Citric acid + Sodium citrate
Indications
Citric acid + Sodium citrate is used for:
Urine Alkalinization, Prevention of Nephrolithiasis
Adult Dose
Urine Alkalinization, Prevention of Nephrolithiasis
10-30 mL diluted in up to 6 oz water/juice PO PC & HS PRN
Child Dose
Urine Alkalinization, Prevention of Nephrolithiasis
<2 years: Based on physician's discretion
>2 years: 5-15 mL diluted in 30-90 mL of water/juice PO PC & HS PRN
Renal Dose
Administration
Contra Indications
Hypersensitivity to drug or component of the formulation
Severe renal impairment
Sodium-restricted diet
Precautions
Use with caution in high BP, kidney or liver disease, cardiac failure, toxemia of pregnancy, peripheral/pulmonary edema, shock, or the severely ill
Do not dilute in tomato juice
Pregnancy-Lactation
Interactions
Adverse Effects
Side effects of Citric acid + Sodium citrate :
Frequency Not Defined
Diarrhea
Nausea
Tetany
Metabolic alkalosis
Vomiting
Stomach pain
Fluid retention
Mechanism of Action
Alkalinizes urine; citrate binds with urinary calcium