Anticoagulant Sodium Citrate

Manufacturer
CSL Plasma Inc.
Effective date
2024-01-10
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
4
Source
full-release
Hydrated at
2026-05-31 20:57:50

Label at a glance#

ProductAnticoagulant Sodium Citrate
Active ingredientTrisodium Citrate Dihydrate
Label structure13 sections

Indications and uses

ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP is intended for use only for the anticoagulation of whole blood as part of automated apheresis procedures. [See Dosage and Administration (2) .]

Dosage and administration

ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP is added to tubing sets during apheresis procedures. The solution bag is connected to the tubing set in an apheresis collection. The recommended dose is determined by the apheresis device and metered into the tubing set by the apheresis device. It is not intended for direct intravenous infusion. For instructions on the use of the solution with the apheresis device a...

Storage and handling

ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP is a clear solution supplied in sterile and non-pyrogenic PVC bags. The bags are packaged 30 bags per case. SIZE CATALOG NUMBER NDC NUMBER 250 mL 1000782 Bag: 81839-782-01 Case: 81839-782-02 STORAGE Store at 20° to 25°C (68°to 77°F); excursions permitted between 15° to 30°C (59° to 86°F) [See USP Controlled Room Temperature]. Brief exposure up to 40°C (104°F) does n...

Label contents#

Full prescribing information#

1. INDICATIONS AND USAGE

INDICATIONS & USAGE SECTION

ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP is intended for use only for the anticoagulation of whole blood as part of automated apheresis procedures. [See Dosage and Administration (2).]

2. DOSAGE AND ADMINISTRATION

DOSAGE & ADMINISTRATION SECTION

2.1. General Dosing Information

SPL UNCLASSIFIED SECTION

ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP is added to tubing sets during apheresis procedures. The solution bag is connected to the tubing set in an apheresis collection. The recommended dose is determined by the apheresis device and metered into the tubing set by the apheresis device. It is not intended for direct intravenous infusion.

For instructions on the use of the solution with the apheresis device and tubing set, see the device operator's manual.

2.2. Administration

SPL UNCLASSIFIED SECTION

  • Ensure solution is the ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP and is within the expiration date
  • Inspect the bag. Do not use if the container is damaged, leaking, or if there is any visible sign of deterioration
  • Use only if solution is clear and free of particulate matter
  • Protect from sharp objects.

Directions for connecting the ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP bag to the apheresis device.

At the prompt to connect anticoagulant to the apheresis device tubing set:

  1. Remove the overwrap by pulling down at the notch, and remove the ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP bag.
  2. Before use, perform the following checks [see Warnings and Precautions (5)]:
    • Check for leaks by gently squeezing the bag. If leaks are found, discard the bag
    • Ensure that the solution is the ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP and is within the expiration date
    • Inspect the solution in good light. Bags showing cloudiness, haze, or particulate matter should not be used
  3. Remove the twist off port on the bag
  4. Connect the bag to the apheresis device tubing set using aseptic technique and hang the solution
  5. Proceed according to the apheresis device operator's manual

Drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever the solution and container permit.

3. DOSAGE FORMS AND STRENGTHS

DOSAGE FORMS & STRENGTHS SECTION

250 mL ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP is a sterile solution in a PVC bag. Each 100 mL contains: Sodium Citrate (dihydrate) 4.0 g; Water for Injection to 100 mL, (pH adjusted with citric acid). Approximate millimoles of Sodium Citrate: 13.6.

4. CONTRAINDICATIONS

CONTRAINDICATIONS SECTION

DO NOT INFUSE ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP DIRECTLY TO THE DONOR.

5. WARNINGS AND PRECAUTIONS

WARNINGS AND PRECAUTIONS SECTION

  • Verify that the ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP has been securely attached to the anticoagulant (AC) line on the system tubing set. Use aseptic technique throughout all procedures to ensure donor safety and quality.
  • Single-use container. Do not reuse. Discard any unused or partially used product.
  • Rx only

6. ADVERSE REACTIONS

ADVERSE REACTIONS SECTION

Citrate reactions or toxicity may occur with the infusion of blood products to patient and return of blood containing citrate anticoagulant to donors. The recipient of the blood containing citrate should be monitored for the signs and symptoms of citrate toxicity. The signs and symptoms of citrate toxicity begin with paresthesia, a "tingling" sensation around the mouth or in the extremities, followed by severe reactions that are characterized by hypotension and possible cardiac arrhythmia. Citrate toxicity may occur more frequently in patients who are hypothermic, have impaired liver or renal function, or have low calcium levels because of an underlying disease.

8. USE IN SPECIFIC POPULATIONS

USE IN SPECIFIC POPULATIONS SECTION

ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP has not been adequately studied in controlled clinical trials with specific populations.

11. DESCRIPTION

DESCRIPTION SECTION

ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP is designed to be metered by an apheresis device in apheresis procedures, to prevent platelet activation and coagulation as blood moves throughout the extracorporeal unit (tubing set) in an apheresis procedure.

The solution is sterile and non-pyrogenic, and it contains no bacteriostatic or antimicrobial agents. Sterilized with steam.

The formulas of the active ingredients are provided in Table 1.

Table 1: Active Ingredients
IngredientsMolecular FormulaMolecular Weight
Sodium Citrate DihydrateC6H9Na3O9 294.10
Water for InjectionH2O18.00

SPL UNCLASSIFIED SECTION

Each 100 mL of ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP contains:

Sodium Citrate (dihydrate) 4.0 g; and Water for Injection to 100 mL (pH adjusted with citric acid). Approximate millimoles of sodium citrate: 13.6.

The PVC bag is not made with natural rubber latex.

The bag contains materials that have been tested to demonstrate the suitability of the container for storing pharmaceutical solutions. The bag is nontoxic and biologically inert. The bag-solution unit is a closed system and is not dependent upon entry of external air during administration. The bag is overwrapped to provide protection from the physical environment and to provide an additional moisture barrier when necessary.

12. CLINICAL PHARMACOLOGY

CLINICAL PHARMACOLOGY SECTION

12.1. Mechanism of Action

MECHANISM OF ACTION SECTION

ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP acts as an extracorporeal anticoagulant by binding the free calcium in the blood. Calcium is a necessary co-factor to several steps in the clotting cascade. The following ingredients are key components of the solution:

  • Citric acid for pH regulation
  • Sodium Citrate anticoagulant

This solution has no pharmacological effect.

16. HOW SUPPLIED/STORAGE AND HANDLING

HOW SUPPLIED SECTION

ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP is a clear solution supplied in sterile and non-pyrogenic PVC bags. The bags are packaged 30 bags per case.

SIZECATALOG NUMBERNDC NUMBER
250 mL1000782Bag: 81839-782-01
Case: 81839-782-02

STORAGE AND HANDLING SECTION

STORAGE

Store at 20° to 25°C (68°to 77°F); excursions permitted between 15° to 30°C (59° to 86°F) [See USP Controlled Room Temperature]. Brief exposure up to 40°C (104°F) does not adversely affect the product.

Protect from freezing.

SPL UNCLASSIFIED SECTION

Issued: 05/2022

Manufactured By:
CSL Plasma, Inc.
155 Medical Sciences Drive
Union, SC 29379

PRINCIPAL DISPLAY PANEL - 250 mL Bag Label

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

ANTICOAGULANT SODIUM CITRATE
4% w/v SOLUTION, USP
250mL
NDC 81839-782-01
Product No. 1000782

Rx Only
Intended for use only with automated
apheresis devices

Each 100 mL contains:
Sodium Citrate (Dihydrate), USP 4.0g
(pH adjusted with Citric Acid, Monohydrate
USP)

CAUTION: Not for direct intravenous infusion.
The pouch is a moisture barrier. Do not use
unless solution is clear and no leaks detected.
Single use container. Discard unused portion.

STERILE, nonpyrogenic fluid path.

RECOMMENDED STORAGE: Store at 20° to
25°C (68° to 77°F); excursions permitted
between 15° to 30°C (59° to 86°F) [See USP
Controlled Room Temperature]. Brief exposure
up to 40°C (104°F) does not adversely affect
the product. Protect from freezing.

Manufactured By:
CSL Plasma Inc.
155 Medical Sciences Dr.
Union, SC 29379 USA

Made in USA
62635V01

PRINCIPAL DISPLAY PANEL - 250 mL Bag Label
PRINCIPAL DISPLAY PANEL - 250 mL Bag Label

PRINCIPAL DISPLAY PANEL - 250 mL Carton Label

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Anticoagulant Sodium Citrate
4% w/v Solution, USP 250mL
NDC# 81839-782-02
30 UNITS

Rx only
Product Code: 1000782

LOT # 21X000XU

EXP. DATE YYYY MMM

Recommended Storage: Store at 20° to 25°C (68° to 77°F);
excursions permitted between 15° to 30°C (59° to 86°F)
[See USP Controlled Room Temperature]. Brief exposure
up to 40°C (104°F) does not adversely affect the product.
Protect from freezing.

Manufactured By:
CSL Plasma Inc.
155 Medical Sciences Drive
Union, SC 29379

Made in USA

62635V01 000000

000000

PRINCIPAL DISPLAY PANEL - 250 mL Bag Label
PRINCIPAL DISPLAY PANEL - 250 mL Bag Label

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
ANHYDROUS CITRIC ACID Pharmacologic Class Indexing3Indexing - Pharmacologic Class20180813

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
e2db08c6-133f-4f4f-afb4-e90a2418d6f6Product name120230320
ce6d5c06-3ae0-18a6-d5b3-8cd3cc0f8906Product name720210625
f52be47f-7aa7-46c0-b1fa-50c18dd50206Product name120201029
11ed6f83-cdd2-4637-8379-b1a1d3ae3cdeProduct name120181101
86c45a79-b9f0-4476-a27c-6e10db098497Product name120180125
d5e51f11-ad28-caa4-4b49-4143974782adProduct name120150831

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
81839-782-01Anticoagulant Sodium Citrate250 mL in 1 BAGSOLUTION2504
81839-782-02Anticoagulant Sodium Citrate30 in 1 CARTONSOLUTION304

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
81839-782ANTICOAGULANT SODIUM CITRATE (TRISODIUM CITRATE DIHYDRATE) SOLUTION [CSL PLASMA INC.]4Legacy NDC, 2 package rows20240111_1798dd96-5ae7-4a8b-b433-24ca9b38d863.zip

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 5 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
81839-78281839-782-01, 81839-782-02

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 3 matching rows.

Source Document#

Source XML

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
2f9d0600-c8af-4701-aadb-ee29592f7a121798dd96-5ae7-4a8b-b433-24ca9b38d8632024-01-10Warnings, Adverse reactionsExact identifier
spl id: 2f9d0600-c8af-4701-aadb-ee29592f7a12
spl set id: 1798dd96-5ae7-4a8b-b433-24ca9b38d863

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.