Sodium Citrate and Citric Acid Oral Solution

Patients on sodium-restricted diets or with severe renal impairment.

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.

NDC 0121-0595-16
NSN 6505-01-097-4766

Sodium Citrate
and Citric Acid
Oral Solution USP

500 mg/334 mg per 5 mL

A SUGAR-FREE SYSTEMIC ALKALIZER

Each teaspoonful (5 mL) contains:
Sodium Citrate Dihydrate..........500 mg
Citric Acid Monohydrate............334 mg
Each mL provides 1 mEq Sodium Ion and is
equivalent to 1 mEq Bicarbonate (HCO3).

Rx ONLY

16 fl oz (473 mL)

pai
Pharmaceutical
Associates, Inc.
Greenville, SC 29605

DOSAGE AND ADMINISTRATION:
Sodium Citrate and Citric Acid Oral
Solution USP should be taken diluted in
water followed by additional water, if 
desired. SHAKE WELL BEFORE USING. 

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. For children
under two years of age, use is based on
consultation with a physician.

STORAGE:  Keep tightly closed. Store at
controlled room temperature, 20°-25°C
(68°-77°F). Protect from freezing. 

Dispense in a tight, light-resistant
container with a child-resistant closure.

INDICATIONS AND USAGE: Sodium
Citrate and Citric Acid Oral Solution
USP is a stable systemic alkalizer in
a palatable sugar-free base. It is
useful in the management of
metabolic acidosis especially when
the administration of potassium salts
is undesirable or contraindicated.

SEE ACCOMPANYING LITERATURE.