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What the FDA labels say about taking them together

Potassium citrate and triamterene

Potassium citrate's FDA label of December 2, 2021 names triamterene in its contraindications section; the triamterene label PlainMeds reads does not name potassium citrate. The potassium citrate label: “Concomitant administration of Urocit-K and a potassium-sparing diuretic should be avoided since the simultaneous administration of these agents can produce severe hyperkalemia.”

Check it at the source: the potassium citrate FDA label on DailyMed (effective December 2, 2021, Mission Pharmacal Company); the triamterene FDA label on DailyMed (effective December 5, 2024, Advanz Pharma (US) Corp.).

What does the potassium citrate label say about triamterene?

Potassium citrate label, contraindications

Such conditions include: chronic renal failure, uncontrolled diabetes mellitus, acute dehydration, strenuous physical exercise in unconditioned individuals, adrenal insufficiency, extensive tissue breakdown or the administration of a potassium-sparing agent (such as triamterene, spironolactone or amiloride).

Potassium citrate label, drug interactions

Concomitant administration of Urocit-K and a potassium-sparing diuretic (such as triamterene, spironolactone or amiloride) should be avoided since the simultaneous administration of these agents can produce severe hyperkalemia.

Source: FDA drug label (UROCIT-K), Mission Pharmacal Company, effective December 2, 2021 (SPL set 72cdea1b-2240-41db-987d-86d5c6aaa978), via openFDA; the full label on DailyMed

What does the triamterene label say about potassium citrate?

Triamterene's label (effective December 5, 2024) does not name potassium citrate in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Dyrenium), Advanz Pharma (US) Corp., effective December 5, 2024 (SPL set ebb177c0-d45d-4443-a85a-e76bd9931a42), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

12Potassium citrate generic labelers
3Triamterene generic labelers
Potassium citrateTriamterene
Labeled forn/aHeart failure, Edema (fluid retention)
Boxed warningNoYes
Pharmacy cost (NADAC)$0.175 per tablet 10 mEq tablet$5.98 per capsule 50 mg capsule
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?