Sodium Citrate + Citric Acid Pharmacology

Sodium Citrate + Citric Acid

About Sodium Citrate + Citric Acid
N/A
Mechanism of Action of Sodium Citrate + Citric Acid
N/A
Pharmacokinets of Sodium Citrate + Citric Acid
N/A
Onset of Action for Sodium Citrate + Citric Acid
N/A
Duration of Action for Sodium Citrate + Citric Acid
N/A
Half Life of Sodium Citrate + Citric Acid
N/A
Side Effects of Sodium Citrate + Citric Acid
N/A
Contra-indications of Sodium Citrate + Citric Acid
1.Patients with severe renal impairment.
2.Untreated Addison's disease
3.Severe myocardial damage

Special Precautions while taking Sodium Citrate + Citric Acid
1.Excessive doses may cause metabolic alkalosis, especially in patients with hypocalcemia or renal impairment.Possible tetany or depression of the heart associated with decreased ionized calcium concentrations may occur with large doses.
2.Use with extreme caution in patients with low urine output (unless patient is closely supervised), CHF, hypertension, renal dysfunction, peripheral or pulmonary edema, or toxemia of pregnancy.
3.Laxative Effects:Possible saline laxative effects; dilute citrate solution with water and administer after meals to minimize this effect.
Pregnancy Related Information
Use with caution.
Old Age Related Information
N/A
Breast Feeding Related Information
Use with caution.
Children Related Information
N/A
Indications for Sodium Citrate + Citric Acid
1.Preparations containing sodium citrate and citric acid are especially useful when administration of potassium salts is undesirable or contraindicated.
2.Citrates are used for alkalinization of urine (as alternatives to sodium bicarbonate) in conditions where long-term maintenance of an alkaline urine is desirable.
3.Citrates are used for management of chronic metabolic acidosis associated with conditions such as chronic renal insufficiency or renal tubular acidosis.
4.Citrates are used as adjuvants to uricosuric agents in gout therapy.
5.Sodium citrate and citric acid also used for buffering and neutralizing gastric hydrochloric acid.
6.Sodium citrate has been used to alter cow?s milk so that large hard curds are not formed in the stomach of feeding infants.
Interactions for Sodium Citrate + Citric Acid
N/A
Typical Dosage for Sodium Citrate + Citric Acid
1.Pediatric: Children ?2 years of age: Usually, 5?15 mL of solution, diluted in 30?90 mL of water, after meals and at bedtime.
2.Add 100 mg of sodium citrate to each 30 mL of cow?s milk to prevent hard curds formed in the stomach of feeding infants.
3.Adult: Usually, 10?30 mL of solution,diluted in 30?90 mL of water, after meals and at bedtime.Individualize dosage according to patient?s tolerance and response.
4.Gastric Acid Neutralization: 15 mL of solution, diluted in 15 mL of water, taken as a single dose
Schedule of Sodium Citrate + Citric Acid
N/A
Storage Requirements for Sodium Citrate + Citric Acid
Tight, light-resistant containers at 20?25?C; protect from freezing.
Effects of Missed Dosage of Sodium Citrate + Citric Acid
N/A
Effects of Overdose of Sodium Citrate + Citric Acid
Overdosage with sodium salts may cause diarrhea, nausea and vomiting, hypernoia, and convulsions.

Sodium citrate

About Sodium citrate
Sodium compound,citrates, Urinary alkalinizing agent, a directly acing expectorant.
Mechanism of Action of Sodium citrate
Sodium citrate is an alkalinizing agent which is used to make the urine more alkaline (less acidic).It prevents certain kinds of kidney stones and also relieve discomfort in mild urinary tract infections such as cystitis. Sodium citrate also makes the blood more alkaline in certain conditions. Sodium citrate is a directly acing expectorant which increases bronchial secretion by salt action.
Pharmacokinets of Sodium citrate
Absorption: Administered orally, Metabolism: Metabolized in to sodium bicarbonate, Excretion: Excreted through urine.
Onset of Action for Sodium citrate
N/A
Duration of Action for Sodium citrate
N/A
Half Life of Sodium citrate
N/A
Side Effects of Sodium citrate
1. Polyuria
2. Hypernatremia
3. Metabolic alkalosis
4. Diarrhea
5. Loose bowel movements
6. Allergic reactions (rare)
7. Chest pain (rare)
8. Shortness of breath (rare)
Contra-indications of Sodium citrate
Hypersensitivity to the drug
Special Precautions while taking Sodium citrate
1. Renal impairment
2. Edema
3. Hypertension
4. Patients on a sodium restricted diet
5. Along with other medication
6. Addison`s disease
7. Type 2 diabetes mellitus
8. Chronic Diarrhea
9. Cardiac diseases
10. Toxemia of pregnancy
11. Urinary tract infections
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
May be used
Indications for Sodium citrate
1. Expectorant
2. Kidney stones
3. Cystitis
4. Gout
5. Urine and blood alkaliniser
6. Symptomatic treatment of nausea and vomiting
Interactions for Sodium citrate
N/A
Typical Dosage for Sodium citrate
Oral:
Expectorant: 0.3 to 1g
As alkaliniser: Dosage individualized and varies in different combinations Symptomatic treatment of nausea and vomiting: Use 5%Sodium citrate in the following doses:
Adults: 2 to3 g; 3 to 4 times daily.
Children (up to 3 months): 0.05 g;
Children (3 to 6 months): 0.1 g;
Children (6 to 12 months): 0.25 g;
Children (2 to 3 years): 0.30 g;
Children (4 to 7 years): 0.50 g;
Children (8 to 14 years): 1 to 2 g; 3 to 4 times daily
Schedule of Sodium citrate
N/A
Storage Requirements for Sodium citrate
Store in a cool dry area in a tightly closed container. Protect from direct light, heat, and moisture
Effects of Missed Dosage of Sodium citrate
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.

Effects of Overdose of Sodium citrate
Provide symptomatic treatment and supportive measures.

Citric acid

About Citric acid
Weak organic carboxylic acid, an alkalinizing agent, expectorant, antioxidant, flavouring agent.
Mechanism of Action of Citric acid
Citric acid is an organic acid which is used widely in medicine and also as flavouring agent. Citric acid is an alkalinizing agent which is used to make the urine more alkaline (less acidic).It prevents certain kinds of kidney stones. It is used in expectorant preparations to increase bronchial secretion. It also posses antioxidant properties.
Pharmacokinets of Citric acid
Absorption: Administered orally, Excretion: Excreted through urine.
Onset of Action for Citric acid
N/A
Duration of Action for Citric acid
N/A
Half Life of Citric acid
N/A
Side Effects of Citric acid
1 Polyuria
2.Hypernatremia
3.Metabolic alkalosis
4.Diarrhea
5.Loose bowel movements
6.Allergic reactions (rare)
7.Chest pain (rare)
8.Shortness of breath(rare)
Contra-indications of Citric acid
1.Hypersensitivity to the drug
2.Patients on sodium-restricted diets
3.Renal impairment with oliguria, azotemia, or anuria
4.Acute dehydration
5.Heat cramps
6.Severe myocardial damage
7.Hyperkalemia.
Special Precautions while taking Citric acid
1.Renal impairment
2.Edema
3.Hypertension
4.Along with other medication
5.Addison`s disease
6.Type 2 diabetes mellitus
7.Urolithiasis
8.Cardiac diseases
9.Toxemia of pregnancy
10.Urinary tract infections
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
May be used
Indications for Citric acid
1.Expectorant
2.Kidney stones
3.Gout
4.Urine and blood alkaliniser
5.Symptomatic treatment of nausea and vomiting
Interactions for Citric acid
N/A
Typical Dosage for Citric acid
Oral:
As alkaliniser: Dosage are individualized and varies in different combinations
Schedule of Citric acid
N/A
Storage Requirements for Citric acid
Store in a cool dry area in a tightly closed container. Protect from direct light, heat, and moisture.
Effects of Missed Dosage of Citric acid
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Citric acid
Provide symptomatic treatment and supportive measures.

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