Citralka Syrup Uses

Citralka syrup is a urinary alkalinizing agent primarily used to treat kidney and urinary tract problems. It helps in elevating the pH levels of the urine, making it less acidic. This, in turn, assists in preventing the formation of kidney stones and alleviating the discomfort associated with acidic urine. The following are some common uses and Indications of Citralka Syrup:

1. Urinary Tract Infections (UTIs): Citralka syrup is commonly used to treat and prevent UTIs. It helps to reduce the acidity of urine, making the environment less favorable for bacterial growth.
2. Kidney Stones: Citralka syrup can also be used to manage certain types of kidney stones. It helps to increase the urinary pH and decrease the concentration of stone-forming substances, potentially preventing the formation of new stones and aiding in the dissolution of existing stones.
3. Cystitis: Cystitis is an inflammation of the bladder, usually caused by a bacterial infection. Citralka syrup may be recommended as part of the treatment plan for cystitis to alleviate symptoms and promote healing.
4. Urinary Alkalization: In some cases, it may be necessary to alkalize the urine for diagnostic or therapeutic purposes. Citralka syrup can help raise the pH of urine, making it more alkaline.
5. Relief from Burning and Painful Urination: Citralka syrup can provide relief from symptoms such as burning sensation, pain, and discomfort during urination. It helps in reducing the acidity of urine, thereby soothing the urinary tract and alleviating these symptoms.

Off-label Uses of Citralka Syrup

1. Gastroesophageal Reflux Disease (GERD): Citralka syrup has been used off-label to alleviate symptoms associated with GERD, such as heartburn and acid reflux. It may help neutralize excess stomach acid and provide temporary relief.
2. Interstitial Cystitis (painful bladder syndrome): Citralka syrup has been explored as a potential treatment option for interstitial cystitis, a chronic condition characterized by bladder pain and urinary frequency. It is believed to help by reducing the acidity of urine and soothing the bladder.
3. Alleviating Drug-Induced Nephrotoxicity: Some studies have investigated the potential use of Citralka to mitigate nephrotoxicity caused by certain medications. By increasing urinary pH, it may help prevent the crystallization of certain drugs in the renal tubules, reducing the risk of kidney damage.
4. Treatment of Gout: Disodium hydrogen citrate syrup can be used to help treat gout by reducing the level of uric acid in the blood. Uric acid is a waste product that can build up in the joints and cause pain and inflammation.
5. Treatment of Hyperkalemia: Disodium hydrogen citrate syrup can be used to help treat hyperkalemia, a condition in which there is too much potassium in the blood. Disodium hydrogen citrate can help to remove potassium from the blood.

Citralka is generically known as Disodium Hydrogen Citrate, manufactured and marketed by Pfizer Laboratories Inc.

The following are some alternative brands of Citralka Syrup and their manufacturers.

• Acitral : Atlantic Pharmaceuticals (Pvt) Ltd, Pakistan.
• Alkacitron : P.D.H Pharmaceuticals (Pvt) Ltd, Pakistan.
• Citral : Ideal Pharmaceutical Industries, Pakistan.
• Citrol : Semos Pharmaceuticals (Pvt) Ltd, Pakistan.
• Citrolyte : Regent Laboratories Ltd, Pakistan.
• Socirate : Ethical Laboratories (Pvt) Ltd, Pakistan.
• Uralka : Lisko Pakistan (Pvt) Ltd.
• Pexocitral : Karachi Pharmaceutical Laboratories, Pakistan.
• Kacitron : Uni-Pharma (Pvt) Ltd, Pakistan.
• Amrolka : Amros Pharmaceuticals, Pakistan.

Presently, Citralka is available in Syrup form with the following strength.

Citralka Syrup : 1.53g/5ml strength.

Citralka syrup may have contraindications in certain individuals or medical conditions. Here are some common contraindications associated with Citralka syrup:

1. Hypersensitivity or Allergy: Individuals who have a known hypersensitivity or allergy to Disodium Hydrogen Citrate or any of the other ingredients in Citralka syrup should not use this medication. Allergic reactions can range from mild skin rashes to severe symptoms like difficulty breathing or swelling of the face, lips, or tongue.
2. Renal Impairment: Citralka syrup should be used with caution or avoided in individuals with severe renal impairment or kidney dysfunction. The altered kidney function may affect the clearance of Disodium Hydrogen Citrate, potentially leading to increased levels of the drug in the body.
3. Metabolic Alkalosis: Citralka syrup should not be used in individuals with metabolic alkalosis, a condition characterized by high blood pH and excess bicarbonate levels. Disodium Hydrogen Citrate can further increase alkalinity, worsening the condition.
4. Hypokalemia: Citralka syrup should be used cautiously in individuals with hypokalemia (low potassium levels). Disodium Hydrogen Citrate can increase urinary pH and the excretion of potassium, potentially aggravating the electrolyte imbalance.
5. Urinary Tract Obstruction: Citralka syrup may be contraindicated in individuals with urinary tract obstruction. Increasing urinary pH with Disodium Hydrogen Citrate may lead to the precipitation of certain types of stones or compounds, potentially worsening the obstruction.

Citralka Syrup Dose for Urinary Alkalization:

• 10-30 mL (2-6 teaspoons) diluted in water, taken three to four times a day.
• The dosage may be adjusted based on the individual’s urinary pH levels and response to treatment.

Citralka Syrup Dose for Relief from Urinary Symptoms:

• 10-15 mL (2-3 teaspoons) diluted in water, taken two to three times a day.
• The exact dosage should be determined by your healthcare professional.

Citralka Syrup Pediatric Dosage:

• The dosage for children should be determined by a healthcare professional based on the child’s age, weight, and specific medical condition. Pediatric doses are typically lower than adult doses and should be carefully calculated and administered under medical supervision.

Citralka Syrup works by increasing the pH of urine, making it more alkaline. It achieves this by providing a source of bicarbonate ions that can buffer the acidity in the urine. The increased alkalinity helps in preventing the formation of certain types of kidney stones, as they tend to form in acidic environments.