Calcium Chloride
Indications
Registered South African indications:
- Hypocalcaemia
- Myocardial weakness
- Hyperkalaemia
Cautions
Contraindications
- Hypersensitivity to the active ingredient or any of its excipients
- Ventricular fibrillation (CPR)
- Conditions associated with hypercalcaemia or hypercalciuria, such as some forms of malignant disease
- Conditions associated with elevated vitamin D, such as sarcoidosis
- Existing renal calculi or history of calcium renal calculi
- Treatment of asystole and electromechanical dissociation
- Hypocalcaemia due to renal insufficiency
- Respiratory acidosis or failure
- Coadministration with cardiac glycosides
Cautions
- Pregnancy
- Breastfeeding
- Renal impairment
- Hepatic impairment
- Injection into tissues, especially perivascular tissues
- Extravasation
- Excessive amounts of calcium salts
- High concentration of calcium reaching the heart
Adult dosage
Forms avail. SA and covered in this monograph: inj
Cardiopulmonary resuscitation(CPR)
- where hyperkalaemia, hypocalcaemia or calcium channel block toxicity are present
- IV: 10ml (10% w/v) as a slow infusion, as a single dose
Acute hypocalcaemia and calcium deficiency states (plasma calcium concentration <2.15-2.60 mmol/L)
- Impaired or reduced absorption from the gastrointestinal tract
- Increased deposition in bone, or to excessive losses
- Transfusions utilising citrated blood or during long-term parenteral nutrition (unless prophylactic calcium supplementation is employed)
- Decreased parathyroid hormone activity, vitamin D deficiency and hypomagnesaemia
- IV: 2.25-4.5mmol (approximately 3-7ml of a 10% w/v solution) by slow infusion, repeat as required
Not for intramuscular or subcutaneous use
To be administered slowly through the vein. Too rapid IV injection may lead to symptoms of hypercalcaemia
Paediatric dosage
Not recommended for use
Special populations
Pregnancy
- Caution
- Studies on the effects of calcium chloride on pregnant women have not been carried out and problems have not been documented. Calcium crosses the placenta. The benefits of administration must outweigh any potential risk
Breastfeeding
- Caution
- Calcium is excreted in breast milk, but there are no data on the effects, if any, on the infant
Renal Impairment
- Caution; no dose adjustment recommended
No initial dose adjustment required. Accumulation of calcium may occur with renal impairment and subsequent doses may require adjustment based on serum calcium concentrations
Hepatic Impairment
- Caution; no dose adjustment recommended
No initial dose adjustment required. Succeeding doses should be adjusted based on serum calcium concentrations
Elderly
Porphyria Information
Drugs in Sport
- Permitted - No warnings
Adverse reactions
Central Nervous System Disorders
- Tingling sensations (rapid IV inj)
- Sense of oppression/"heat wave" (rapid IV inj)
Cardiovascular Disorders
- Hypertension
- Hypotension
- Peripheral vasodilation
- Venous thrombosis
- Bradycardia
- Arrhythmias
Endocrine and Metabolic System Disorders
- Hypercalcemia (excessive doses)
- Anorexia
- Nausea
- Vomiting
- Constipation
- Abdominal pain
- Muscle weakness
- Mental disturbances
- Polydipsia
- Polyuria
- Bone pain
- Nephrocalcinosis
- Renal calculi
- Cardiac arrhythmias
- Coma - Hot flush (rapid IV inj)
Skin and Subcutaneous Tissue Disorders
- Soft tissue calcification
- Local burning sensation
- Severe necrosis and sloughing (on extravasation)
Sensory Disorders
- Calcium/ chalky taste (rapid IV inj)
Interactions
- Ceftriaxone (see additional prescribing points)
- Calcium channel blockers
- Cardiac glycosides
- Digoxin
- Digitoxin
- IV carbonates
- IV phosphates
- IV sulfates
- IV tartrate
- Bisphosphonates
- Thiazide diuretics
- Tetracyclines
Monitoring
- Electrolytes (including, calcium, phosphate and magnesium)
- Albumin
None routine. Some cases may require
- ECG
Additional observations
- Infusion site monitoring
Prescribing points
Coadministration with ceftriaxone
- In patients of any age, ceftriaxone must not be mixed or administered simultaneously with any calcium-containing IV solutions, even via different infusion lines or at different infusion sites
- However, in patients older than 28 days of age ceftriaxone and calcium-containing solutions may be administered sequentially one after another if infusion lines at different sites are used, or if the infusion lines are replaced or thoroughly flushed between infusions with physiological salt-solution to avoid precipitation
- In patients requiring continuous infusion with calcium containing TPN solutions, healthcare professionals may wish to consider the use of alternative antibacterial treatments which do not carry a similar risk of precipitation. If use of ceftriaxone is considered necessary in patients requiring continuous nutrition, TPN solutions and ceftriaxone can be administered simultaneously, albeit via different infusion lines at different sites
- Alternatively, infusion of TPN solution could be stopped for the period of ceftriaxone infusion, considering the advice to flush infusion lines between solutions
Considerations for administration
- Solutions should be warmed to body temperature
- Injections should be made slowly through a small needle into a large vein to minimize venous irritation and avoid undesirable reactions
- Calcium chloride is generally considered to be the most irritant of the commonly used calcium salts
- Care should be taken not to infiltrate the perivascular tissue due to possible necrosis
- Calcium salts should not be mixed with carbonates, phosphates, sulfates, tartrates or tetracycline antibiotics in parenteral mixtures
- Calcium salts have been reported to be incompatible with a wide range of drugs. Complexes may form resulting in the formation of a precipitate
Mechanism of action
Calcium ions increase the force of myocardial contraction. In response to electrical stimulation of muscle, calcium ions enter the sarcoplasm from the extracellular space. Calcium ions contained in the sarcoplasmic reticulum are rapidly transferred to the sites of interaction between the actin and myosin filaments of the sarcomere to initiate myofibril shortening. Thus, calcium increases myocardial function. Calcium's positive inotropic effects are modulated by its action on systemic vascular resistance. Calcium may either increase or decrease systemic vascular resistance. In the normal heart, calcium's positive inotropic and vasoconstricting effect produces a predictable rise in systemic arterial pressure.
Calcium is an essential body electrolyte. Calcium is a structural component of bones and teeth. It is also required for blood clotting, neurotransmitter release, muscle contraction and normal heartbeat.
Dosage forms
- Injection
Formulation
Injection (per 10ml) 1g
- Calcium Chloride-Fresenius 10% (Fresenius Kabi)
- Sabax Calcium Chloride (Adcock Ingram)
COMBINATION PREPARATIONS
Sodium Chloride/Potassium Chloride/Calcium Chloride BP/Sodium Lactate
Injection (per 1000ml) 6g/400mg/3.2g/270mg
- Autosterile Ringer-Lactate Injection BP (Dismed Criticare) originator
Sodium Chloride/Potassium Chloride/Calcium Chloride Dihydrate/Sodium Lactate
Injection (per 1000ml) 6g/0.4g/0.27g/3.12g
- Ringer's Lactate B.Braun (B.Braun Medical)
Injection (per 100ml) 600mg/30mg/20mg/310mg
- Euromed Lactated Ringer's Solution (LeBasi Pharmaceuticals) (Discontinued: 23/08/2019)
Sodium Chloride/ Potassium Chloride/ Calcium Chloride BP/ Sodium Lactate
Injection (per 1000ml) 6g/0.4g/0.27g/3.2g
- Sabax Ringer Lactate (Adcock Ingram Critical Care) originator
Potassium Chloride/Calcium Chloride Bp/Sodium Lactate/Glucose Anhydrous/Magnesium Chloride/Phosphoric Acid
Injection (per 1000ml) 1.12g/367g/2.24g/100g/102mg/ 367mg
- Sabax Neonatalyte W/Gluc 10% (Adcock Ingram Critical Care) originator
Magnesium Chloride/Sodium Chloride/Calcium Chloride BP/Sodium Lactate/Glucose Anhydrous
Solution (per 1000 ml) 0.1017g/5.786g/ 0.2573g/3.925g/1.5%
- Capd/Dpca 2 (Fresenius Medical Care) originator
Solution (per 1000 ml) 0.1017g/5.786g/0.2573g/3.925g/ 4.25%
- Capd/Dpca 3 (Fresenius Medical Care) originator
Solution (per 1000 ml) 0.1017g/5.786g/0.2573g/3.925g/2.3%
- Capd/Dpca 4 (Fresenius Medical Care) originator
Solution (per 1000 ml) 0.1017g/5.786g/0.1838g/3.925g/1.5%
- Capd/Dpca 17 (Fresenius Medical Care) originator
Solution (per 1000 ml) 0.1017g/5.786g/0.1838g/3.925g/4.25%
- Capd/Dpca 18 (Fresenius Medical Care) originator
Dialysis (per 1000ml) 0.0508g/5.38g/0.183g/4.48g/25g
- Sabax Dianeal Normal Calcium 2.5% Glucose (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 150g/5.6g/182.83mg/5g/15g
- Sabax Dianeal Normal Calcium with 2.5% Glucose (Adcock Ingram Critical Care)
Magnesium Chloride/Sodium Chloride/Calcium Chloride Bp/Sodium Lactate/Glucose Anhydrous
Solution (per 1000 ml) 0.1017g/5.786g/0.1838g/3.925g/2.3%
- Capd/Dpca 19 (Fresenius Medical Care) originator
Solution (per 1000ml) 150g/5.6g/260g/5g/15g
- Sabax Dianeal 1.5 (2.5L in 3L) (Adcock Ingram Critical Care) originator
Calcium Chloride Bp/Potassium Chloride/Sodium Chloride/Acetic Acid/Magnesium Chloride
Solution (per 1000ml) 7.72g/3.92g/214.8g/6.31g/2135g
- Sabax Low Magnesium Acid Diasol (Adcock Ingram Critical Care) originator
Magnesium Chloride/Sodium Chloride/Calcium Chloride Bp/Sodium Lactate/Glucose Anhydrous
Solution (per 1000 ml) 150g/5.6g/260g/5g/15g
- Sabax Dianeal 1.5 (Adcock Ingram Critical Care) originator
Potassium Chloride/Sodium Chloride/Calcium Chloride/Magnesium Chloride Hexahydrate/Glucose Monohydrate Equivalent To Anhydrous Glucose/Glacial Acetic Acid
Dialysis (per 1000 ml) 5.22g/210.68g/6.43g/3.56g/35g/ 6.31g
- Acidic Bicarbonate Haemodialysis Concentrate SW 127A (B.Braun Medical) originator
Potassium Chloride/Sodium Chloride/Calcium Chloride/Magnesium Chloride Hexahydrate/Glacial Acetic Acid
Solution (per 1000ml) 5.22g/210.68g/9.01g/3.56g/6.31g
- Acidic Bicarbonate Haemodialysis Concentrate SW95A (B.Braun Medical) originator
Sodium Chloride/Sodium Lactate/Calcium Chloride Dihydrate/Magnesium Chloride Hexahydrate
Dialysis (per 1000 ml) 5.67g/3.92g/0.254g/275mg/152mg
- Sabax Dianeal LS 4.25 (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 5.38g/4.48g/5.38g/182.83mg/ 0.0508g
- Sabax Dianeal Normal Calcium with 1.5% Glucose (Adcock Ingram Critical Care) originator
Potassium Chloride/Sodium Chloride/Calcium Chloride/Magnesium Chloride Hexahydrate/Glacial Acetic Acid
Solution (per 1000ml) 5.22g/210.68g/7.72g/3.56g/6.31g
- Acidic Bicarbonate Haemodialysis Concentrate SW192A (B.Braun Medical)
Solution (per 1000ml) 5.22g/210.68g/6.43g/3.56g/6.31g
- Acidic Bicarbonate Haemodialysis Concentrate SW196A (B.Braun Medical)
Potassium Chloride/ Sodium Chloride/Calcium Chloride/Glucose Monohydrate/Magnesium Chloride Hexahydrate/Glacial Acetic Acid
Solution (per 1000ml) 5.22g/210.68g/7.72g/30.5g/3.56g/ 6.31g
- Acidic Bicarbonate Haemodialysis Concentrate SW380A (B.Braun Medical)
Magnesium Chloride/Glucose/Calcium Chloride/Magnesium Oxide
Dialysis (per 1000ml) 0.0508g/25g/182.83mg/200mg
- Sabax Dianeal Normal Calcium with 2.5% Glucose (Adcock Ingram Critical Care)
Magnesium Chloride/Sodium Chloride/Sodium Lactate/Glucose/Calcium Chloride
Dialysis (per 1000ml) 0.0508g/5.38g/4.48g/25g/182.83mg
- Sabax Dianeal Normal Calcium with 2.5% Glucose (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 150g/5.6g/5g/15g/182.83mg
- Sabax Dianeal Normal Calcium with 2.5% Glucose (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 50.8g/5.38g/4.48g/25g/257mg
- Sabax Dianeal 2.5 (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 0.152g/5.67g/3.92g/42.5g/0.257g
- Sabax Dianeal LS 4.25 (2.5L in 3L) (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 150g/5.6g/5g/15g/260g
- Sabax Dianeal 1.5% Gluc (2.5L) (Adcock Ingram Critical Care) originator
Magnesium Chloride/Potassium Chloride/Sodium Chloride/Calcium Chloride/Glacial Acetic Acid/Anhydrous Glucose
Dialysis (per 1000ml) 3.56g/5.22g/210.68g/9.01g/6.31g/ 35g
- Acidic Bicarbonate Haemodialysis Concentrate SW139A (B.Braun Medical) originator
Solution (per 1000ml) 2135g/3.92g/214.8g/7.72g/6.31g/ 38.5g
- Sabax Low Glucose Acid Diasol (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 5.34g/9.13g/198.4g/7.72g/6.31g/154g
- Sabax High Potassium Acid Diasol (Adcock Ingram Critical Care) originator
Magnesium Chloride/Sodium Chloride/Sodium Lactate/Glucose/Calcium Chloride
Dialysis (per 1000ml) 0.0508g/5.38g/4.48g/42.5g/ 182.83mg
- Sabax Dianeal Normal Calcium with 4.25% Glucose (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 0.0508g/5.38g/4.48g/15g/182.83mg
- Sabax Dianeal Normal Calcium with 1.5% Glucose (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 50.8g/5.38g/4.48g/25g/257mg
- Sabax Dianeal 2.5 (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 150g/5.6g/5g/42.5g/0.254g
- Sabax Dianeal LS 4.25 (Adcock Ingram Critical Care) originator
Magnesium Chloride/Calcium Chloride/Glucose/Sodium Acetate
Injection (per 1000ml) 0.31g/0.27g/55g/3.95g
- Sabax Hidroliet (R) W/Gluc 5% (Adcock Ingram Critical Care) originator
Sodium Chloride/Sodium Lactate/Calcium Chloride Dihydrate/Calcium Chloride Dihydrate/Magnesium Chloride Hexahydrate
Dialysis (per 1000ml) 5.67g/3.92g/0.254g/257mg/152mg
- Sabax Dianeal LS 4.25 (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 5.38g/4.48g/0.183g/182.83mg/ 0.0508g
- Sabax Dianeal Normal Calcium with 1.5% Glucose (Adcock Ingram Critical Care) originator
- Sabax Dianeal Normal Calcium with 2.5% Glucose (Adcock Ingram Critical Care) originator
Magnesium Chloride/Sodium Chloride/Calcium Chloride/Sodium Lactate/Glucose
Solution (per 1000ml) 150g/5.6g/260g/5g/15g
- Sabax Dianeal 1.5 (2.5l in 3l) (Adcock Ingram Critical Care) originator
- Sabax Dianeal 1.5 (5L in 5L) (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 50.8g/5.38g/257g/4.48g/25g
- Sabax Dianeal 2.5 (1000MI) (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 0.0508g/5.38g/182.83g/4.48g/15g
- Sabax Dianeal Normal Calcium with 1.5% Glucose (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 152g/5.67g/0.254g/3.92g/42.5g
- Sabax Dianeal LS 4.25 (Adcock Ingram Critical Care) originator
Calcium Chloride/Potassium Chloride/Sodium Chloride/Acetic Acid/Magnesium Chloride
Solution (per 1000ml) 7.72g/3.92g/214.8g/6.31g/5.34g
- Standard Chronic 1000MI (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 6.43g/3.92g/214.8g/6.31g/2135g
- Sabax Low Calcium Acid Diasol (1000MI) (Adcock Ingram Critical Care) originator
Calcium Chloride/Potassium Chloride/Sodium Chloride/Acetic Acid/Magnesium Chloride
Solution (per 1000ml) 7.72g/3.92g/198.4g/6.31g/5.34g/154g
- Sabax Standard Acute Acid Diasol (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 6.43g/5.22g/210.68g/6.31g/3.56g
- Haemodialysis Concentrate (B.Braun Medical) originator
Liquid (per 1000ml) 9.5g/5.5g/172.2g/8.8g/3.7g
- Sabax Haemocard Acid Concentr 5Lt (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 7.72g/3.92g/214.8g/6.31g/5.34g
- Sabax Standard Chronic Acid Diasol (1000MI) (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 6.43g/3.92g/214.8g/6.31g/2.135g
- Sabax Low Calcium Acid Diasol (1000MI) (Adcock Ingram Critical Care) originator
Sodium Chloride/Sodium Lactate/Calcium Chloride Dihydrate/Calcium Chloride Dihydrate
Dialysis (per 1000ml) 5.67g/3.92g/0.254g/257mg
- Sabax Dianeal LS 4.25 (Adcock Ingram Critical Care) originator
Potassium Chloride/Sodium Chloride/Calcium Chloride/Sodium Lactate
Injection (per 1000ml) 0.4g/6g/0.27g/3.2g
- Sabax Ringer-Lactate (3000MI) (Adcock Ingram Critical Care) originator
- Sabax Ringer-Lactate (2000MI) (Adcock Ingram Critical Care) originator
- Sabax Ringer-Lactate (500MI) (Adcock Ingram Critical Care) originator
Injection (per 1000ml) 0.4g/6g/0.27g/3.12g
- Ringer's Lactate B.Braun (B.Braun Medical)
Solution (per 1000ml) 30mg/600mg/20mg/310mg
- Euromed Lactated Ringer's Solution (LeBasi Pharmaceuticals)
Magnesium Chloride/Potassium Chloride/Sodium Chloride/Calcium Chloride/Sodium Acetate
Solution (per 1000ml) 2135g/3.92g/214.8g/8.232g/166.7g
- Sabax Diasol Formula 16 (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 5337g/3.92g/214.8g/8.232g/166.7g
- Sabax Diasol Formula 17 (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 2135g/3.92g/214.8g/5.145g/166.7g
- Sabax Low Calcium Diasol 5Lt (Adcock Ingram Critical Care) originator
Magnesium Chloride/Potassium Chloride/Sodium Chloride/Glucose/Calcium Chloride Dihydrate/Sodium Acetate
Dialysis (per 1000ml) 2135g/3.92g/214.8g/38.5g/8.232g/ 166.7g
- Sabax Diasol Formula 28 (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 5.34g/3.92g/198.4g/154g/9g/166.7g
- Sabax Diasol(R) Formula 2 5L (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 5.34g/9.13g/198.4g/154g/7.72g/6.31g
- Sabax High Potassium Acid Diasol 5000MI (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 5.34g/9.13g/198.4g/154g/9g/166.7g
- Sabax Diasol Formula 3 5Lt (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 0.31g/0.4g/5.6g/50g/0.27g/3.95g
- Sabax Hidroliet (R) W/Gluc 5% (1000MI) (Adcock Ingram Critical Care) originator
Magnesium Chloride/Potassium Chloride/Sodium Chloride/Calcium Chloride
Dialysis (per 1000ml) 3.56g/5.22g/210.68g/9.01g
- Acidic Bicarbonate Haemodialysis Concentrate SW95A (B.Braun Medical)
Solution (per 1000ml) 3250g/1190g/6420g/0.175g
- St Thomas Hosp Cadio Soln II (Adcock Ingram Critical Care) originator
Calcium Saccharate/Calcium Chloride
Injection (per 1000ml) 35mg/1g
- Sabax-Calcium Chlor 10% (10MI) (Adcock Ingram Critical Care) originator
Magnesium Chloride/Potassium Chloride/Sodium Chloride/Calcium Chloride/Glucose
Solution (per 1000ml) 5.34g/9.13g/198.4g/9g/154g
- Sabax Diasol Formula 3 5Lt (Adcock Ingram Critical Care) originator
Dailysis (per 1000ml) 0.91g/1.34g/4.21g/1.98g/9g
- Combibic Sh-El 02 (B.Braun Medical) (Discontinued: 01/04/2018)
Potassium Chloride/Sodium Chloride/Calcium Chloride/Magnesium Chloride Hexahydrate/Glucose Monohydrate Equivalent to Anhydrous Glucose/Glacial Acetic Acid
Dialysis (per 1000ml) 5.22g/210.68g/6.43g/3.56g/35g/ 6.31g
- Acidic Bicarbonate Haemodialysis Concentrate SW127A (B.Braun Medical) originator
Anhydrous Glucose/Calcium Chloride/Magnesium Chloride
Solution (per 1000ml) 37.5g/0.507g/0.14g
- Physioneal 40 Glucose 1.36% W/V 13,6Mg/MI (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 62.6g/0.507g/0.14g
- Physioneal 40 Glucose 2.27% W/V/22.7 Mg/MI (Adcock Ingram Critical Care) originator
Solution (per 1000ml) 106.5g/0.507g/106.5g
- Physioneal 40 Glucose 3.86% (2L) (Adcock Ingram Critical Care) originator
Sodium Chloride/Magnesium Chloride Hexahydrate/Potassium Chloride/Sodium Acetate/Sodium Citrate Dihydrate/Calcium Chloride Dihydrate
Solution (per 1000ml) 1.6g/0.075g/0.188g/0.975g/0.425g/ 0.12g
- Sabax Balanced Ophthalmic Salt Solution 500MI (Adcock Ingram Critical Care) originator
Magnesium Chloride/Calcium Chloride/Calcium Chloride Dihydrate/Arginine Hydrochloride/Cycloserine/ Glycerine/Histidine/Isoleucine/ Leucine/Lysine/Methionine/Phenylalanine/ Proline/Threonine/Tryptophan/Tyrosine/ Valine
Solution (per 1000ml) 0.051g/0.184g/0.184g/1.071g/0.51g/0.51g/ 0.714g/0.85g/1.02g/0.955g/ 0.85g/0.57g/0.595g/0.646g/0.27g/ 0.3g/1.393g
- Nutrineal Pd4 with 1.1% Amino Acids (Adcock Ingram Critical Care) originator
Calcium Chloride/Sodium Chloride/Sodium Lactate/Magnesium Chloride/Icodextrin
Solution (per 1000ml) 0.257g/5.4g/4.5g/0.051g/75g
- Extraneal 2L (Adcock Ingram Critical Care) originator
Calcium Chloride/Glucose
Solution (per 1000ml) 2.646g/10.2g
- Sabax Cardioplegic Solution B (Adcock Ingram Critical Care) originator
Calcium Chloride/Sodium Chloride/Sodium Lactate/Magnesium Chloride/Icodextrin/L-Tyrosine
Solution (per 1000ml) 0.257g/5.4g/4.5g/0.051g/75g/0.34g
- Extraneal (Adcock Ingram Critical Care) originator
Sodium Chloride/Calcium Chloride/Glucose/Glycine/L-Alanine/L-Arginine/L-Histidine/L-Isoleucine/L-Lysine/L-Methionine/L-Proline/ L-Serine/L-Threonine/L-Tryptophan/L-Valine/Sodium Acetate/Medium Chain Triglycerides/Soya Oil/Glutamic Acid/Potassium Acetate/Aspartic Acid/Sodium Dihyrogen Phosphate/Sodium Hydroxide/Magnesium Acetate/Zinc Acetate
Infusion (per 1000ml) 0.378g/0.623g/144g/2.31g/6.79g/3.78g/1.75g/3.28g/4.38g/ 3.18g/2.74g/4.92g/4.76g/ 4.2g/2.54g/0.8g/3.6g/0.25g/ 20g/20g/4.91g/3.689g/ 2.1g/2.496g/1.171g/0.91g/ 7.02mg
- Nutriflex Lipid Special (B.Braun Medical)
Infusion (per 1000ml) 0.865g/0.353g/64g/1.32g/3.88g/ 2.16g/1g/1.87g/2.5g/ 1.81g/1.57g/2.81g/2.72g/2.4g/ 1.46g/0.46g/2.08g/0.435g/20g/ 20g/2.8g/2.354g/1.2g/0.936g/ 0.64g/0.515g/5.3mg
- Nutriflex Lipid Peri (B.Braun Medical)
Infusion (per 1000ml) 0.402g/0.47g/120g/1.58g/4.66g/ 2.59g/1.2g/2.26g/3.01g/2.18g/ 1.88g/3.37g/3.26g/2.88g/1.74g/ 0.54g/2.5g/0.222g/20g/20g/ 3.37g/2.747g/1.44g/1.872g/0.781g/ 0.686g/5.264mg
- Nutriflex Lipid Plus (B.Braun Medical)
Infusion (per 1000ml) 0.378g/0.623g/144g/2.31g/6.79g/ 3.78g/1.75g/3.28g/4.38g/3.18g/ 2.74g/4.92g/4.76g/4.2g/2.54g/ 0.8g/3.6g/0.25g/20g/20g/4.91g/ 3.689g/2.1g/2.496g/1.171g/0.91g/ 7.02mg
- Nutriflex Lipid Special (B.Braun Medical)
Magnesium Chloride/Calcium Chloride/Glucose/Calcium Chloride
Dialysis (per 1000ml) 0.0508g/0.183g/25g/182.83g
- Sabax Dianeal Normal Calcium with 2.5% Glucose (Adcock Ingram Critical Care) originator
Magnesium Chloride/Sodium Chloride/Calcium Chloride/Sodium Lactate/Calcium Chloride
Dialysis (per 1000ml) 0.0508g/5.38g/0.183g/4.48g/182.83g
- Sabax Dianeal Normal Calcium with 1.5% Glucose (Adcock Ingram Critical Care) originator
Dialysis (per 1000ml) 0.152g/5.67g/0.257g/3.92g/0.254g
- Sabax Dianeal LS 4.25 (Adcock Ingram Critical Care) originator
Potassium Chloride/Sodium Chloride/Calcium Chloride/Sodium Lactate/Glucose
Injection (per 1000ml) 400g/6g/270g/3.2g/55g
- Sabax Ringer-Lact W/Glucose 5% (1L) (Adcock Ingram Critical Care) originator
Potassium Chloride/Sodium Lactate/Calcium Chloride/Glucose Anhydrous/Magnesium Chloride/Phosphoric Acid
Injection (per 1000ml) 1.12g/2.24g/367mg/100g/102mg/ 367mg
- Sabax Neonatalyte with Gluc 10% (Adcock Ingram Critical Care) originator
Sodium Lactate/Calcium Chloride Dihydrate
Solution (per 1000ml) 4.48g/0.184g
- Nutrineal Pd4 W/1.1% Amin Acid (2.5L) (Adcock Ingram Critical Care) originator
Calcium Chloride/Calcium Chloride
Solution (per 1000ml) 2.646g/0.132g
- Sabax Cardioplegic Solution B (Adcock Ingram Critical Care) originator
Magnesium Chloride/Potassium Chloride/Calcium Chloride/Glucose Monohydrate/Glycine/L-Tyrosine/Amino Acids Solution Compartment with Electrolytes/L-Alanine/L-Arginine/L-Histidine/L-Isoleucine/L-Lysine/L-Methionine/L-Phenylalanine/L-Proline/L-Serine/L-Threonine/L-Tryptophan/L-Valine/Sodium Acetate/Sodium Glycerophosphate/Refined Soya-Bean Oil and Refined Olive Oil
Injection per (1000ml) 1.12g/4.47g/300g/8.76g/0.34g/8.5%/ 17.6g/9.78g/4.08g/5.1g/6.21g/ 4.93g/3.4g/4.76g/5.78g/4.25g/ 3.57g/1.53g/4.93g/6.12g/5.36g/200g
- Oliclinomel N6-900 E (Adcock Ingram Critical Care) originator
Injection per (1000ml) 1.12g/2.98g/0.74g/200g/5.67g/0.22g/ 5.5%/11.39g/6.33g/2.64g/3.3g/ 4.02g/3.19g/2.2g/3.08g/3.74g/ 2.75g/2.31g/0.99g/3.19g/2.45g/ 5.36g/100g
- Oliclinomel N4-550 E (Adcock Ingram Critical Care) originator
Injection per (1000ml) 1.12g/4.47g/0.74g/400g/10.3g/ 0.4g/10%/20.7g/11.5g/ 4.8g/6g/7.3g/5.8g/4g/5.6g/ 6.8g/5g/4.2g/1.8g/5.8g/6.12g/ 5.36g/200g
- Oliclinomel N7-1000 E (Adcock Ingram Critical Care) originator
References
1. SAMF_12th Edition_Pge 94 2. SmPC: Calcium Chloride 10% w/v Intravenous Infusion, Martindale Pharma; Last updated on eMC:29 Mar 2018; Downloaded online 28 Sep 2018 [https://www.medicines.org.uk/emc/product/3585/smpc] 3. PI: Calcium Chloride 10% Injction, Sabax. Date of publication: 8 Oct 1987 [https://drive.google.com/drive/folders/1PjgAKWeBf58GUCjx8F6daRmQX_xEtktn] 4. http://www.medsafe.govt.nz/Profs/Datasheet/c/Calciumchlorideinj.pdf 5. SmPC: Calcium Chloride 10% w/v Intravenous Infusion, Martindale Pharma; Last updated on eMC: 24 Jan 2018; Downloaded online 22 Oct 2020 [https://drive.google.com/drive/folders/1PjgAKWeBf58GUCjx8F6daRmQX_xEtktn] 6. U2D: Calcium chloride: Drug information, UpToDate; Downloaded online 28 Sep 2018 [https://www.uptodate.com/contents/calcium-chloride-drug-information/print?search=calcium%20chloride&source=panel_search_result&selectedTitle=1~104&usage_type=panel&kp_tab=drug_general&display_rank=1] 7. NAPOS The Drug Database for Acute Porphyria: B05XA07 Calcium Chloride; Accessed online 22 Oct 2020 [http://www.drugs-porphyria.org/languages/UnitedKingdom/s3.php?atc_code=B05XA07&l=gbr] 8. South African Institute for Drug-Free Sport: ; Accessed online 22 Oct 2020 [http://www.drugfreesport.org.za/online-medication-check/] *Update 22 Oct 2020 - No update to ref 5 since last update. Reviewed and aligned to new format.
Brands & products
100 products · stale NAPPI snapshot · refreshed 5/28/2026 · 159 days oldinfusionGeneric· 53 products
from R0.02/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Standard chronic acid diasol adco 5000ml | - g | 5000 | S1 | R218.80 | R0.02 | R85.40 | 705933001 |
| Low glucose acid diasol adco 5000ml SHD0 | - g | 5000 | S3 | R234.91 | R0.02 | R89.83 | 705927001 |
| High potassium acid diasol adco 5000ml S | - g | 5000 | S3 | R249.94 | R0.02 | R93.97 | 705935001 |
| Haemocarb acid concentrate 5l afm7204 | - g/1000ml | 5000 | S3 | R168.04 | R0.03 | R70.02 | 818305002 |
| Haemocarb acid concentrate 5l afm7204 | - g/1000ml | 5000 | S3 | R305.25 | R0.03 | R109.18 | 818305003 |
| Ringer-lactate 1000ml fsr001000ffx | - g/1000ml | 1000 | S3 | R413.79 | R0.03 | R139.04 | 803057009 |
| Physioneal 40 glucose 2000ml | - g/ml | 2000 | S3 | R343.71 | R0.04 | R119.76 | 706189001 |
| Ringer-lactate 1000ml fsr001000ffx | - g/1000ml | 1000 | S3 | R53.17 | R0.05 | R30.28 | 803057008 |
| Intramed ringer-lactate solution | - g/1000ml | 3000 | S1 | R637.90 | R0.05 | R178.31 | 705104001 |
| Intramed ringer-lactate solution | - g/1000ml | 3000 | S3 | R193.84 | R0.06 | R78.95 | 705104002 |
| Ringer-lactate 500ml | - g/1000ml | 500 | S3 | R574.74 | R0.06 | R169.01 | 705316003 |
| Dianeal 1.5% glucose 300ml afb5168l | 260 g/1000ml | 3000 | S3 | R218.51 | R0.07 | R85.32 | 804770018 |
| Duosol 00 5000ml solution for haemofiltr | 10.39 g/1000ml | 5000 | S3 | R991.85 | R0.10 | R230.38 | 715686002 |
| Duosol 04 5000ml solution for haemofiltr | 2.68 g/1000ml | 5000 | S3 | R991.85 | R0.10 | R230.38 | 715688002 |
| Duosol 02 5000ml solution for haemofiltr | 1.34 g/1000ml | 5000 | S3 | R991.85 | R0.10 | R230.38 | 715687002 |
| Ringer-lactate 500ml | - g/1000ml | 500 | S3 | R52.63 | R0.11 | R30.09 | 705316001 |
| Low calcium acid diasol adco 5000ml SHD0 | - g | 1000 | S3 | R212.72 | R0.11 | R83.73 | 705928001 |
| Ringer-lactate 200ml fsr000230ffx | - g/1000ml | 200 | S3 | R849.63 | R0.14 | R209.46 | 807664008 |
| Ringer-lactate 200ml fsr000230ffx | - g/1000ml | 200 | S3 | R1099.82 | R0.14 | R246.27 | 807664007 |
| Dianeal norm ca/gluc 2.5% 1000ml afb9343 | 25 g/1000ml | 1000 | S3 | R954.98 | R0.16 | R224.96 | 838926030 |
| Physioneal 40 glucose 1000ml | - g/1000ml | 2000 | S3 | R332.12 | R0.17 | R116.57 | 711746001 |
| Hidroliet 5% gluc 1000ml tfa2764 | - g/1000ml | 1000 | S3 | R1024.47 | R0.17 | R235.18 | 801844003 |
| Dianeal norm ca/gluc 2.5% 1000ml afb9343 | - g/1000ml | 1000 | S3 | R208.91 | R0.21 | R82.68 | 838926029 |
| Combibic Electrolyte Sol W/Potas 00043 | - g/1000ml | 500 | S1 | R108.30 | R0.22 | R49.35 | 898945003 |
| Hidroliet 5% gluc 1000ml tfa2764 | - g/1000ml | 1000 | S3 | R216.20 | R0.22 | R84.69 | 801844002 |
| Nutrineal PD4 with 1.1% amino acids 2.5L | - g/1000ml | 2500 | S3 | R537.57 | R0.22 | R163.55 | 706480001 |
| Combibic Electrolyte Sol No/Potass 500 | - g/1000ml | 500 | S1 | R122.14 | R0.24 | R54.14 | 895188002 |
| Ringer-lactate 200ml fsr000230ffx | - g/1000ml | 200 | S3 | R50.79 | R0.25 | R29.46 | 807664006 |
| St thomas cardioplegic 1000ml sxa3024 | 3250 g/1000ml | 1000 | S3 | R564.65 | R0.56 | R167.53 | 804371008 |
| Gelaspan 4 % | 5.55 g/1000ml | 500 | S3 | R9037.28 | R0.90 | R707.10 | 3007373001 |
| + 23 more infusion products (not shown) | |||||||
solutionGeneric· 27 products
from R0.02/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Sabax Standard Acute Acid Diasol | - g | 5000 | S3 | R224.85 | R0.02 | R87.07 | 705931001 |
| Sabax Diasol Formula 3 5Lt | - g/1000ml | 5000 | S3 | R314.35 | R0.03 | R111.69 | 801534003 |
| Physioneal 40 Glucose 2.27% W/V/22.7 Mg?Ml | - g/ml | 2000 | S3 | R336.62 | R0.04 | R117.81 | 706198001 |
| Sabax Low Glucose Acid Diasol 5000Ml | - g | 5000 | S3 | R393.92 | R0.04 | R133.58 | 705927002 |
| Sabax Diasol(R) Formula 2 5L | - g/1000ml | 5000 | S3 | R445.51 | R0.04 | R147.77 | 801526019 |
| Sabax Diasol Formula 16 | 2135 g/1000ml | 5000 | S1 | R447.22 | R0.04 | R148.24 | 801542007 |
| Sabax Diasol Formula 16 | 2135 g/1000ml | 5000 | S1 | R256.49 | R0.05 | R95.77 | 801542006 |
| Sabax Diasol Formula 3 5Lt | - g/1000ml | 5000 | S3 | R542.06 | R0.05 | R164.21 | 801534004 |
| Sabax Diasol Formula 17 | 5337 g/1000ml | 5000 | S3 | R277.55 | R0.06 | R101.56 | 801550009 |
| Sabax Low Magnesium Acid Diasol (1000Ml) | - g | 1000 | S3 | R198.41 | R0.10 | R80.53 | 705924001 |
| Sabax Standard Chronic Acid Diasol (1000Ml) | - g | 1000 | S3 | R377.54 | R0.19 | R129.07 | 705933002 |
| Sabax Low Calcium Acid Diasol (1000Ml) | - g | 1000 | S3 | R377.69 | R0.19 | R129.11 | 705928002 |
| Combibic 500Ml Sol Bc-Hf-El 00Sa Label - Prod 0004399 | 0.91 g/l | 500 | S1 | R124.36 | R0.25 | R54.91 | 711895001 |
| St Thomas Hosp Cadio Soln Il | - g/1000ml | 1000 | S3 | R2747.96 | R0.46 | R365.13 | 804371009 |
| Sabax balanced ophthalmic salt solution | - g | 500 | S1 | R386.37 | R0.77 | R131.50 | 875120008 |
| Sabax Cardioplegic Solution B | - g/1000ml | 50 | S3 | R5173.74 | R8.62 | R497.02 | 804401005 |
| Haemodialysis Concentrate | - g/1000ml | 10 | S1 | R253.00 | R25.30 | R94.81 | 327649002 |
| Acidic bicarbonate haemodialysis concent | 3.56 g/1000ml | 6 | S3 | R327.44 | R27.29 | R115.29 | 718834002 |
| Haemodialysis concentrate acidic bicarbo | 5.22 g/1000ml | 6 | S3 | R340.87 | R28.41 | R118.98 | 718838002 |
| Haemodialysis concentrate acidic bicarbo | 5.219 g/1000ml | 6 | S3 | R350.71 | R29.23 | R121.69 | 719930002 |
| Haemodialysis concentrate acidic bicarbo | 3.56 g/1000ml | 6 | S3 | R359.35 | R29.95 | R124.07 | 718836002 |
| Acidic bicarbonate haemodialysis concent | 3.56 g/1000ml | 6 | S3 | R180.36 | R30.06 | R74.28 | 718834001 |
| Haemodialysis concentrate acidic bicarbo | - g/1000ml | 6 | S3 | R187.81 | R31.30 | R76.86 | 718838001 |
| Haemodialysis concentrate acidic bicarbo | - g/1000ml | 6 | S3 | R193.26 | R32.21 | R78.75 | 719930001 |
| Acidic bicarbonate haemodialysis concent | - g/1000ml | 6 | S3 | R193.28 | R32.21 | R78.76 | 719928001 |
| Acidic bicarbonate haemodialysis concent | - g/1000ml | 6 | S3 | R193.28 | R32.21 | R78.76 | 719929001 |
| Haemodialysis concentrate acidic bicarbo | - g/1000ml | 6 | S3 | R198.04 | R33.01 | R80.40 | 718836001 |
DiaGeneric· 8 products
from R0.05/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Sabax Diasol Formula 28 | 2135 g/1000ml | 5000 | S1 | R257.21 | R0.05 | R95.97 | 801569028 |
| Sabax Diasol Formula 28 | - g/1000ml | 5000 | S1 | R477.72 | R0.05 | R154.74 | 801569029 |
| Combibic Sh-El 02 | - g/1000ml | 500 | S1 | R804.90 | R0.16 | R202.88 | 711897002 |
| Sabax Diasol Formula 17 (5Lt) | - g/1000ml | 2 | S3 | R483.30 | R0.24 | R155.56 | 801550010 |
| Sabax Low Calcium Diasol 5Lt | 2135 g/1000ml | 2 | S3 | R500.62 | R0.25 | R158.11 | 821659007 |
| Sabax Low Calcium Diasol 5Lt | 2135 g/1000ml | 1 | S3 | R288.25 | R0.29 | R104.51 | 821659006 |
| Acidic Bicarbonate Haemodilaysis Concentrate Sw127A | - g/1000ml | 10 | S3 | R280.82 | R28.08 | R102.46 | 711899001 |
| Acidic Bicarbonate Haemodialysis Concentrate Sw 139 A | 5.22 g/1000ml | 10 | S3 | R283.79 | R28.38 | R103.28 | 711898001 |
tabletGeneric· 1 product
from R0.06/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Bettamed cleanse & recover | - g/1000ml | 500 | S3 | R627.60 | R0.06 | R176.79 | 715316002 |
TpnGeneric· 8 products
from R1.11/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Nutriflex lipid peri 2500ml | - g/1000ml | 2500 | S3 | R2776.56 | R1.11 | R366.68 | 716311001 |
| Nutriflex lipid plus 2500ml | - g/1000ml | 2500 | S3 | R2833.20 | R1.13 | R369.76 | 716314001 |
| Nutriflex lipid peri 1875ml | - g/1000ml | 1875 | S3 | R2139.46 | R1.14 | R332.04 | 716310001 |
| Nutriflex lipid plus 1875ml | - g/1000ml | 1875 | S3 | R2181.93 | R1.16 | R334.35 | 716312001 |
| Nutriflex lipid special 2500ml | - g/1000ml | 2500 | S3 | R2946.46 | R1.18 | R375.92 | 716320001 |
| Nutriflex lipid special 1875ml | - g/1000ml | 1875 | S3 | R2266.87 | R1.21 | R338.97 | 716318001 |
| Nutriflex lipid special 1250ml | - g/1000ml | 1250 | S3 | R1587.27 | R1.27 | R302.02 | 716316001 |
| Nutriflex lipid special 625ml | - g/1000ml | 625 | S3 | R852.51 | R1.36 | R209.88 | 716315001 |
injectionGeneric· 2 products
from R3.03/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Calcium chloride 10ml | 1 g/10ml | 10 | S3 | R303.45 | R3.03 | R108.69 | 862789001 |
| Calcium chloride 10% fresenius | 1 g/10ml | 10 | S3 | R368.20 | R3.68 | R126.50 | 782211003 |
DmyGeneric· 1 product
from R19.46/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Ethical non specific | - g/1000ml | 10 | S3 | R194.62 | R19.46 | R79.22 | 827649002 |
- Calcium Chloride-Fresenius 10%
- Sabax Calcium Chloride 10%
Medical aid coverage
data not yet integrated- Comprehensive Series—
- Executive Plan—
- KeyCare Series—
- Priority Series—
- Saver Series—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- BonClassic—
- BonComprehensive—
- BonEssential—
- BonFit Select—
- BonSave—
- BonStart—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Beryl—
- Emerald—
- Onyx—
- Ruby—
- Sapphire—
- Tanzanite One—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Aquarium Option—
- Efficiency Option—
- Marine Option—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
Interacts with 5 known drugs
Check against other drugs →Cited in 11 documents
- GuidelinesInotropes And Vasopressors3×
- GuidelinesAnaesthesia Equipment and Anaesthetising Facilities: Medication
- GuidelinesBeta-blockers
- GuidelinesCalcium Abnormalities In ICU
- GuidelinesCommon prescribed drug dosage for children
- GuidelinesElectrolyte Disturbances - Hypocalcaemia
- GuidelinesHypocalcaemia
- GuidelinesHypocalcaemic, Neonatal
- GuidelinesInfusion: Magnesium Sulphate
- GuidelinesMalignant Hyperthermia Crisis
- GuidelinesPotassium Abnormalities In ICU