Drug reference

Sodium citrate

BNF 80 (2020–2021)

Source: BNF 80 (2020–2021)
PDF pages: 854, 855

Review source pages for extracted sections and age labels. BNF dose snippets show only their first line.

Overview

Indications And Dose

Bladder washouts ▶Adult: (consult product literature) Relief of discomfort in mild urinary-tract infections ▶BY MOUTH ▶Adult: (consult product literature) Constipation (dose approved for use by community practitioner nurse prescribers) ▶BY RECTUM ▶Child 3–17 years: 5 mL for 1 dose ▶Adult: 5 mL for 1 dose MICOLETTE ® Constipation ▶BY RECTUM ▶Child 3–17 years: 5–10 mL for 1 dose ▶Adult: 5–10 mL for 1 dose MICRALAX ® Constipation ▶BY RECTUM ▶Child 3–17 years: 5 mL for 1 dose ▶Adult: 5 mL for 1 dose RELAXIT ® Constipation ▶BY RECTUM ▶Child 1 month–2 years: 5 mL for 1 dose, insert only half the nozzle length ▶Child 3–17 years: 5 mL for 1 dose ▶Adult: 5 mL for 1 dose

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Contra Indications

▶With oral use Conditions where excess sodium or glucose should be avoided (e.g. cardiac disease, hypertension, patients on a sodium-restricted diet or diabetes) ▶With rectal use Acute gastro-intestinal conditions

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Cautions

▶With oral use Elderly ▶With rectal use Debilitated patients (in adults). sodium and water retention in susceptible individuals

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Prescribing And Dispensing Information

Sodium citrate 300 mmol/litre (88.2 mg/mL) oral solution is licensed for use before general anaesthesia for caesarean section (available from Viridian).

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Exceptions To Legal Category

Proprietary brands of sodium citrate are on sale to the public for the relief of discomfort in mild urinary-tract infections.

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Safety

Interactions

→Appendix 1: sodium citrate

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Side Effects

Polyuria

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Pregnancy

▶With oral use Use with caution.

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Renal Impairment

▶With oral use In patients with ﬂuid retention, avoid antacids containing large amounts of sodium.

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Dose and formulations

Medicinal Forms

There can be variation in the licensing of different medicines containing the same drug. Forms available from special-order manufacturers include: oral solution, eye drops Granules ▶Sodium citrate (Non-proprietary) Sodium citrate 4 gram Cystitis Relief 4g oral granules sachets | 6 sachet G £2.38 DT = £2.38 ▶Brands may include CanesOasis, Cymalon (sodium citrate), Cystocalm Oral solution ▶Sodium citrate (Non-proprietary) Sodium citrate 88.23 mg per 1 ml Sodium citrate 0.3M oral solution | 30 ml P £4.70 DT = £4.70 Powder ▶Sodium citrate (Non-proprietary) Sodium citrate 1 mg per 1 mg Sodium citrate powder | 500 gram G £7.49 DT = £7.34 ▶Numark (Numark Ltd) Sodium citrate 4 gram Numark cystitis treatment 4g oral powder sachets | 6 sachet G £1.65 DT = £1.65 Irrigation solution ▶Sodium citrate (Non-proprietary) Sodium citrate 3% irrigation solution 1litre bags | 1 bag s Enema ▶Micolette Micro-enema (Pinewood Healthcare) Sodium citrate 90 mg per 1 ml Micolette Micro-enema 5ml | 12 enema p £4.50 ▶Micralax Micro-enema (RPH Pharmaceuticals AB) Sodium citrate 90 mg per 1 ml Micralax Micro-enema 5ml | 12 enema p £4.87 ▶Relaxit (Supra Enterprises Ltd) Sodium citrate 90 mg per 1 ml Relaxit Micro-enema 5ml | 12 enema £5.21 HEPARINOIDS

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Dose text by age group

Child 3–17 years

5 mL for 1 dose

First-line fragment. Read the complete Indications and Dose section above.

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Child 3–17 years

5–10 mL for 1 dose

First-line fragment. Read the complete Indications and Dose section above.

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Child 3–17 years

5 mL for 1 dose

First-line fragment. Read the complete Indications and Dose section above.

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Child 1 month–2 years

5 mL for 1 dose, insert only half

First-line fragment. Read the complete Indications and Dose section above.

PDF page 854

Child 3–17 years

5 mL for 1 dose

First-line fragment. Read the complete Indications and Dose section above.

PDF page 854

Age labels are extracted for navigation. Check the complete source section and current local guidance before clinical use.

Drug reference

Sodium citrate

BNF 80 (2020–2021)

Source: BNF 80 (2020–2021)
PDF pages: 854, 855

Review source pages for extracted sections and age labels. BNF dose snippets show only their first line.

Overview

Indications And Dose

PDF page 854

Contra Indications

PDF page 854

Cautions

▶With oral use Elderly ▶With rectal use Debilitated patients (in adults). sodium and water retention in susceptible individuals

PDF page 854

Prescribing And Dispensing Information

Sodium citrate 300 mmol/litre (88.2 mg/mL) oral solution is licensed for use before general anaesthesia for caesarean section (available from Viridian).

PDF page 854

Exceptions To Legal Category

Proprietary brands of sodium citrate are on sale to the public for the relief of discomfort in mild urinary-tract infections.

PDF page 854

Safety

Interactions

→Appendix 1: sodium citrate

PDF page 854

Side Effects

Polyuria

PDF page 854

Pregnancy

▶With oral use Use with caution.

PDF page 854

Renal Impairment

▶With oral use In patients with ﬂuid retention, avoid antacids containing large amounts of sodium.

PDF page 854

Dose and formulations

Medicinal Forms

PDF page 855

Dose text by age group

Child 3–17 years

5 mL for 1 dose

First-line fragment. Read the complete Indications and Dose section above.

PDF page 854

Child 3–17 years

5–10 mL for 1 dose

First-line fragment. Read the complete Indications and Dose section above.

PDF page 854

Child 3–17 years

5 mL for 1 dose

First-line fragment. Read the complete Indications and Dose section above.

PDF page 854

Child 1 month–2 years

5 mL for 1 dose, insert only half

First-line fragment. Read the complete Indications and Dose section above.

PDF page 854

Child 3–17 years

5 mL for 1 dose

First-line fragment. Read the complete Indications and Dose section above.

PDF page 854

Age labels are extracted for navigation. Check the complete source section and current local guidance before clinical use.