BICITRA PACKAGE INSERT PDF

Medically reviewed by Drugs. The combination of citric acid and sodium citrate is used to prevent gout or kidney stones , or metabolic acidosis in people with kidney problems. You should not use this medication if you have kidney failure , severe heart damage such as from a prior heart attack , Addison's disease an adrenal gland disorder , high levels of potassium in your blood hyperkalemia , or if you are severely dehydrated or have heat cramps. Before you take Bicitra, tell your doctor about all your medical conditions, especially kidney disease, heart disease, high blood pressure , a history of heart attack, urinary problems, swelling edema , or chronic diarrhea such as ulcerative colitis , Crohn's disease. Also tell your doctor about all other medications you use, including over-the-counter medications and household remedies.

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For further information about unapproved drugs, click here. If you are a consumer or patient please visit this version. Sodium Citrate and Citric Acid Oral Solution USP is a stable and pleasant-tasting systemic alkalizer containing sodium citrate and citric acid in a sugar-free base. It is a nonparticulate neutralizing buffer. Sodium citrate is absorbed and metabolized to sodium bicarbonate, thus acting as a systemic alkalizer.

The effects are essentially those of chlorides before absorption and those of bicarbonates subsequently. It is useful in those conditions where long-term maintenance of an alkaline urine is desirable, and is of value in the alleviation of chronic metabolic acidosis, such as results from chronic renal insufficiency or the syndrome of renal tubular acidosis, especially when the administration of potassium salts is undesirable or contraindicated.

This product is also useful for buffering and neutralizing gastric hydrochloric acid quickly and effectively. Sodium Citrate and Citric Acid Oral Solution USP is concentrated, and when administered after meals and before bedtime, allows one to maintain an alkaline urinary pH around the clock, usually without the necessity of a 2 A.

This product alkalinizes the urine without producing a systemic alkalosis in the recommended dosage. This product is highly palatable, pleasant tasting, and tolerable, even when administered for long periods. Sodium Citrate and Citric Acid Oral Solution USP should be used with caution by patients with low urinary output unless under the supervision of a physician.

This product should not be administered concurrently with aluminum-based antacids. Patients should be directed to dilute adequately with water and preferably, to take each dose after meals to avoid saline laxative effect. Sodium salts should be used cautiously in patients with cardiac failure, hypertension, impaired renal function, peripheral and pulmonary edema, and toxemia of pregnancy. Periodic examinations and determinations of serum electrolytes, particularly serum bicarbonate level, should be carried out in those patients with renal disease in order to avoid these complications.

Sodium Citrate and Citric Acid Oral Solution USP is generally well tolerated, without any unpleasant side effects, when given in recommended doses to patients with normal renal function and urinary output.

However, as with any alkalinizing agent, caution must be used in certain patients with abnormal renal mechanisms to avoid development of alkalosis, especially in the presence of hypocalcemia. Overdosage with sodium salts may cause diarrhea, nausea and vomiting, hypernoia, and convulsions. For children under two years of age, use is based on consultation with a physician. Keep tightly closed.

Protect from freezing. Manufactured By: Pharmaceutical Associates, Inc. Greenville, SC www. Each teaspoonful 5 mL contains: Sodium Citrate Dihydrate Greenville, SC Usual Adult Dose : 2 to 6 teaspoonfuls 10 to 30 mL diluted in 1 to 3 ounces of water, after meals and at bedtime, or as directed by a physician.

Usual Pediatric Dose : 1 to 3 teaspoonfuls 5 to 15 mL diluted in 1 to 3 ounces of water, after meals and at bedtime, or as directed by a physician. Dispense in a tight, light-resistant container with a child-resistant closure. It is useful in the management of metabolic acidosis especially when the administration of potassium salts is undesirable or contraindicated. DailyMed will deliver notification of updates and additions to Drug Label information currently shown on this site through its RSS feed.

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NDC National Drug Code - Each drug product is assigned this unique number which can be found on the drug's outer packaging.

Drug Label Information Updated May 30, If you are a consumer or patient please visit this version. A Sugar-Free Systemic Alkalizer. Patients on sodium-restricted diets or with severe renal impairment. Usual Adult Dose 2 to 6 teaspoonfuls 10 to 30 mL , diluted in 1 to 3 ounces of water, after meals and at bedtime, or as directed by a physician. Usual Pediatric Dose 1 to 3 teaspoonfuls 5 to 15 mL , diluted in 1 to 3 ounces of water, after meals and at bedtime, or as directed by a physician.

Version Files May 31, 6 current download Apr 5, 5 download Aug 27, 1 download. NDC 1 2 3 4 5 6 Product Information. Inactive Ingredients. Product Characteristics. Marketing Information.

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SODIUM CITRATE and CITRIC ACID ORAL SOLUTION USP

For further information about unapproved drugs, click here. If you are a consumer or patient please visit this version. Sodium Citrate and Citric Acid Oral Solution USP is a stable and pleasant-tasting systemic alkalizer containing sodium citrate and citric acid in a sugar-free base. It is a nonparticulate neutralizing buffer. Sodium citrate is absorbed and metabolized to sodium bicarbonate, thus acting as a systemic alkalizer. The effects are essentially those of chlorides before absorption and those of bicarbonates subsequently. It is useful in those conditions where long-term maintenance of an alkaline urine is desirable, and is of value in the alleviation of chronic metabolic acidosis, such as results from chronic renal insufficiency or the syndrome of renal tubular acidosis, especially when the administration of potassium salts is undesirable or contraindicated.

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Sodium Citrate and Citric Acid

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