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triCitrasol Anticoagulant Sodium Citrate Concentrate

triCitrasol Anticoagulant Sodium Citrate Concentrate
  • triCitrasol Anticoagulant Sodium Citrate Concentrate, 46.7% Trisodium Citrate (30.5% free citrate ion), is a sterile, non-pyrogenic solution, used in granulocytapheresis procedures (granulocyte collection by apheresis). Just prior to performing granulocytapheresis, 30 mL of the triCitrasol Concentrate is aseptically added to 500 mL of the solution 6% Hydroxyethyl Starch (HES).

The final solution prevents the coagulation of blood by virtue of the citrate ion's ability to chelate ionized calcium present in the blood to form a non-ionized calcium-citrate complex. When the total dose of citrate ions is greater than the total amount of ionized calcium, clotting is prevented.

Important Safety Information


triCitrasol Concentrate is an anticoagulant used in granulocytapheresis procedures.

Warnings and Contraindications

triCitrasol Concentrate is not for direct intravenous infusion.

triCitrasol Concentrate is a concentrated anticoagulant — dilute prior to use (see full prescribing information).

Adverse Reactions

Citrate reactions or toxicity may occur with the infusion of blood products containing citrate anticoagulant. The recipient of the citrated blood product should be monitored for the signs and symptoms of citrate toxicity which can begin with tingling sensations around the mouth or in the extremities, followed by severe reactions characterized by chills, stomach cramps, or pressure in the chest, followed by more severe reactions characterized by hypotension and possible cardiac arrhythmia. Citrate toxicity may occur more frequently in patients that are hypothermic, have impaired liver or renal function, or have low calcium levels because of an underlying disease.