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) .]
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) .]
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...
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...
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).]
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.
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:
Drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever the solution and container permit.
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.
DO NOT INFUSE ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP DIRECTLY TO THE DONOR.
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.
ANTICOAGULANT SODIUM CITRATE 4% W/V SOLUTION USP has not been adequately studied in controlled clinical trials with specific populations.
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.
| Ingredients | Molecular Formula | Molecular Weight |
|---|---|---|
| Sodium Citrate Dihydrate | C6H9Na3O9 | 294.10 |
| Water for Injection | H2O | 18.00 |
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.
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:
This solution has no pharmacological effect.
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 |
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.
Issued: 05/2022
Manufactured By:
CSL Plasma, Inc.
155 Medical Sciences Drive
Union, SC 29379
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

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

| Class | Version | Type | Effective |
|---|---|---|---|
| ANHYDROUS CITRIC ACID Pharmacologic Class Indexing | 3 | Indexing - Pharmacologic Class | 20180813 |
| Product concept | Relation | Version | Effective |
|---|---|---|---|
| e2db08c6-133f-4f4f-afb4-e90a2418d6f6 | Product name | 1 | 20230320 |
| ce6d5c06-3ae0-18a6-d5b3-8cd3cc0f8906 | Product name | 7 | 20210625 |
| f52be47f-7aa7-46c0-b1fa-50c18dd50206 | Product name | 1 | 20201029 |
| 11ed6f83-cdd2-4637-8379-b1a1d3ae3cde | Product name | 1 | 20181101 |
| 86c45a79-b9f0-4476-a27c-6e10db098497 | Product name | 1 | 20180125 |
| d5e51f11-ad28-caa4-4b49-4143974782ad | Product name | 1 | 20150831 |
| Package NDC | Product | Description | Form | Quantity | Strength | SPL version |
|---|---|---|---|---|---|---|
| 81839-782-01 | Anticoagulant Sodium Citrate | 250 mL in 1 BAG | SOLUTION | 250 | 4 | |
| 81839-782-02 | Anticoagulant Sodium Citrate | 30 in 1 CARTON | SOLUTION | 30 | 4 |
Every source-derived product name is available through these pages.
| Product NDC | Package NDC |
|---|---|
| 81839-782 | 81839-782-01, 81839-782-02 |
Every source-derived ingredient row is available through these pages.
| Name | UNII | Kind |
|---|---|---|
| Trisodium Citrate Dihydrate | B22547B95K | ACTIM |
| Water | 059QF0KO0R | IACT |
| Citric Acid monohydrate | 2968PHW8QP | IACT |
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.
| Brand | Generic | Manufacturer | SPL set ID | Effective date | Available safety fields | Join |
|---|---|---|---|---|---|---|
| 2f9d0600-c8af-4701-aadb-ee29592f7a12 | 1798dd96-5ae7-4a8b-b433-24ca9b38d863 | 2024-01-10 | Warnings, Adverse reactions | 2f9d0600-c8af-4701-aadb-ee29592f7a12 1798dd96-5ae7-4a8b-b433-24ca9b38d863 |
Adverse event summaries are temporarily unavailable. Other product information remains available.