alkavin syrup - Disodium Hydrogen Citrate (1.4mg) medicine

Alkavin Syrup: Complete Medicine Guide

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🏭 Atlantic Pharma Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for urinary alkalinization and symptomatic relief of UTI.
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
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
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Irregular heartbeat or palpitations

If experiencing severe symptoms, call emergency services immediately.

What is alkavin syrup used for?

This medicine is a urinary alkalinizer used to relieve burning and discomfort during urination by making the urine less acidic. It is also used to prevent uric acid kidney stones.

  • Generic Name: Disodium Hydrogen Citrate
  • Manufacturer: Atlantic Pharma Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 alkavin syrup के बारे में (Hindi Summary)

उपयोग: यह दवा मूत्र पथ के संक्रमण में जलन और दर्द से राहत दिलाने के लिए इस्तेमाल की जाती है। यह पेशाब को कम अम्लीय बनाकर काम करती है, जिससे पेशाब करते समय होने वाली जलन कम होती है। इसका उपयोग यूरिक एसिड की पथरी को रोकने में भी किया जा सकता है। यह दवा एंटीबायोटिक नहीं है, इसलिए यह संक्रमण को खत्म नहीं करती, बल्कि लक्षणों में राहत देती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में पेट में हल्की गड़बड़ी, जी मिचलाना या दस्त शामिल हो सकते हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको एलर्जी, सूजन, सांस लेने में कठिनाई, या दिल की धड़कन अनियमित महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। अगर आपको गुर्दे की बीमारी, हृदय की समस्या, या उच्च रक्तचाप है, तो डॉक्टर से सलाह लें। यह दवा सोडियम युक्त है, इसलिए कम नमक वाले आहार पर रहने वाले लोगों को सावधानी बरतनी चाहिए। बिना डॉक्टर की सलाह के इस दवा को लंबे समय तक न लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 alkavin syrup Uses & Benefits

[{"condition":"Urinary tract infections (symptomatic relief)","description":"This medicine helps to relieve the burning and discomfort during urination by making the urine less acidic.","evidence":"Well-established"},{"condition":"Uric acid kidney stones (prevention)","description":"This medicine may help to prevent the formation of uric acid stones by alkalinizing the urine.","evidence":"Well-established"},{"condition":"Metabolic acidosis (mild)","description":"This medicine may be used to correct mild metabolic acidosis by providing bicarbonate precursors.","evidence":"Limited"}]

Off-label uses: [{"condition":"Cystitis (interstitial)","description":"Sometimes used to relieve bladder discomfort in interstitial cystitis, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Urinary tract infections (symptomatic relief)

Also treats: Uric acid kidney stones, Metabolic acidosis

📋 Drug Information

Generic Name(s)Disodium Hydrogen Citrate
Brand NameAlkasol Oral Solution
ManufacturerAtlantic Pharma Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassUROLOGY
Action ClassUricosuric agent-gout
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine after meals to reduce stomach upset.
2
Drink plenty of water throughout the day to help flush your urinary tract.
3
Do not take antacids within 2 hours of this medicine, as they may reduce its effect.
4
If you have high blood pressure or heart failure, inform your doctor before taking this medicine due to its sodium content.
5
Do not use this medicine for more than 7 days without consulting your doctor.
6
Report any signs of electrolyte imbalance such as muscle twitching or irregular heartbeat.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Burning sensation during urination
This medicine is commonly prescribed for this.
Likely Use
✅
Frequent urination
This medicine may help relieve this symptom.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDisodium hydrogen citrate is rapidly absorbed from the gastrointestinal tract after oral administration.
DistributionCitrate is distributed throughout the body, primarily in the extracellular fluid. It does not bind significantly to plasma proteins.
Protein BindingNot established from the available information.
MetabolismCitrate is metabolized in the liver and other tissues to bicarbonate and carbon dioxide.
Half-LifeNot established from the available information.
ExcretionThe metabolites, primarily bicarbonate, are excreted in the urine. Unmetabolized citrate may also be excreted in urine.
BioavailabilityNot established from the available information.
Onset of ActionThe alkalinizing effect on urine typically begins within 30 minutes to 1 hour after oral administration.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe effect on urinary pH lasts for several hours, depending on the dose and individual factors.

How It Works

This medicine works by providing citrate ions, which are metabolized in the body to bicarbonate. Bicarbonate helps to neutralize excess acid in the urine, thereby increasing the urinary pH. This alkalinization of urine helps to relieve the burning sensation associated with acidic urine and also helps to dissolve certain types of kidney stones, such as uric acid stones. Additionally, citrate may inhibit the crystallization of calcium oxalate, further reducing the risk of stone formation.

Mechanism Steps

1
Ingestion and absorption: Disodium hydrogen citrate is taken orally and absorbed from the gastrointestinal tract.
2
Metabolism to bicarbonate: In the body, citrate is metabolized to bicarbonate, which acts as a buffer.
3
Alkalinization of urine: Bicarbonate is excreted in the urine, where it neutralizes excess hydrogen ions, raising the urinary pH.
4
Symptom relief and stone prevention: The increased urinary pH reduces bladder irritation and helps dissolve uric acid stones, providing symptom relief and preventing stone formation.

💡 How to Take alkavin syrup

Strength: Each 5 mL of syrup contains Disodium Hydrogen Citrate equivalent to 1.4 mg of the active ingredient.

1Shake the bottle well before use.
2Measure the dose using the measuring cup or spoon provided.
3Take the medicine orally, preferably after meals.
4Follow with a glass of water.
5Do not exceed the prescribed dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10-15 mL (approximately 2-3 teaspoons) taken 3 to 4 times daily, preferably after meals. However, the dose may vary depending on the condition being treated and the patient's response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose without consulting your doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine, especially regarding electrolyte balance. Dose should be individualized by a clinician, and renal function should be considered.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment. Consult a doctor.
Maximum Daily DoseThe maximum daily dose should not exceed 60 mL (approximately 12 teaspoons) in adults, unless otherwise directed by a doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
High-sodium foods
Limit intake
This medicine contains sodium; excessive sodium may worsen fluid retention.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of alkavin syrup

✅ Common Side Effects

Mild stomach upset (Common (5-10%))
Take with food or milk to reduce stomach upset. If it persists, consult your doctor.
Nausea (Common (5-10%))
Take with a meal or snack. If nausea continues, talk to your doctor.
Diarrhea (Uncommon (1-5%))
Stay hydrated. If diarrhea is severe or persistent, contact your doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of the face, tongue, or throat, or difficulty breathing.
Electrolyte imbalance (e.g., hypernatremia, hypokalemia) (Rare (<0.1%))
Your doctor may monitor your electrolyte levels. Report symptoms like muscle twitching, weakness, or irregular heartbeat.
Metabolic alkalosis (Rare (<0.1%))
Seek medical attention if you experience confusion, muscle twitching, or irregular heartbeat.

⚠️ Rare Side Effects

Hypernatremia (high sodium levels)
Report symptoms like swelling, increased thirst, or confusion to your doctor.
Hypokalemia (low potassium levels)
Report muscle weakness, cramps, or palpitations to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Antacids (aluminum) Major
Lithium Major
Diuretics Moderate
Corticosteroids Moderate
Aspirin Minor

🚨 Major Interactions

  • Antacids containing aluminum
  • Lithium

⚡ Moderate Interactions

  • Diuretics (e.g., furosemide, hydrochlorothiazide)
  • Corticosteroids

🍷 Alcohol Interaction

Alcohol may increase stomach irritation and worsen dehydration. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe kidney disease","Heart failure","Uncontrolled hypertension","Hypernatremia","Metabolic alkalosis","Known hypersensitivity to citrates"]

⚠️ Warnings & Precautions

["This medicine contains sodium; use with caution in patients on a low-sodium diet.","Do not use for prolonged periods without medical supervision.","May cause electrolyte imbalance; monitor if used long-term.","Consult doctor before use in pregnancy or breastfeeding.","Keep out of reach of children."]

🤱 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 hypokalemia. Seek immediate medical attention. Treatment is symptomatic and supportive, with correction of electrolyte imbalances.

⏰ 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 to catch up.

Additional Safety Advice

General Safety

Before taking this medicine, inform your doctor if you have any allergies, especially to citrates or any other medications. Also, tell your doctor if you have a history of kidney disease, heart failure, high blood pressure, or any condition that requires you to limit your sodium intake. This medicine contains sodium, so it may not be suitable for people on a low-sodium diet. Do not take this medicine for more than the recommended duration without consulting your doctor. If your symptoms do not improve within a few days or if they worsen, contact your doctor. Do not share this medicine with others, even if they have the same symptoms. Keep this medicine out of reach of children. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Do not take antacids or other medicines without consulting your doctor, as they may interact with this medicine. Always follow the dosage instructions provided by your doctor or pharmacist.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to electrolyte imbalances and fluid retention due to reduced kidney function. Close monitoring is advised.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. It should be used during pregnancy only if clearly needed and under medical supervision.

🏥 Post-Surgery Considerations

After surgery, use this medicine only if prescribed by your doctor. It may affect fluid and electrolyte balance, which is important to monitor post-operatively.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. There are no specific precautions, but it is important for your healthcare provider to know your medication history.

💚 Lifestyle Tips for Better Results

🏃
Drink plenty of water to help flush your urinary tract.
🥗
Avoid foods that can irritate the bladder, such as caffeine, alcohol, and spicy foods.
😴
Maintain good hygiene to prevent urinary tract infections.
💧
Urinate frequently and completely to avoid urine retention.
🧘
Include fruits and vegetables rich in vitamin C to acidify urine naturally, but consult your doctor as this medicine alkalinizes urine.

🏋️ 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

Stay well hydrated by drinking 8-10 glasses of water daily.
Limit intake of high-sodium foods to avoid fluid retention.
Reduce consumption of purine-rich foods like red meat and seafood if you have a history of uric acid stones.
Include fiber-rich foods to support overall health.

💼 Impact on Daily Work & Life

This medicine generally does not affect your ability to work or drive. However, if you experience dizziness or drowsiness, avoid driving or operating heavy machinery until you know how the medicine affects you.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within a few days, if they worsen, or if you experience any serious side effects. Do not stop taking prescribed antibiotics without completing the course, even if you feel better.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to electrolyte imbalances such as hypernatremia or hypokalemia. It may also cause metabolic alkalosis if used excessively. Regular monitoring of electrolytes and urinary pH is recommended if used for extended periods. Do not use for prolonged periods without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Increased water intake

Drinking plenty of water helps dilute urine and reduce burning sensation.

Evidence: Well-established
Cranberry products

May help prevent urinary tract infections, but evidence is mixed.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, consult your doctor before receiving any vaccine while 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, away from direct sunlight and moisture. If you are crossing time zones, continue taking your doses at regular intervals as prescribed. Do not leave the medicine in a hot car or checked luggage. If you need to take it with you on a flight, keep it in your carry-on bag.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with recurrent urinary tract infections
She experienced burning and frequent urination. Her doctor prescribed this medicine along with an antibiotic. She took the syrup after meals as directed. Within two days, her burning sensation reduced significantly. She completed the antibiotic course and continued the syrup for a week. She also increased her water intake.
💡 Lesson: This medicine provides symptomatic relief but must be used with antibiotics to treat the infection. Staying hydrated enhances its effect.
👤 A 50-year-old man with a history of uric acid kidney stones
He was advised to take this medicine regularly to prevent stone formation. He took it three times a day after meals and monitored his urine pH with strips. His urine pH improved, and he did not experience any new stones over six months. He also reduced his intake of high-purine foods.
💡 Lesson: Regular use of this medicine can help prevent uric acid stones. Dietary modifications and monitoring are important for best results.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine typically starts working within 30 minutes to 1 hour after taking a dose, but symptom relief may take a few doses.

Q: Can I take this medicine with other medications?

A: Inform your doctor about all medications you are taking, as this medicine may interact with antacids, lithium, and diuretics.

Q: Is this medicine safe for children?

A: Pediatric dosing is not established. Consult a pediatrician before giving this medicine to a child.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🛑 Myths vs. Facts

  • Myth: This medicine is an antibiotic.
    Fact: This medicine is not an antibiotic; it is a urinary alkalinizer that helps relieve symptoms but does not kill bacteria.
  • Myth: This medicine can cure any urinary tract infection.
    Fact: This medicine only provides symptomatic relief. Antibiotics are needed to treat the infection itself.

🔄 Alternative Options

Generic Alternatives

  • Disodium Hydrogen Citrate syrup (generic)

Brand Alternatives

  • Alkavin Syrup

📊 Comparison with Similar Medicines

[{"medicine":"Disodium Hydrogen Citrate","class":"Urinary alkalinizer","main_use":"Symptomatic relief of UTI, prevention of uric acid stones","route":"Oral"},{"medicine":"Potassium Citrate","class":"Urinary alkalinizer","main_use":"Prevention of kidney stones, metabolic acidosis","route":"Oral"}]

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