Renacidin (Hemiacidrin, citric acid & d-gluconic acid irrigant)

Indications: 1) preparing solutions for irrigating indwelling urethral catheters 2) dissolve or prevent formation of calcifications Dosage: - 30 to 60 mL of 10% sterile solution 2-3 times/days via rubber syringe Powder for solution: (300 g) 1) citric acid 156-171 g 2) Mg(OH)HCO3 75-87 g 3) D-gluconic acid 21-30 g (or gluconolactone) 4) CaCO3 2-6 g 5) H₂O 17-21 g Adverse effects: 1) common (> 10%) - fever, flank pain (transient), urothelial ulceration &/or edema 2) less common (1-10%) - hypermagnesemia, hyperphosphatemia, nausea, urinary tract infection, dysuria, bladder irritabiloity, back pain, transient hematuria, increased serum creatinine, candidiasis 3) uncommon (< 1%) - vomiting, ileus, thrombophlebitis, septicemia

General

bladder irrigant urinary acidifier

References

Kaiser Permanente Northern California Regional Drug Formulary, 1998

Components

calcium carbonate (Tums, Oscal, Oyst-Cal) citrate (citric acid) gluconate magnesium carbonate (Dewees Carminative, Manesite)