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

Indications

• preparing solutions for irrigating indwelling urethral catheters
• 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)

• citric acid 156-171 g
• Mg(OH)HCO3 75-87 g
• D-gluconic acid 21-30 g (or gluconolactone)
• CaCO3 2-6 g
• H2O 17-21 g

Adverse effects

• common (> 10%)
  • fever, flank pain (transient), urothelial ulceration &/or edema
• less common (1-10%)
  • hypermagnesemia, hyperphosphatemia, nausea, urinary tract infection, dysuria, bladder irritabiloity, back pain, transient hematuria, increased serum creatinine, candidiasis
• uncommon (< 1%)
  • vomiting, ileus, thrombophlebitis, septicemia

More general terms

• bladder irrigant
• urinary acidifier

Components

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