Oral medications for metabolic acidosis in children

Medications for oral use	Dosage forms
Sodium bicarbonate*
Liquid (compounded/or intravenous injectable form)	1 mEq/mL
Tablets	325 mg = 3.85 mEq sodium, 3.85 mEq bicarbonate 650 mg = 7.7 mEq sodium, 7.7 mEq bicarbonate
Baking soda powder	Each teaspoon contains 59 mEq of sodium and 59 mEq of bicarbonate
Citric acid sodium citrate^¶
Oral solution (Shohl's solution)	Sodium citrate 500 mg and citric acid 300 mg/5 mL = 1 mEq sodium and 1 mEq equivalent to bicarbonate (contains alcohol)
Syrup
Cytra-2	Sodium citrate 500 mg and citric acid 334 mg/5 mL = 1 mEq sodium and 1 mEq equivalent to bicarbonate
Oracit	Sodium citrate 490 mg and citric acid 640 mg/5 mL = 1 mEq sodium and 1 mEq equivalent to bicarbonate
Citric acid potassium citrate and sodium citrate^Δ
Oral solution (generic)	Sodium citrate 500 mg and potassium citrate 550 mg and citric acid 334 mg/5 mL = 1mEq sodium and 2 mEq equivalent to bicarbonate
Syrup
Citra 3	Sodium citrate 500 mg and potassium citrate 550 mg and citric acid 334 mg/5 mL = 1mEq sodium ion, 1 mEq potassium ion and 2 mEq equivalent to bicarbonate
Virtrate 3	Sodium citrate 500 mg and potassium citrate 550 mg and citric acid 334 mg/5 mL = 1 mEq sodium ion, 1 mEq potassium ion and 2 mEq equivalent to bicarbonate
Citric acid potassium citrate^◊
Powder for solution
Cytra K	Potassium citrate monohydrate 3300 mg and citric acid monohydrate 1002 mg per packet = 30 mEq potassium ion and 30 mEq equivalent to bicarbonate.
Oral solution
Generic	Potassium citrate monohydrate 1100 mg and citric acid monohydrate 334 mg per 5 mL = 2 mEq potassium ion and 2 mEq equivalent to bicarbonate/mL
Cytra K	Potassium citrate monohydrate 1100 mg and citric acid monohydrate 334 mg per 5 mL = 2 mEq potassium ion and 2 mEq equivalent to bicarbonate/mL
Virtrate K	Potassium citrate monohydrate 1100 mg and citric acid monohydrate 334 mg per 5 mL = 2 mEq potassium ion and 2 mEq equivalent to bicarbonate/mL
Tablets^§
Urocit-K 5	5 mEq (540 mg)
Urocit-K 10	10 mEq (1080 mg)
Urocit-K 15	15 mEq (1620 mg)
Generic	5 mEq (540 mg), 10 mEq (1080 mg), 15 mEq (1620 mg)
Text	Text

* Refer to Lexicomp Drug Information on pediatric dosing of sodium bicarbonate.
¶ Refer to Lexicomp Drug Information on pediatric dosing of sodium citrate and citric acid (oral solution).
Δ Refer to Lexicomp Drug Information on pediatric dosing of sodium citrate, potassium citrate, and citric acid (oral solution).
◊ Refer to Lexicomp Drug Information on pediatric dosing of potassium citrate and citric acid (powder or solution).
§ Refer to Lexicomp Drug Information on pediatric dosing of potassium citrate (tablet).

References:

Graphic 128459 Version 6.0

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Oral medications for metabolic acidosis in children