Alkasar-C Syrup: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in urine or stool
- Severe abdominal pain
- Swelling of face, lips, or throat
- Difficulty breathing
- Confusion or seizures
- Decreased urine output
- Irregular heartbeat
If experiencing severe symptoms, call emergency services immediately.
What is alkasar-c syrup used for?
This medicine is a urinary alkalinizer used to relieve burning during urination and to prevent certain kidney stones. It works by making urine less acidic.
- Generic Name: Disodium Hydrogen Citrate (1.37mg/5ml)
- Manufacturer: Sarthi Life Sciences
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alkasar-c syrup के बारे में (Hindi Summary)
उपयोग: यह दवा मूत्र पथ की जलन, जलन के साथ पेशाब आना, और यूरिक एसिड की पथरी जैसी समस्याओं में उपयोग की जाती है। यह पेशाब को कम अम्लीय बनाकर आराम पहुंचाती है।
साइड इफेक्ट्स: आमतौर पर यह दवा सुरक्षित मानी जाती है, लेकिन कुछ लोगों को मतली, पेट में असहजता, या दस्त हो सकते हैं। कभी-कभी पैरों में सूजन या नमक की मात्रा बढ़ने जैसी गंभीर समस्याएं भी हो सकती हैं।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी किडनी, हृदय, और रक्तचाप की स्थिति के बारे में बताएं। यह दवा सोडियम युक्त है, इसलिए कम नमक वाले आहार पर रहने वाले लोगों को सावधानी बरतनी चाहिए। पर्याप्त पानी पिएं और डॉक्टर की सलाह के बिना दवा बंद न करें।
💊 alkasar-c syrup Uses & Benefits
[{"condition":"Urinary tract irritation","description":"Helps reduce burning and discomfort during urination by making urine less acidic.","evidence":"Well-established"},{"condition":"Mild metabolic acidosis","description":"Used to correct mild acidosis by providing citrate, which is metabolized to bicarbonate.","evidence":"Well-established"},{"condition":"Uric acid kidney stones","description":"Alkalinizing urine helps dissolve uric acid stones and prevent their formation.","evidence":"Well-established"},{"condition":"Cystine kidney stones","description":"May be used as an adjunct to increase urine pH and improve cystine solubility.","evidence":"Limited"},{"condition":"Dysuria","description":"Provides symptomatic relief from painful urination.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Chemotherapy-induced hemorrhagic cystitis","description":"Sometimes used off-label to alkalinize urine and reduce bladder irritation from certain chemotherapy drugs.","evidence":"Limited"},{"condition":"Rhabdomyolysis prevention","description":"May be used off-label to alkalinize urine and prevent kidney damage from muscle breakdown products.","evidence":"Limited"}]
Primary treatment for: Urinary tract irritation
Also treats: Metabolic acidosis, Uric acid kidney stones, Dysuria
📋 Drug Information
| Generic Name(s) | Disodium Hydrogen Citrate (1.37mg/5ml) |
| Brand Name | alkasar-c syrup |
| Manufacturer | Sarthi Life Sciences |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | UROLOGY |
| Action Class | Uricosuric agent-gout |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by providing citrate ions, which are metabolized in the body to bicarbonate. Bicarbonate is a base that neutralizes excess acid, thereby increasing the pH of urine and blood. When urine becomes less acidic, it reduces irritation to the urinary tract lining and helps dissolve certain types of kidney stones, particularly uric acid stones. Additionally, the sodium content helps maintain electrolyte balance, but it also means that this medicine can increase sodium load in the body.
Mechanism Steps
💡 How to Take alkasar-c syrup
Strength: Syrup, 1.37 mg per 5 ml.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5 to 10 ml taken orally, two to three times daily after meals, or as directed by your doctor. The dose may be adjusted based on your condition, kidney function, and response to treatment. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the sodium load and fluid retention effects. Dose should be adjusted cautiously by a clinician, with monitoring of kidney function and electrolytes. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose reduction may be necessary. Consult a doctor for individualized dosing. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment. Use with caution and consult a doctor. |
| Maximum Daily Dose | The maximum daily dose is not established from available information. Do not exceed the dose prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alkasar-c syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Antacids | Major | |
| Diuretics | Major | |
| Lithium | Major | |
| Tetracycline antibiotics | Moderate | |
| Fluoroquinolone antibiotics | Moderate | |
| Aspirin | Moderate | |
| Amphetamines | Minor | |
| Quinidine | Minor |
🚨 Major Interactions
- Antacids containing aluminum or calcium
- Diuretics (e.g., furosemide, hydrochlorothiazide)
- Lithium
⚡ Moderate Interactions
- Antibiotics (e.g., tetracyclines, fluoroquinolones)
- Salicylates (e.g., aspirin)
🍷 Alcohol Interaction
Alcohol may increase stomach irritation and worsen dehydration. It is advisable to avoid or limit alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe kidney disease","Uncontrolled hypertension","Heart failure","Hypernatremia","Metabolic alkalosis","Hypersensitivity to citrates"]
⚠️ Warnings & Precautions
["Contains sodium; caution in patients on low-sodium diet.","May cause fluid retention; monitor weight and swelling.","Use with caution in patients with kidney or heart disease.","Do not use for prolonged periods without medical supervision.","May interact with other medicines; inform your doctor about all medications."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause metabolic alkalosis, hypernatremia, or fluid overload. Seek immediate medical attention. Treatment is supportive and may include electrolyte correction and hydration.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Additional Safety Advice
Before starting this medicine, tell your doctor if you have kidney problems, heart failure, high blood pressure, or any condition that requires you to limit salt intake. This medicine contains sodium, so it may not be suitable for people on a low-sodium diet. Do not take this medicine with other antacids or urinary alkalinizers without consulting your doctor, as this can increase the risk of side effects. Drink plenty of water while taking this medicine to help flush your urinary system. Avoid taking this medicine at the same time as certain antibiotics or other medicines that are affected by urine pH, as it may change how well they work. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Do not exceed the recommended dose, and keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the sodium load and fluid retention effects. Close monitoring of kidney function and electrolytes is advised.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. It is not known if this medicine is safe during pregnancy.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine after surgery, especially if you have kidney or heart issues.
🦷 Dental Procedures
No specific precautions. Inform your dentist about all medicines you are taking.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
There are no specific exercise restrictions while taking this medicine. However, if you experience dizziness or fatigue, avoid strenuous activities until you feel better.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine is unlikely to affect your ability to drive or operate machinery. However, if you experience dizziness or drowsiness, avoid these activities until you know how the medicine affects you.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your symptoms worsen, contact your doctor immediately.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to electrolyte imbalances, fluid retention, or changes in blood pH. Regular monitoring of kidney function and electrolytes is recommended. Do not use for prolonged periods without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Reducing intake of foods that acidify urine can complement the effect of this medicine.
Evidence: Well-establishedHelps flush the urinary system and dilute urine.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interactions with vaccines. However, consult your doctor before any vaccination if you are on this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case you need to show it at customs. Store it at room temperature and protect it from extreme heat or cold. If you are crossing time zones, adjust your dosing schedule gradually, but consult your doctor for specific advice. Always pack enough medicine for your entire trip plus extra in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 1 to 2 hours after taking a dose, but you may need to take it regularly for a few days to notice full relief.
A: Yes, it is best taken after meals to reduce stomach upset.
A: Pediatric dosing is not established. Consult a pediatrician before giving this medicine to a child.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can cure all types of kidney stones.
Fact: It is only effective for uric acid stones and may not help with calcium stones. - Myth: It is safe to take long-term without monitoring.
Fact: Long-term use requires regular monitoring of electrolytes and kidney function.
🔄 Alternative Options
Generic Alternatives
- Disodium hydrogen citrate syrup
Brand Alternatives
- Alkasar-C Syrup