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Potassium Supplements: Why 99 mg, Safety and Foods

Also known as potassium chloride, potassium citrate, potassium gluconate, potassium bicarbonate, potassium aspartate, electrolytes

Short answer

Potassium is a mineral every cell uses for fluid balance and the electrical gradients nerves and muscles need [1]. Most US supplements contain 99 mg or less, about 2% of the 4,700 mg Daily Value, because of FDA rules on higher-dose potassium drugs [1][2]. With kidney disease or some blood pressure medicines, ask a doctor first [1].

Last reviewed · 3 sources

What is Potassium?

Potassium is an essential mineral present in all body tissues [1]. The body uses it to keep fluid volume inside cells and to maintain the electrochemical gradient across cell membranes, which nerve signals, muscle contraction and kidney function depend on [1]. The kidneys control how much potassium the body keeps or excretes [1].

Forms of Potassium you'll see on labels

  • Potassium chloride

    The most common form in supplements and the form used in salt substitutes [1].

  • Potassium citrate, phosphate, aspartate, bicarbonate or gluconate

    Other forms used in supplements [1]. One trial found people absorb about 94% of potassium gluconate, similar to potassium from potatoes [1].

  • Potassium iodide

    Appears in microgram amounts as a source of iodine, not potassium [1].

  • Salt substitutes

    Often potassium chloride, with about 440 to 2,800 mg potassium per teaspoon [1].

How much Potassium do adults need?

NIH lists these Adequate Intakes (AI) for adults 19+ in mg. They do not apply to people whose kidneys or medicines limit potassium excretion. Reference values, not a personal recommendation.

GroupAmount per day
Men 19+3,400 mg
Women 19+2,600 mg
Pregnancy (19–50)2,900 mg
Breastfeeding (19–50)2,800 mg

Upper limit: No upper limit has been set; the expert committee found too little evidence to set one for healthy people [1]

How Potassium appears on a label

The Supplement Facts panel lists elemental potassium in mg, not the weight of the whole compound such as potassium chloride [1]. The Daily Value is 4,700 mg [1]. Multivitamins that contain potassium usually have about 80 mg, and most potassium-only supplements contain up to 99 mg [1]. Many makers stop at 99 mg because FDA requires some potassium drug products above that level to carry warnings about small-bowel lesions [1][2]. Medical sources may use mEq: 1 mEq = 1 mmol = 39.1 mg potassium [1].

When to take Potassium

No source we checked names a best time of day or says whether to take low-dose potassium supplements with food. For some prescription potassium products, FDA-required labeling tells prescribers to have patients dissolve tablets or dilute liquids in enough liquid to protect the gut [2]; follow your prescriber's directions.

What to keep apart from Potassium

  • ACE inhibitors and angiotensin receptor blockers (ARBs)

    These blood pressure medicines reduce potassium excretion and can lead to high potassium (hyperkalemia) [1]. Ask your pharmacist before adding potassium.

  • Potassium-sparing diuretics

    Medicines such as amiloride and spironolactone can cause hyperkalemia [1]. Ask your pharmacist.

  • Loop and thiazide diuretics

    These increase potassium loss in urine and can lead to low potassium; NIH says experts recommend monitoring [1]. Ask your doctor.

  • Salt substitutes

    Many contain a lot of potassium. People with kidney disease or on certain medicines should check with a provider first [1].

  • Magnesium

    Low magnesium can increase potassium loss in urine; when both are low, they are treated together [1].

  • Laxatives and enemas

    Large doses or repeated use can cause low potassium through losses in stool [1].

Foods that contain Potassium

  • Dried apricots, prunes and raisins
  • Lentils, kidney beans and soybeans
  • Acorn squash
  • Potatoes
  • Orange juice
  • Bananas
  • Milk and yogurt
  • Spinach and broccoli
  • Chicken, salmon and beef
  • Nuts and seeds

Who should ask a doctor or pharmacist first

Talk to a doctor or pharmacist before taking potassium supplements or salt substitutes if you have chronic kidney disease, or take ACE inhibitors, ARBs or potassium-sparing diuretics, since even normal intakes can cause hyperkalemia in these cases [1]. Hyperkalemia can also occur with type 1 diabetes, heart failure, adrenal insufficiency or liver disease [1]. The NHS says older people should not take potassium supplements unless a doctor advises it [3].

Keep Potassium in a routine that fits

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Potassium: questions people ask

FDA has ruled some potassium chloride drug products above 99 mg unsafe because of links to small-bowel lesions, and requires warnings on some potassium salts above that level [1][2]. Many supplement makers cap products at 99 mg as a result [1].

NIH lists Adequate Intakes of 3,400 mg for men and 2,600 mg for women [1]. The UK NHS lists 3,500 mg for adults 19 to 64 [3]. The US Daily Value on labels is 4,700 mg [1].

In healthy people, the kidneys remove extra potassium from food [1]. Very high amounts from supplements or salt substitutes can still cause acute hyperkalemia [1]. The NHS says 3,700 mg or less a day of potassium supplements is unlikely to have obvious harmful effects [3].

It depends on the medicine. ACE inhibitors, ARBs and potassium-sparing diuretics can raise potassium, while loop and thiazide diuretics lower it [1]. Ask your doctor or pharmacist.

Mild low potassium can cause constipation, fatigue, muscle weakness and malaise [1]. It is rare in healthy people and usually comes from diuretics, vomiting or diarrhea [1].

High potassium can cause no symptoms, but severe cases can cause muscle weakness, paralysis, palpitations, tingling and dangerous heart rhythms [1].

Yes. Many replace sodium chloride with potassium chloride and provide about 440 to 2,800 mg potassium per teaspoon [1].

Dried apricots, lentils, acorn squash, prunes, raisins, potatoes, kidney beans and orange juice are among the top foods in NIH's list [1].

Sources

  1. Potassium - Health Professional Fact Sheet — NIH Office of Dietary Supplements
  2. 21 CFR 201.306 – Potassium salt preparations intended for oral ingestion by man — U.S. Food and Drug Administration (Electronic Code of Federal Regulations)
  3. Vitamins and minerals: Others — NHS

Educational information, not medical advice. The amounts above are official reference values, not a recommendation for you. Check with your doctor or pharmacist before starting or changing supplements, especially if you take medication, are pregnant or have a health condition. Supin sells a subscription, not supplements. Last reviewed .

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