Product image of Natrium Citrát Grifols (Sodium Citrate) supplied by GNH India

Natrium Citrát Grifols

Active Ingredient:
Sodium Citrate
Origin:
EU

Natrium Citrát Grifols (Sodium Citrate)

Sodium citrate, the active ingredient in Natrium Citrát Grifols, is an anticoagulant presented as a sterile solution for extracorporeal use. It chelates calcium ions in collected blood, helping to prevent clot formation during procedures such as dialysis, apheresis, and blood component preparation. The product conforms to EU quality standards and is manufactured by Grifols.

GNH India supplies Natrium Citrát Grifols as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres and dialysis clinics worldwide.

Manufacturer / TM Owner

Laboratorios Grifols, S.A.

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Indications & Clinical Uses

Sodium citrate is used as an anticoagulant in extracorporeal circuits and blood processing.

  • Hemodialysis: maintains blood fluidity during treatment, reducing clot risk in the dialyzer.
  • Apheresis procedures: prevents clotting in collection lines while separating blood components.
  • Blood component preparation: preserves platelet function and plasma quality during storage and processing.

How It Works

  • Sodium citrate acts by chelating ionized calcium in the bloodstream, thereby lowering free calcium concentrations. This reduction interferes with calcium‑dependent steps of the coagulation cascade, inhibiting thrombin formation and preventing fibrin clot development during extracorporeal circulation.

Side Effects

Sodium citrate may cause electrolyte and metabolic changes when used in extracorporeal settings.

Common Side Effects

  • Hypocalcemia symptoms: tingling, muscle cramps, or paresthesia.
  • Transient metabolic alkalosis due to citrate metabolism.
  • Mild nausea or gastrointestinal discomfort.

Serious or Rare Side Effects

  • Severe hypocalcemia leading to cardiac arrhythmia or hypotension.
  • Allergic reactions ranging from rash to anaphylaxis.
  • Bleeding complications if anticoagulation is excessive.
  • Severe metabolic disturbances in patients with impaired liver function.
  • Rare cases of citrate toxicity with prolonged exposure.

Precautions & Warnings

When using sodium citrate, careful monitoring and patient assessment are essential.

  • Assess calcium levels: monitor ionized calcium during and after infusion.
  • Adjust citrate infusion rate: tailor to individual metabolic status and procedure duration.
  • Avoid in patients with severe liver dysfunction: impaired citrate clearance can cause accumulation.
  • Use caution with calcium channel blocker therapy: may exacerbate hypocalcemia.
  • Store below 25°C: keep in the original pack, protect from moisture and light.

Avoid Interactions

Sodium citrate can interact with other agents that affect calcium balance or electrolyte homeostasis.

Major Interactions (Avoid)

  • Calcium supplements: counteract the anticoagulant effect and may cause precipitation.
  • Magnesium sulfate: may enhance hypocalcemia and metabolic alkalosis.
  • High‑dose vitamin D: can interfere with calcium regulation during citrate therapy.

Moderate Interactions (Monitor Closely)

  • Loop diuretics: alter electrolyte excretion, requiring closer calcium monitoring.
  • Beta‑agonists: may increase the risk of citrate‑induced hypocalcemia.
  • Anticonvulsants such as phenytoin: can affect calcium metabolism and necessitate dose adjustments.

Frequently Asked Questions

Natrium Citrát Grifols contains sodium citrate and is employed as an anticoagulant in extracorporeal medical procedures. It helps keep blood from clotting during dialysis, apheresis, and the preparation of blood components, ensuring safe and effective processing of the patient's blood outside the body.

Sodium citrate binds free calcium ions in the blood, lowering ionized calcium levels. Calcium is essential for several steps in the coagulation cascade; by reducing its availability, citrate interrupts clot formation, allowing blood to remain fluid while it circulates through external circuits or collection devices.

The specific dose of Natrium Citrát Grifols is determined by the prescribing clinician based on the type of procedure, patient weight, renal function, and laboratory monitoring. Healthcare professionals calculate the infusion rate and total amount required to achieve adequate anticoagulation while avoiding hypocalcemia.

Safety data for sodium citrate in pregnant or lactating patients are limited. Because the drug is used primarily in controlled extracorporeal settings, its use during pregnancy or breastfeeding should be evaluated by a qualified physician, weighing potential benefits against any unknown risks to the mother or infant.

To place an order, visit the product page on gnhindia.com and submit an enquiry with the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Sodium citrate offers regional anticoagulation by chelating calcium, which can be reversed with calcium infusion after the procedure. Compared with heparin, citrate reduces systemic anticoagulation and bleeding risk, but requires careful monitoring of calcium levels. Choice of anticoagulant depends on patient-specific factors, procedural duration, and institutional protocols.

The product should be stored below 25 °C, protected from direct sunlight, moisture, and extreme temperature fluctuations. Keep the solution in its original, sealed container until use. Follow any additional handling instructions provided by the manufacturer to maintain sterility and potency.

Natrium Citrát Grifols is administered intravenously as part of an extracorporeal circuit. The solution is infused into the blood line before it enters the dialysis or apheresis machine, and the flow rate is adjusted according to the patient’s calcium status and the duration of the procedure.

The most serious risks include severe hypocalcemia, which can cause cardiac arrhythmias, hypotension, and neuromuscular symptoms, as well as metabolic alkalosis. In patients with impaired liver function, citrate accumulation may occur, leading to toxicity. Prompt monitoring and calcium supplementation are essential to mitigate these risks.

Sodium citrate should be avoided in patients with known severe liver disease, uncontrolled hypocalcemia, or those who cannot be closely monitored for electrolyte disturbances. Individuals with a history of severe allergic reactions to citrate or related compounds should also be excluded from its use.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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