the serious side effects of potassium supplements?
While less common, the most serious side effects of potassium supplements are described below, along with what to do if they happen.
Severe Allergic Reactions. Potassium supplements may cause allergic reactions, which can be serious. Stop taking potassium supplements and get help right away if you have any of the following symptoms of a serious allergic reaction.
- Breathing problems or wheezing
- Racing heart
- Fever or general ill feeling
- Swollen lymph nodes
- Swelling of the face, lips, mouth, tongue, or throat
- Trouble swallowing or throat tightness
- Itching or skin rash
- Bumps on the skin called hives that can be red, pink, white, or brown depending on your skin tone
- Nausea or vomiting
- Dizziness, feeling lightheaded, or fainting
- Stomach cramps
- Joint pain
High Potassium Levels (Hyperkalemia). Potassium supplements can cause a high potassium level (hyperkalemia), which can be serious and may lead to death. This risk is higher in people who take certain other medicines or who have certain health problems. Your health care provider may check your potassium levels while you are taking potassium supplements. Call your health care provider right away if you have any of the following symptoms of a high potassium level.
- Muscle weakness or unusual tiredness
- Slow heartbeat or feeling of skipped heartbeats
- Nausea or vomiting
- Trouble breathing
- Abnormal heart rhythm
Intestine Bleeding or Narrowing. Potassium supplements that contain potassium chloride can increase your risk of bleeding sores (ulcers) in your gut. It can also cause your gut to narrow, which increases the risk of a blockage. The risk is higher if you have a history of stomach ulcers or take a type of medicine called an anticholinergic medicine (which includes antihistamines and medicines commonly used for overactive bladder, Parkinson’s disease, or stomach problems). Stop taking potassium chloride and get emergency help if you have any of the following symptoms.
- Severe vomiting
- Vomiting blood
- Black or tarry poop
- Stomach pain that does not go away
- Stomach swelling or bloating
Warnings & Precautions
Who should not use potassium supplements?
Allergies to Ingredients. People who are allergic to any of the following should not take potassium supplements.
- Effer-K
- K-Dur
- K-Tab
- Klor-Con
- Klotrix
- Micro-K
- Pokonza
- Potassium
- Slow K
- Any of the ingredients in the specific product
Your pharmacist can tell you all of the ingredients in the specific potassium supplements they stock.
High Potassium Levels. You should not take potassium supplements if you have high potassium levels (hyperkalemia). Let your health care provider know if you have a history of high potassium levels. Also let them know if you have a condition or take a medicine that increases your risk of high potassium levels.
Esophagus, Stomach, or Gut Problems. You should not take tablets or capsules that contain potassium chloride if you have certain problems with your esophagus, stomach, or gut. Some examples of these problems include ulcers in the stomach or intestines, trouble swallowing food, slow stomach emptying (gastroparesis), or a blocked intestine. If you have any of these conditions, talk to your health care provider about whether a different potassium supplement may be a better option for you.
Drug Interactions. Potassium supplements should not be taken while you are using certain other medicines. Before taking potassium supplements, tell your health care provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. See the Interactions section for more details.
What should I know about potassium supplements before using them?
Potassium is found in many foods and drinks. It is uncommon for most people to have a low potassium level or a deficiency, but certain health conditions or medicines may increase your risk. If you are not sure whether you need a potassium supplement or which one to take, ask your pharmacist or other health care provider. Tell all of your health care providers if you start or stop taking a potassium supplement.
There are multiple forms of potassium supplements available. If potassium supplements were prescribed to you by a health care provider, take them as prescribed. If you are taking potassium as an over-the-counter supplement, follow the instructions that come with the product or take it as recommended by your health care provider. Prescription potassium supplements contain much higher amounts of potassium than over-the-counter potassium supplements. You should not switch from one type of product to the other. If you have any questions about how to use potassium supplements, talk to your health care provider.
Do not share potassium supplements that were prescribed to you by a health care provider with other people, even if they have the same condition as you. It may harm them.
Keep potassium supplements out of the reach of children.
Potassium supplements contain potassium. You should not take other forms of potassium, such as other potassium supplements or salt substitutes that contain potassium, without talking with your health care provider first.
Most prescription potassium supplements should be taken while eating or right after eating. This can help reduce the risk of side effects.
Potassium bicarbonate tablets should be dissolved in a cold or icy beverage. Follow the instructions that come with the medicine. As the tablet dissolves, it will cause the drink to become fizzy. Once the tablet is completely dissolved, drink the dose slowly over the next 5-10 minutes.
If you are taking potassium chloride liquid or powder, these products should be mixed with about half cup (120 milliliters) of a cold beverage before use. Drink the dose soon after it is mixed. Use an accurate measuring device to measure your dose. A household spoon is not an accurate measuring device and may cause you to take the wrong dose. Ask your pharmacist what measuring device to use.
Potassium chloride extended-release tablets should not be chewed, crushed, or sucked on. These tablets should be taken with a full glass of water. It is normal to see pieces of these tablets in your stool (poop).
If you are taking potassium chloride extended-release capsules and have trouble swallowing whole capsules, you can open the capsules and sprinkle the medicine onto a soft food, such as applesauce or pudding. The soft food should be swallowed whole, without chewing, and followed by a full glass of water or juice. Do not sprinkle the medicine onto hot foods.
Your health care provider may check your heart rhythm and blood levels while you are taking potassium supplements. Keep all appointments for your blood tests and other tests.
What should I tell my health care provider before using potassium supplements?
Tell your health care provider about all of your health conditions and any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using. This will help them know if potassium supplements are right for you.
In particular, make sure that you discuss any of the following.
Current and Past Health Conditions. Tell your health care provider if you have any of the following.
- Dehydration
- Diabetes
- Esophagus or intestine problems
- Stomach problems, including ulcers or gastroparesis
- Heart problems
- Kidney or liver problems
- Swallowing problems
- Plans to start a new exercise program
- Follow a low-salt (sodium) diet
- A rare genetic muscle condition called myotonia congenita
- A rare genetic muscle condition called familial periodic paralysis
Pregnancy. It is not known if or how potassium supplements could affect pregnancy or harm a fetus. Tell your health care provider if you are pregnant or plan to become pregnant. Your health care provider will let you know if you should take potassium supplements while you are pregnant or trying to get pregnant.
Breastfeeding. Potassium is a normal part of breast milk. Tell your health care provider if you are breastfeeding or plan to breastfeed. Your health care provider will let you know if you should take potassium supplements while breastfeeding.
Interactions
Do potassium supplements interact with foods or drinks?
There are no known interactions between potassium supplements and foods or drinks. Most potassium supplements should be taken while eating or right after eating.
It is unknown if drinking alcohol will affect potassium supplements.
Do potassium supplements interact with medicines (drug interactions)?
Always tell your health care provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals, herbal products, and other supplements you are using.
In particular, make sure that you discuss if you are using any of the following before taking potassium supplements.
- A diuretic, also called a water pill, which is a medicine used to reduce edema (fluid retention) and blood pressure
- Aliskiren (Tekturna), which is a medicine for high blood pressure
- An angiotensin-converting enzyme (ACE) inhibitor, such as enalapril or lisinopril, which is a medicine for high blood pressure, heart failure, and certain kidney problems
- An angiotensin II receptor blocker (ARB), such as losartan or valsartan, which is a medicine for high blood pressure, heart failure, and other heart conditions
- An anticholinergic medicine, which includes antihistamines and medicines commonly used for overactive bladder, Parkinson’s disease, or stomach problems
- A beta-blocker, such as atenolol (Tenormin), metoprolol (Lopressor, Toprol XL, and others), or propranolol (Inderal LA, InnoPran XL), which is a medicine that may be used for certain heart conditions or to lower blood pressure
- A nonsteroidal anti-inflammatory drug (NSAID), such as ibuprofen, naproxen, and others, which is in many prescription and OTC products for pain, swelling, and fever
- Cyclosporine (Gengraf, Neoral, Sandimmune, and others), which is a medicine that suppresses your immune system
- Digoxin (Lanoxin), which is a medicine used to treat irregular heartbeat and some types of heart failure
- Heparin, which is a blood thinner
- A supplement or salt-substitute containing potassium, or any other medicine containing potassium (such as potassium citrate or potassium acid phosphate)
This may not be a complete list of medicines that can interact with potassium supplements. Always check with your health care provider.
Overdose/Missed Dose
What should I do if I accidentally use too much of a potassium supplement?
If you or someone else has used too much potassium supplements, get medical help right away, call 911, or contact a Poison Control center at 800-222-1222.
What should I do if I miss a dose of potassium supplements?
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose, and only take the next dose. Do not take double or extra doses.
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