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  3. Citramic Syrup 100 ml

Citramic Syrup 100 ml, Pack of 1 Liquid
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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Citramic Syrup is used to treat renal tubular acidosis, gout and kidney stones. It contains disodium hydrogen citrate, which works by removing excess uric acid from the blood through urine. In some cases, this medicine may cause side effects such as abdominal discomfort, diarrhoea, tiredness, nausea, and vomiting. Before taking this medicine, inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.
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Composition :

DISODIUM HYDROGEN CITRATE-1.41GM

Manufacturer/Marketer :

Micro Labs Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Citramic Syrup

Citramic Syrup is a urinary alkaliser indicated for the treatment of renal tubular acidosis, gout and kidney stones. Kidney stones are small, hard deposits made up of calcium, phosphate and other minerals/acid salts that stick together in concentrated urine. Renal tubular acidosis is a condition in which the kidneys fail to excrete acids into the urine; this causes the blood to remain too acidic.
 
Citramic Syrup contains disodium hydrogen citrate, which metabolises to bicarbonate and increases the excretion of free bicarbonate ions; this increases the solubility of cysteine in the urine and ionises uric acid to soluble urate ion. This helps in increasing the urinary pH, thereby making the urine less acidic. 
 
You are advised to take Citramic Syrup for as long as your doctor has suggested it for you, depending on your medical condition. In some cases, you may experience certain common side effects, such as abdominal discomfort, diarrhoea, tiredness, nausea, and vomiting. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Consult your doctor before taking Citramic Syrup if you are pregnant or breastfeeding. Avoid alcohol consumption while taking Citramic Syrup . It is not known if Citramic Syrup affects your ability to drive; drive only if you are alert. Talk to a doctor before giving Citramic Syrup to children. Keep your doctor informed about your health condition and medicines to rule out any side effects.

Uses of Citramic Syrup

Treatment of Renal tubular acidosis, Kidney stones.

Directions for Use

• Citramic Syrup can be taken after meals to prevent stomach upset or as advised by the doctor.• Follow your doctor's instructions on the dosage and timing of this medication to ensure safety.• Dilute the recommended dose of Citramic Syrup in a glass of water and take it orally.• Shake well before use.

Medicinal Benefits

Citramic Syrup is a urinary alkaliser indicated for the treatment of renal tubular acidosis, gout and kidney stones. Citramic Syrup contains disodium hydrogen citrate, which metabolises to bicarbonate and increases the excretion of free bicarbonate ions; this increases the solubility of cysteine in the urine and ionises uric acid to soluble urate ion. This helps in increasing the urinary pH, thereby making the urine less acidic. Citramic Syrup may also help to treat urinary tract infections.

How Citramic Syrup Works

Citramic Syrup contains disodium hydrogen citrate, which metabolises to bicarbonate and increases the excretion of free bicarbonate ions; this increases the solubility of cysteine in the urine and ionises uric acid to soluble urate ion. This helps in increasing the urinary pH, thereby making the urine less acidic.

Storage

Store in a cool and dry place away from sunlight

What if I have taken an overdose of Citramic Syrup

Take Citramic Syrup only as suggested by the physician. Avoid exceeding the recommended dose as it could lead to an overdose. Symptoms of overdose may include electrolyte disturbances, nausea, vomiting, diarrhoea, oedema, hypernoia (excessive mental activity), and convulsions. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

Do not take Citramic Syrup if you are allergic to any of its contents. Inform your doctor if you have hyperkalaemia (high levels of potassium), hypocalcaemia (low blood calcium levels), high blood pressure, oedema, increased alkalinity in the blood, urinary tract infection, or kidney dysfunction. Consult your doctor before taking Citramic Syrup if you are pregnant or breastfeeding. Avoid alcohol consumption while taking Citramic Syrup . It is not known if Citramic Syrup affects your ability to drive; drive only if you are alert. Talk to a doctor before giving Citramic Syrup to children.

Drug-Drug Interactions

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Sodium citrateLevofloxacin
Severe
Sodium citrateAluminium hydroxide
Severe

Drug-Drug Interactions

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Sodium citrateLevofloxacin
Severe
How does the drug interact with Citramic Syrup 100 ml:
Co-administration of Levofloxacin and Citramic Syrup 100 ml together may increase the risk of developing side effects.

How to manage the interaction:
Although there is a possible interaction between Citramic Syrup 100 ml and Levofloxacin, you can take these medicines together if prescribed by a doctor. However, if you experience flank pain, painful urination, or blood in the urine, consult the doctor. It is advised to drink plenty of fluids during treatment with Levofloxacin. Do not stop using any medications without talking to a doctor.
Sodium citrateAluminium hydroxide
Severe
How does the drug interact with Citramic Syrup 100 ml:
Co-administration of Aluminium hydroxide and Citramic Syrup 100 ml may increase aluminum levels and risk of side effects.

How to manage the interaction:
Although there is a possible interaction between Citramic Syrup 100 ml and Aluminium hydroxide, you can take these medicines together if prescribed by your doctor. However, if you experience symptoms like severe stomach pain, constipation, loss of appetite, pain when you urinate, muscle weakness, tiredness nausea, vomiting, and diarrhea contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
Sodium citrateDoxycycline
Severe
How does the drug interact with Citramic Syrup 100 ml:
Coadministration of Citramic Syrup 100 ml with Doxycycline can reduce the effectiveness of Doxycycline.

How to manage the interaction:
Although taking Citramic Syrup 100 ml with Doxycycline can possibly result in decreased efficacy, they can be taken together if prescribed by a doctor. It is advised to separate Citramic Syrup 100 ml and doxycycline by three to four hours. Do not stop using any medications without consulting a doctor.
Sodium citrateDihydroxialumini sodium carbonate
Severe
How does the drug interact with Citramic Syrup 100 ml:
Co-administration of Dihydroxialumini sodium carbonate and Citramic Syrup 100 ml may increase aluminum levels and risk of developing side effects.

How to manage the interaction:
Although taking Citramic Syrup 100 ml and Dihydroxialumini sodium carbonate together can cause an interaction, it can be taken if a doctor has suggested it. However, if you experience severe stomach pain, constipation, loss of appetite, pain when you urinate, tiredness, fever, excessive sweating, shivering or shaking, blurred vision, muscle spasm or stiffness, tremor, incoordination, nausea, vomiting, and diarrhea contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Drink plenty of fluids as they help in flushing out excess minerals.

  • Limit salt intake. High amounts of salt can increase the risk of kidney stones.

  • Maintain a healthy weight by exercising regularly.

  • Avoid foods rich in oxalates such as spinach, nuts, okra, dates, avocado, hot chocolate, cocoa, baked potato, French fries, and cereals, as they might increase the risk of oxalate stones.

Habit Forming

No

Therapeutic Class

RENAL AND GENITOURINARY AGENT
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Alcohol

Caution

Avoid alcohol consumption while taking Citramic Syrup .

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Pregnancy

Caution

Please consult your doctor if you have any concerns regarding this; your doctor will prescribe only if the benefits outweigh the risks.

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Breast Feeding

Caution

Consult your doctor before taking Citramic Syrup ; your doctor will decide whether Citramic Syrup can be taken by breastfeeding mothers or not.

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Driving

Caution

It is not known if Citramic Syrup affects your ability to drive. Drive only if you are alert.

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Liver

Caution

Limited information is available regarding the usage of Citramic Syrup in patients with hepatic impairment. Please consult your doctor if you have liver problems or any concerns regarding this.

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Kidney

Unsafe

Avoid taking Citramic Syrup if you have kidney impairment. Please consult your doctor if you have kidney dysfunction or any concerns regarding this.

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Children

Caution

Limited information is available regarding the usage of Citramic Syrup in children. Please consult a doctor.

Have a query?

FAQs

Citramic Syrup is used to treat renal tubular acidosis and kidney stones.

Citramic Syrup raises the urinary pH, thereby makes the urine less acidic. This helps the kidneys to get rid of excess uric acid, and prevents gout and the formation of kidney stones.

Consult your doctor before taking corticosteroids with Citramic Syrup as it might increase the blood sodium levels.

Citramic Syrup contains sodium; therefore, talk to your doctor before taking Citramic Syrup if you are on a sodium-restricted diet or if you have high blood pressure.

To treat your condition effectually, continue taking Citramic Syrup for as long as suggested. Do not be reluctant to speak with your doctor if you experience any difficulty while taking Citramic Syrup .

Diarrhoea might be a side-effect of Citramic Syrup . Drink lots of fluids and eat non-spicy food if you experience diarrhoea. If you find blood in stools (tarry stools) or if you have severe diarrhoea, consult your doctor. Do not take anti-diarrheal medicine on your own.

Consult a doctor before taking Citramic Syrup if you have an active urinary tract infection, as Citramic Syrup increases the urinary pH, which might promote further bacterial growth.

Limited information is available regarding the usage of Citramic Syrup in children. Please consult a doctor.

Depending on your medical condition, you are advised to take Citramic Syrup for as long as your doctor has suggested it for you. If you face any difficulty or experience any side effects that persist while taking this, seek medical attention.

Citramic Syrup taken within few minutes to start working and its effect lasts for around four to six hours.

Citramic Syrup taken within few minutes to start working and its effect lasts for around four to six hours.

No, Citramic Syrup is not an antibiotic medication. Citramic Syrup is a urinary alkaliser indicated for the treatment of renal tubular acidosis, gout and kidney stones.

Citramic Syrup may interact with certain antibiotic medications. So, do not combine any antibiotic medication unless recommended by the doctor.

Yes, Citramic Syrup may also help to treat urinary tract infections. However, consult your doctor to proper diagnosis and appropriate treatment.

The suggested dose of Citramic Syrup should be diluted with a glass of water and taken after meals. Depending on your medical condition, your doctor will decide how long you must take Citramic Syrup . Note: Adults may take it without dilution, followed by liquid, if preferred.

Take Citramic Syrup only as suggested by the physician. Avoid exceeding the recommended dose as it could lead to an overdose. Symptoms of overdose may include electrolyte disturbances, nausea, vomiting, diarrhoea, oedema, hypernoia (excessive mental activity), and convulsions. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention.

Common side effects of Citramic Syrup may include abdominal discomfort, diarrhoea, tiredness, nausea, and vomiting. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.

Take the missed dose as soon as you remember, unless it's almost time for your next dose. In this case, skip the missed dose and take your next dose at the regular time. Never take a double dose to make up for a missed one.

Country of origin

India

Manufacturer/Marketer address

Alkem Laboratories Limited, Devashish Building, Alkem House, Senapati Bapat Road, Lower Parel, Mumbai - 400 013.
Other Info - CIT0114

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Author Details

Santoshini Reddy GDoctor badge

Written By

Santoshini Reddy G

M Pharmacy

Dr Aneela SiddabathuniDoctor badge

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Jul 18, 2025 | 6:52 AM IST

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Reference

  1. https://www.medindia.net/doctors/drug_information/disodium_hydrogen_citrate.htm
  2. https://www.mims.com/india/drug/info/disodium%20hydrogen%20citrate?type=full&mtype=generic

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