Alkagal 1.25gm 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
- 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 muscle weakness
If experiencing severe symptoms, call emergency services immediately.
What is wilcitrol syrup used for?
This medicine is an oral syrup containing disodium hydrogen citrate, used to relieve burning during urination and to prevent uric acid kidney stones by making urine less acidic.
- Generic Name: Disodium Hydrogen Citrate (1.25gm)
- Manufacturer: Vostok & Wilcure Remedies
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 wilcitrol syrup के बारे में (Hindi Summary)
उपयोग: यह दवा मूत्र पथ के संक्रमण में जलन और दर्द को कम करने के लिए दी जाती है। यह पेशाब को कम अम्लीय बनाकर काम करती है, जिससे जलन में राहत मिलती है। यह गुर्दे की पथरी (यूरिक एसिड स्टोन) को घोलने और बनने से रोकने में भी मदद करती है। यह दवा बैक्टीरिया को नहीं मारती, इसलिए संक्रमण के इलाज के लिए एंटीबायोटिक के साथ लेनी पड़ती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में जी मिचलाना, उल्टी, दस्त, पेट में ऐंठन और प्यास लगना शामिल हैं। ये आमतौर पर हल्के होते हैं और खाने के साथ लेने पर कम हो जाते हैं। कभी-कभी पैरों में सूजन या रक्तचाप बढ़ सकता है। गंभीर एलर्जी प्रतिक्रिया जैसे चकत्ते, सूजन या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं के बारे में बताएं, खासकर गुर्दे की बीमारी, हृदय की विफलता या उच्च रक्तचाप। यह दवा सोडियम युक्त है, इसलिए नमक कम खाएं। दवा को मापने वाले कप से ही लें। पर्याप्त पानी पिएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बिना डॉक्टर की सलाह के दवा न रोकें।
💊 wilcitrol syrup Uses & Benefits
[{"condition":"Urinary tract infections (cystitis)","description":"Relieves burning and discomfort by reducing urine acidity, but does not treat the bacterial infection itself.","evidence":"Well-established"},{"condition":"Kidney stones (uric acid stones)","description":"Helps dissolve existing uric acid stones and prevents new stone formation by alkalinizing urine.","evidence":"Well-established"},{"condition":"Metabolic acidosis","description":"Used to correct mild metabolic acidosis by providing bicarbonate precursors.","evidence":"Established"},{"condition":"Gout","description":"Adjunct therapy to increase uric acid excretion by alkalinizing urine.","evidence":"Supportive"}]
Off-label uses: [{"condition":"Chemotherapy-induced cystitis","description":"Sometimes used to alleviate bladder irritation from certain chemotherapy drugs.","evidence":"Limited"},{"condition":"Rhabdomyolysis prevention","description":"May be used to alkalinize urine in patients at risk of kidney damage from muscle breakdown.","evidence":"Limited"}]
Primary treatment for: Urinary tract infections
Also treats: Kidney stones (uric acid), Metabolic acidosis, Gout
📋 Drug Information
| Generic Name(s) | Disodium Hydrogen Citrate (1.25gm) |
| Brand Name | wilcitrol syrup |
| Manufacturer | Vostok & Wilcure Remedies |
| 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. Do not refrigerate. 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 that are metabolized in the body to bicarbonate. Bicarbonate acts as a buffer to neutralize excess hydrogen ions in the urine, thereby raising the urinary pH. This alkalinization makes the urine less acidic, which helps relieve the burning sensation associated with acidic urine. Additionally, a higher urine pH increases the solubility of uric acid, preventing the formation of uric acid stones and aiding in the dissolution of existing stones. The change in pH also creates an environment less favorable for certain bacteria, although this medicine does not have direct antibacterial activity.
Mechanism Steps
💡 How to Take wilcitrol syrup
Strength: Each 5 ml of syrup contains disodium hydrogen citrate 1.25 grams.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 10 to 15 milliliters (approximately 1.25 to 1.875 grams of disodium hydrogen citrate) taken three to four times daily, depending on the condition being treated. For urinary tract infections, it is often taken with plenty of water. For kidney stones, the dose may be adjusted based on urine pH. 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 electrolyte effects of this medicine. Dose should be adjusted based on renal function and monitored closely. Consult a doctor for appropriate dosing. |
| Renal Impairment | In patients with mild to moderate renal impairment, dose adjustment may be necessary. In severe renal impairment, this medicine is contraindicated. 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 wilcitrol syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Aluminum antacids | Major | |
| Calcium supplements | Major | |
| Lithium | Major | |
| Methenamine | Major | |
| Thiazide diuretics | Moderate | |
| Corticosteroids | Moderate | |
| ACE inhibitors | Moderate | |
| Aspirin | Minor | |
| Amphetamines | Minor | |
| Alcohol | Moderate |
🚨 Major Interactions
- Aluminum-containing antacids
- Calcium-containing products
- Lithium
- Methenamine
⚡ Moderate Interactions
- Diuretics (thiazide, loop)
- Corticosteroids
- ACE inhibitors, ARBs
🍷 Alcohol Interaction
Alcohol may increase the risk of stomach upset and dehydration. It is advisable to avoid or limit alcohol consumption while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Severe kidney disease (e.g., chronic kidney disease stage 4-5)","Severe heart failure","Hypernatremia","Metabolic alkalosis","Known allergy to citrates or any component of the syrup","Patients on a strict low-sodium diet"]
⚠️ Warnings & Precautions
["This medicine contains sodium; use with caution in patients with hypertension, heart failure, or edema.","Do not use for prolonged periods without medical supervision.","Monitor electrolyte levels during long-term use.","Avoid concurrent use with aluminum- or calcium-containing antacids.","Consult your doctor if you are pregnant or breastfeeding.","Keep out of reach of children.","Do not exceed the recommended dose."]
🤱 Lactation Safety
It is not known whether disodium hydrogen citrate passes into breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause metabolic alkalosis, hypernatremia, and electrolyte imbalances. Symptoms include nausea, vomiting, confusion, muscle twitching, and seizures. If overdose is suspected, seek immediate medical attention. Treatment is supportive and may include intravenous fluids and electrolyte correction.
⏰ 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
Before starting this medicine, inform your doctor if you have any kidney disease, heart failure, high blood pressure, or if you are on a low-sodium diet. This medicine contains sodium, which can worsen these conditions. Do not take this medicine if you are allergic to citrates or any of the inactive ingredients in the syrup. Always measure the dose using the provided measuring cup or spoon; do not use a regular household spoon as it may not be accurate. Take this medicine exactly as prescribed by your doctor. Do not increase or decrease the dose without consulting your doctor. If you are pregnant or breastfeeding, consult your doctor before using this medicine. It is not known whether this medicine passes into breast milk, so caution is advised. Avoid taking antacids containing aluminum or calcium within two hours of this medicine, as they can reduce its effectiveness. Drink plenty of water while taking this medicine to help flush your urinary system. If your symptoms do not improve within a few days or if they worsen, contact your doctor. Do not use this medicine for longer than recommended without medical supervision. Keep this medicine out of reach of children. Store it at room temperature, away from direct sunlight and moisture.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to electrolyte imbalances and fluid retention due to reduced kidney function. Close monitoring of renal function, electrolytes, and blood pressure is advised. Dose adjustment may be necessary.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. The safety of this medicine during pregnancy is not well established, and it should be used only if clearly needed.
🏥 Post-Surgery Considerations
After surgery, use this medicine only if prescribed by your doctor. It may interact with other medications or affect fluid balance. Inform your surgeon about all medicines you are taking.
🦷 Dental Procedures
No specific precautions are required for dental procedures. However, 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 muscle weakness or cramps due to electrolyte imbalance, avoid strenuous exercise and consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine generally does not affect your ability to drive or operate machinery. However, if you experience dizziness or blurred vision, avoid these activities until you feel better. It may cause frequent urination, so plan accordingly during work hours.
🛑 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. The duration of treatment depends on your condition and response to therapy.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to electrolyte imbalances, particularly low potassium and high sodium levels. It can also cause metabolic alkalosis. Regular monitoring of blood electrolytes and kidney function is recommended. Prolonged use should be under medical supervision, and the dose may need adjustment based on your condition.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Drinking plenty of water helps dilute urine and reduce irritation.
Evidence: Well-establishedReducing acidic foods and increasing alkaline foods may help.
Evidence: SupportiveNecessary for treating bacterial urinary tract infections.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, consult your doctor before any vaccination if you are unwell.
📦 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 of customs checks. Store it in a cool, dry place away from direct sunlight. If crossing time zones, continue taking the medicine at regular intervals as prescribed; you may need to adjust the timing gradually. Do not leave it in a hot car or checked luggage. Carry enough for your entire trip.
💰 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 symptomatic relief may take a day or two.
A: Yes, it is often prescribed alongside antibiotics. However, separate it from antacids by at least 2 hours.
A: Consult your doctor before use. The safety in pregnancy is not well established.
A: Take it as soon as you remember, but if it's almost time for the next dose, skip it. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for wilcitrol syrup
View AllAlternative brands with exact same active ingredient:
-
helsol syrupHealth Guard India Pvt Ltd ₹40.00 74.1% COSTLIER
-
bcitron 1.25gm syrupBMW Pharmaco India Pvt. Ltd. ₹45.00 95.9% COSTLIER
-
citrakool syrupPositive Medicare Pvt Ltd ₹49.69 116.3% COSTLIER
-
inocitz 1.25gm suspensionInnova Formulations Pvt Ltd ₹55.31 140.8% COSTLIER
-
alkagal 1.25gm syrupGalpha Laboratories Ltd ₹59.81 160.4% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure urinary tract infections.
Fact: This medicine only relieves symptoms by alkalinizing urine; it does not kill bacteria. Antibiotics are needed to treat the infection. - Myth: This medicine is safe for everyone.
Fact: It is not safe for people with severe kidney disease, heart failure, or those on a low-sodium diet. - Myth: You can take this medicine indefinitely.
Fact: Long-term use should be monitored by a doctor due to risk of electrolyte imbalances.
🔄 Alternative Options
Generic Alternatives
- Disodium hydrogen citrate syrup
- Sodium citrate syrup
Brand Alternatives
- Alkagal 1.25gm Syrup