A little extra potassium, which matters only for kidney patients
As an additive, potassium citrate adds a small amount of potassium to the diet, which makes no real difference for most people. People with long-term kidney disease cannot get rid of extra potassium easily, so their doctors usually keep an eye on potassium from every source, additives included. The amounts in ordinary servings are unlikely to matter for people with healthy kidneys.
European reviewers looked at potassium citrates and raised no safety issue at the levels used in food, noting the potassium they add is small next to total intake.
2019Regulator reviewEFSA ANS Panel opinion on potassium citrates
In long-term kidney disease the kidneys clear potassium poorly, so doctors advise watching total potassium, including from processed foods with potassium salts.
2012UK nutrition guidanceSACN report on Potassium and Health
The medicine doses are far higher than anything in food
Potassium citrate is also a prescription medicine, taken in much larger doses to make urine less acidic and prevent kidney stones. That medical use sometimes turns up in news about the additive, but the medicine doses are many times higher than anything from food.
As a medicine, potassium citrate is taken at 3,000 to 12,000mg a day to prevent some kidney stones by making urine less acidic, far above what food additives provide.
Medicines referenceBritish National Formulary (BNF)