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Burning urination, kidney stones, or high uric acid can cause significant discomfort. Your doctor may prescribe Citralka to make your urine less acidic and support the management of selected urinary conditions.
Citralka syrup contains disodium hydrogen citrate. It is a urine alkaliser. Although it can help with certain symptoms, it does not treat every cause of urinary pain and should not replace medical assessment.
What Is Citralka Syrup?
Citralka is an oral liquid medicine that raises the pH of urine. This makes your urine more alkaline and less acidic.
Doctors may recommend it for selected kidney stones, painful urination, or conditions involving excess acid.
It is not an antibiotic, painkiller, or primary gout medicine.
How Citralka Syrup Works as a Urine Alkaliser
After you take Citralka, citrate is converted into bicarbonate in your body. Bicarbonate reduces acidity and increases urinary pH.
A higher pH can make uric acid more soluble. This may reduce crystal formation and help certain uric acid stones dissolve. Alkalisation can also increase the solubility of cystine, another stone forming substance.
Urine that becomes too alkaline can encourage other stone types, so your doctor may monitor urine pH.
Citralka Syrup Uses and Benefits
Common Citralka syrup uses include the following.
Relief From Burning Urination and UTIs
Citralka may reduce burning or stinging when acidic urine irritates the urinary tract.
However, it does not kill bacteria or cure a bacterial urinary tract infection. Evidence is also insufficient to confirm that urine alkalisers treat uncomplicated UTIs.
Seek medical advice if burning lasts, returns, or occurs with fever, chills, back pain, blood in urine, vomiting, pregnancy, or reduced urine output. You may need a urine routine test and specific treatment.
Preventing Uric Acid Kidney Stones
Citralka can help prevent or dissolve uric acid kidney stones by increasing urine pH. It may also help in selected cases involving cystine stones or low urinary citrate.
It does not dissolve every kidney stone. Calcium oxalate, calcium phosphate, and infection stones need different management. Raising pH too much can increase the risk of calcium phosphate stones.
Tests may be needed to identify the stone type.
Supporting Gout Management
Gout develops when urate crystals collect around a joint. Citralka may support urinary uric acid excretion in selected people, but it does not treat an acute attack or replace established urate lowering medicines.
Correcting Excess Acidity
A specialist may prescribe citrate for selected acid base disorders, such as renal tubular acidosis. Kidney function and electrolytes require monitoring.
Citralka Syrup Dose for Adults
There is no single Citralka syrup dose for adults that suits every condition. Your dose depends on the product strength, reason for treatment, kidney function, other medicines, and target urine pH.
Situation | General Approach | Important Point |
Urinary alkalisation | A measured dose is diluted with water and usually taken after meals | Follow the exact millilitre dose prescribed |
Uric acid stones | The dose may be adjusted according to urine pH | Regular pH checks may be needed |
Burning urination | A short course may be advised while the cause is assessed | It does not replace antibiotics when required |
Acid base disorders | The dose is individualised using test results | Specialist monitoring is essential |
A commonly prescribed adult direction is about 10 mL diluted in water, taken two or three times daily after meals. Your prescribed amount may differ. Do not increase it without advice.
How to Dilute and Take Citralka
Shake the bottle. Measure the medicine with the supplied cup or a medicine syringe. Do not use a household spoon.
Dilute the prescribed amount in a glass of water. Taking it after food may reduce nausea, abdominal pain, diarrhoea, or bloating. Drink adequate water unless your doctor has restricted fluids because of kidney disease or congestive heart failure.
If you miss a dose, take it when remembered unless the next dose is due soon. Do not take two doses together.
Citralka Syrup Side Effects
Possible Citralka syrup side effects include:
- Nausea or vomiting
- Stomach pain or cramps
- Diarrhoea
- Gas or bloating
- An unpleasant taste
- Increased urination
- Tiredness or weakness
Proper dilution and taking it after meals may reduce stomach discomfort.
Excessive doses or use with reduced kidney function can cause sodium overload, electrolyte disturbance, or metabolic alkalosis. Seek urgent care for confusion, severe weakness, muscle twitching, an irregular heartbeat, marked swelling, breathing difficulty, or unusual drowsiness.
Precautions for Heart, Kidney and BP Patients
Citralka contains sodium. This matters if you have hypertension, kidney disease, swelling, or congestive heart failure.
Tell your doctor if you:
- Have reduced kidney function or pass very little urine
- Follow a sodium restricted diet
- Have hypertension, heart failure, or oedema
- Have an electrolyte imbalance or alkaline blood pH
- Are severely dehydrated
- Are pregnant, planning pregnancy, or breastfeeding
- Have recurrent stones without knowing their type
Long term daily use without medical monitoring is not advisable.
Citralka Drug Interactions
Changing urine pH can affect how your body removes some medicines.
Tell your doctor about all medicines and supplements. Particular care may be needed with aluminium containing antacids, other urine alkalisers, sodium bicarbonate, diuretics, corticosteroids, salicylates, quinidine, ephedrine, pseudoephedrine, and selected antibiotics.
Do not stop a prescribed medicine because of a possible interaction. Ask your doctor or pharmacist to review the combination.
Tests to Assess Kidney Function and Uric Acid
Depending on your symptoms, your doctor may recommend:
- Urine routine examination and microscopy
- Urine culture for a suspected UTI
- Serum creatinine and estimated glomerular filtration rate
- Blood electrolytes and bicarbonate
- Serum uric acid
- Urine pH testing
- Stone analysis or a 24 hour urine study
- Ultrasound or other imaging
These tests help identify the cause and show whether Citralka is appropriate. They can also guide the dose.
Frequently Asked Questions
Can Citralka Syrup Dissolve Kidney Stones?
It may help dissolve uric acid stones when urine pH stays in the prescribed range. It does not dissolve all stones. You need an assessment to identify stone composition, size, location, and any blockage.
How Much Water Should You Take With Citralka?
Dilute each dose in a glass of water unless advised otherwise. Adequate hydration supports stone prevention. Follow your prescribed fluid limit if you have heart failure, advanced kidney disease, or severe swelling.
Can Citralka Be Taken Daily for a Long Time?
Some conditions require extended treatment, but long term use needs monitoring of urine pH, kidney function, electrolytes, and blood pressure. Do not continue it indefinitely without review.
Is Citralka Safe for High Blood Pressure Patients?
It may not suit everyone with hypertension because it contains sodium. Your doctor will consider your blood pressure, kidney function, swelling, salt intake, and current medicines.
Does Citralka Relieve Burning While Urinating?
It may ease burning caused by acidic urine. Relief does not confirm that the underlying problem has resolved. A UTI, stone, irritation, or another condition may still need testing and treatment.
Conclusion
Citralka is a urine alkaliser that may help manage selected uric acid kidney stones, acidic urine, and related discomfort. Use it in the prescribed dose, dilute it with water, and attend monitoring when treatment continues. It does not replace antibiotics for a bacterial UTI or established gout treatment.
Urinary symptoms and recurrent stones often need blood and urine investigations. Metropolis Healthcare offers more than 4,000 tests, including kidney function, urine analysis, urine culture, electrolytes, and uric acid testing. You can also choose full body checkups and speciality testing for preventive monitoring.
With NABL and CAP accredited laboratories, expert pathologists, home sample collection through over 10,000 touchpoints, reliable reports, and quick turnaround times, Metropolis Healthcare makes proactive health management convenient. You can book through the website, app, phone, or WhatsApp.
References
- European Association of Urology. EAU Guidelines on Urolithiasis. 2026.
- National Institute for Health and Care Excellence. Urinary tract infection (lower): antimicrobial prescribing. NICE guideline NG109. 2018.
- O'Kane DB, Dave SK, Gore N, Patel F, Hoffmann TC, Trill JL, Del Mar CB. Urinary alkalisation for symptomatic uncomplicated urinary tract infection in women. Cochrane Database Syst Rev. 2016;4:CD010745.
- FitzGerald JD, Dalbeth N, Mikuls T, et al. 2020 American College of Rheumatology guideline for the management of gout. Arthritis Care Res. 2020;72(6):744-760. PMID: 3239193
- National Institute for Health and Care Excellence. Gout: diagnosis and management. NICE guideline NG219. 2022.
- Martindale Pharma. Sodium Citrate 0.3M Oral Solution: Summary of Product Characteristics. Revised February 2025.
