Skip to content
MedsAcross

Fixed-dose combination

Citric acid, Dextrose and Sodium citrate, unspecified form

Also known as citric acid monohydrate, dextrose monohydrate, sodium citrate, unspecified form
Available on request
Presentations
3
Brands
2
Manufacturers
1
Available from stock
0

Citric acid, Dextrose and Sodium citrate, unspecified form is a fixed-dose combination of an anti-coagulant, a calculi dissolution agent and an osmotic laxative. MedsAcross supplies Citric acid, Dextrose and Sodium citrate, unspecified form for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Anti-coagulant, Calculi Dissolution Agent, Osmotic Laxative, Acidifying Activity, Calcium Chelating Activity, Osmotic Activity, Decreased Coagulation Factor Activity, Increased Large Intestinal Motility, Inhibition Large Intestine Fluid/Electrolyte Absorption
US FDA first approval
Not recorded
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous, Extracorporeal
Dosage forms
Injection
Fixed-dose combination of
Citric acid, Dextrose, Sodium citrate, unspecified form

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A is an anticoagulant intended for use only with devices that prepare Platelet Rich Plasma (PRP) products for extracorporeal use. See the device operator's manual for additional information and complete usage instructions.

Source: US FDA prescribing information

How it works

ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A acts as an extracorporeal anticoagulant by binding the free calcium in the blood. Calcium is a necessary co-factor to several steps in the clotting cascade. The following ingredients are key components of the solution: Citric acid for pH regulation Sodium Citrate for anticoagulation Dextrose for isotonicity This solution has no pharmacological effect.

Source: US FDA prescribing information

Dosing overview

ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A is added to blood products collected for extracorporeal processing. ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A may only be used with devices that prepare Platelet Rich Plasma (PRP) products for extracorporeal use. For instructions on the use of the solution see the device operator's manual. Follow the directions for drawing ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A into a syringe for further processing of the collected blood product.

Source: US FDA prescribing information

Warnings and precautions

Do not use the ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A unless the solution is clear and the container is intact and undamaged. Do not transfer the solution bag directly into the sterile field. Do not reuse. Discard unused or partially used solution bags. Discard the product if the Needleless Access Valve (NAV) does not function as intended. Aseptically prepare the NAV before use. Use aseptic technique throughout all procedures to ensure donor safety and quality.

Source: US FDA prescribing information

Side effects

Citrate reactions or toxicity may occur with the injection of blood products containing citrate anticoagulant. The recipient of the blood product containing citrate should be monitored for the signs and symptoms of citrate toxicity. The signs and symptoms of citrate toxicity begin with paresthesia, a "tingling" sensation around the mouth or in the extremities, followed by severe reactions that are characterized by hypotension and possible cardiac arrhythmia. Citrate toxicity may occur more frequently in patients who are hypothermic, have impaired liver or renal function, or have low calcium levels because of an underlying disease.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

3 presentations of Citric acid, Dextrose and Sodium citrate, unspecified form, sorted by availability.

MedicineActive ingredientManufacturerRegisterAvailability
Acd A 6 g/18.375 g/16.5 g per 750 mL injectionIntravenousCitric acid, Dextrose and Sodium citrate, unspecified formTerumo BCTUS FDAAvailable on request
Anticoagulant Citrate Dextrose (ACD-A) 0.4 g/1.225 g/1.1 g per 50 mL injectionIntravenousCitric acid, Dextrose and Sodium citrate, unspecified formTerumo BCTUS FDAAvailable on request
Citric acid, Dextrose and Sodium citrate, unspecified form 0.4 g/1.225 g/1.1 g per 50 mL injectionExtracorporealGeneric nameCitric acid, Dextrose and Sodium citrate, unspecified form—US FDAAvailable on request

Brands by market

2 brand names across 1 markets.

Brand names by country

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDANot recorded—
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Questions and answers

Is Citric acid, Dextrose and Sodium citrate, unspecified form available for export from India?

Yes, on request. MedsAcross lists 3 presentations of Citric acid, Dextrose and Sodium citrate, unspecified form and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Citric acid, Dextrose and Sodium citrate, unspecified form have?

The catalogue lists 2 brand names for Citric acid, Dextrose and Sodium citrate, unspecified form, including Acd A, Anticoagulant Citrate Dextrose (ACD-A).

Does Citric acid, Dextrose and Sodium citrate, unspecified form need cold chain shipping?

No listed presentation of Citric acid, Dextrose and Sodium citrate, unspecified form is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

References

  1. Anticoagulant Citrate Dextrose (ACD-A) prescribing information (Terumo BCT). U.S. National Library of Medicine, DailyMed. Retrieved 21 January 2025

Request Citric acid, Dextrose and Sodium citrate, unspecified form for export supply

Tell us the strength, quantity and destination country. Our team replies with availability, lead time and the import documents needed.