CLINICAL USE

Treatment and prophylaxis of sodium chloride deficiency

DOSE IN NORMAL RENAL FUNCTION

Oral prophylaxis: 40–80 mmol sodium daily, up to a maximum of 200 mmol sodium dailyIV: in severe deficiency 2–3 litres over 2–3 hours then reduce

PHARMACOKINETICS

  • Molecular weight                           :58.4
  • %Protein binding                           :0
  • %Excreted unchanged in urine     : No data
  • Volume of distribution (L/kg)       :Dependent on the physiological state of the patient at the time
  • half-life – normal/ESRD (hrs)      :No data

    DOSE IN RENAL IMPAIRMENT

    GFR (mL/MIN)

  • 20 to 50     : Dose as in normal renal function
  • 10 to 20     : Dose as in normal renal function
  • <10           : Dose as in normal renal function

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES

  • CAPD                :Dialysed. Dose as in normal renal function
  • HD                     :Dialysed. Dose as in normal renal function
  • HDF/high flux   :Dialysed. Dose as in normal renal function
  • CAV/VVHD      :Dialysed. Dose as in normal renal function

    IMPORTANT DRUG INTERACTIONS

    Potentially hazardous interactions with other drugsMay impair the efficacy of antihypertensive drugs in chronic renal failure

    ADMINISTRATION

    Reconstition

    Route

    Oral, IV

    Rate of Administration

    Comments

    OTHER INFORMATION

    Other regimens: for acute muscular cramps post haemodialysis, 10 mL sodium chloride 30% injection diluted in 100 mL sodium chloride 0.9%, and infused over 30 minutes or in dialysis washbackSodium salts should be administered with caution to patients with congestive heart failure, peripheral or pulmonary oedema, or impaired renal functionSlow sodium ® 600 mg tablet approximately 10 mmol sodium and 10 mmol chloride.

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