Sodium Chloride (0.49% w/v) + Sodium Lactate (0.39% w/v) + Potassium Chloride (0.075% w/v) + Calcium Chloride (0.048% w/v) (Medical Monograph)

Overview

A balanced, multi-electrolyte intravenous solution designed to mimic the electrolyte composition of plasma. It is a sterile, non-pyrogenic, isotonic solution used for fluid and electrolyte replacement. The sodium lactate component is metabolized to bicarbonate, providing a mild alkalinizing effect, making it suitable for correcting mild metabolic acidosis associated with dehydration.

Uses

  • Fluid and electrolyte replacement in dehydration
  • Maintenance fluid therapy in patients unable to take oral fluids
  • Mild metabolic acidosis correction (due to the lactate component)
  • Post-operative fluid management

Side Effects

  • Fluid overload (edema, pulmonary edema)
  • Reactions at the injection site (pain, phlebitis, infiltration)
  • Mild fever

Detailed Pharmacology

This solution restores intravascular volume, corrects electrolyte imbalances, and provides a substrate for bicarbonate generation. Sodium and chloride maintain extracellular fluid volume and osmotic pressure. Potassium is the principal intracellular cation. Calcium is essential for neuromuscular function, cardiac contractility, and blood coagulation. Sodium lactate is converted in the liver to bicarbonate, helping to correct mild acidosis.

Available Brands in India

BrandManufacturerPrice
Ringer Lactate (Baxter) Baxter India Pvt. Ltd. ₹80 - ₹180 (depending on volume and retailer)
Lactated Ringer's (B. Braun) B. Braun Medical India Pvt. Ltd. ₹70 - ₹160
R Lac (Cipla) Cipla Ltd. ₹60 - ₹120
Lacto Ringer (Fresenius Kabi) Fresenius Kabi India Pvt. Ltd. ₹75 - ₹170
Ringer Lactate (Sun Pharma) Sun Pharmaceutical Industries Ltd. ₹55 - ₹110
I.V. Ringer Lactate (Indian Pharmacopoeia) Various (Local Manufacturers) ₹40 - ₹90