Citrogran 4 g Effervescent granules
Clinical Summary
Quick overview from the medicine insert
Indication
Gastric antacid and urinary alkalinising agent.
Dosage (summary)
Adults: 4-8 g (1-2 measures) 3-4 times daily; Long-term: 4 g daily. Children (6-12 years): 4 g 2-3 times daily.
Special Populations
- Renal impairment
- Hypertension
- Cirrhosis
- Sodium-restricted diet
Pregnancy & Breastfeeding
Safety in pregnancy not established; caution in breastfeeding.
Key Drug Interactions
- Methenamine
- Antacids
- Quinolones
- Salicylates
- Tetracyclines
- Ketoconazole
Contraindications
- Hypersensitivity to ingredients
- Severe renal disease
- Metabolic alkalosis
- Co-administration with acid urine antiseptics
Common side effects
- Increased thirst
- Hypernatraemia
- Stomach cramps
- Diarrhoea
Counselling Points
- Take on an empty stomach
- Drink after effervescence
- Report any adverse reactions
Serious warnings
- Risk of metabolic alkalosis
- Caution in renal insufficiency
- Monitor serum electrolytes
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