Citric Acid, Gluconolactone, Magnesium Carbonate Bladder irrigation

What is this medicine?

CITRIC ACID; GLUCONO-DELTA-LACTONE; MAGNESIUM CARBONATE (SIH trik AS id; glu CO no del ta LAC tone;mag NEE zee umKAR bon ate) is used to treat some types of bladder stones by making the urine more acidic. This medicine may also be used to keep urinary catheter lines free from blockages.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• high levels of magnesium in the blood

• history of blockage in the bladder or other areas within the urinary tract

• kidney disease

• an unusual or allergic reaction to citric acid; glucono-delta-lactone; magnesium carbonate, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

This medicine is placed into the bladder through a urinary catheter line by a health care professional. It will be given at regular intervals as needed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

This does not apply.

What may interact with this medicine?

• antacids, laxatives, or other medicines containing magnesium

• dietary supplements containing magnesium

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Your condition will be monitored carefully while you are receiving this medicine. Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse. You may need blood work or other tests done while you are using this medicine.

This medicine contains magnesium and may cause high levels of magnesium in the bloodstream. Over-the-counter products that contain magnesium, such as some laxatives, antacids, and vitamins, should be used with caution. Check labels carefully. Ask your doctor or pharmacist if you have questions.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• signs and symptoms of high magnesium like nausea; confusion; shortness of breath; unusually weak or tired; dizziness; feeling faint or lightheaded, falls; or loss of muscle reflexes

• signs and symptoms of infection like fever or chills; cough; sore throat; pain or trouble passing urine; or pain in the lower back or side

Side effects that usually do not require medical attention (Report these to your doctor or health care professional if they continue or are bothersome.):

• bladder irritation

• burning sensation in the bladder

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children.

You will not usually be given this medicine to store at home. Store unopened containers at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Your health care professional will only use containers if the container seal is intact and the solution is clear in color when opened. Throw away any unused medicine after the expiration date.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.