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DrugsLevel 4 LocalisationS1INJEML

Calcium Chloride

ElectrolyteMineral supplement

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

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 old

infusionGeneric· 53 products

from R0.02/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Standard chronic acid diasol adco 5000ml- g5000S1R218.80R0.02R85.40705933001
Low glucose acid diasol adco 5000ml SHD0- g5000S3R234.91R0.02R89.83705927001
High potassium acid diasol adco 5000ml S- g5000S3R249.94R0.02R93.97705935001
Haemocarb acid concentrate 5l afm7204- g/1000ml5000S3R168.04R0.03R70.02818305002
Haemocarb acid concentrate 5l afm7204- g/1000ml5000S3R305.25R0.03R109.18818305003
Ringer-lactate 1000ml fsr001000ffx- g/1000ml1000S3R413.79R0.03R139.04803057009
Physioneal 40 glucose 2000ml- g/ml2000S3R343.71R0.04R119.76706189001
Ringer-lactate 1000ml fsr001000ffx- g/1000ml1000S3R53.17R0.05R30.28803057008
Intramed ringer-lactate solution- g/1000ml3000S1R637.90R0.05R178.31705104001
Intramed ringer-lactate solution- g/1000ml3000S3R193.84R0.06R78.95705104002
Ringer-lactate 500ml- g/1000ml500S3R574.74R0.06R169.01705316003
Dianeal 1.5% glucose 300ml afb5168l260 g/1000ml3000S3R218.51R0.07R85.32804770018
Duosol 00 5000ml solution for haemofiltr10.39 g/1000ml5000S3R991.85R0.10R230.38715686002
Duosol 04 5000ml solution for haemofiltr2.68 g/1000ml5000S3R991.85R0.10R230.38715688002
Duosol 02 5000ml solution for haemofiltr1.34 g/1000ml5000S3R991.85R0.10R230.38715687002
Ringer-lactate 500ml- g/1000ml500S3R52.63R0.11R30.09705316001
Low calcium acid diasol adco 5000ml SHD0- g1000S3R212.72R0.11R83.73705928001
Ringer-lactate 200ml fsr000230ffx- g/1000ml200S3R849.63R0.14R209.46807664008
Ringer-lactate 200ml fsr000230ffx- g/1000ml200S3R1099.82R0.14R246.27807664007
Dianeal norm ca/gluc 2.5% 1000ml afb934325 g/1000ml1000S3R954.98R0.16R224.96838926030
Physioneal 40 glucose 1000ml- g/1000ml2000S3R332.12R0.17R116.57711746001
Hidroliet 5% gluc 1000ml tfa2764- g/1000ml1000S3R1024.47R0.17R235.18801844003
Dianeal norm ca/gluc 2.5% 1000ml afb9343- g/1000ml1000S3R208.91R0.21R82.68838926029
Combibic Electrolyte Sol W/Potas 00043 - g/1000ml500S1R108.30R0.22R49.35898945003
Hidroliet 5% gluc 1000ml tfa2764- g/1000ml1000S3R216.20R0.22R84.69801844002
Nutrineal PD4 with 1.1% amino acids 2.5L- g/1000ml2500S3R537.57R0.22R163.55706480001
Combibic Electrolyte Sol No/Potass 500 - g/1000ml500S1R122.14R0.24R54.14895188002
Ringer-lactate 200ml fsr000230ffx- g/1000ml200S3R50.79R0.25R29.46807664006
St thomas cardioplegic 1000ml sxa30243250 g/1000ml1000S3R564.65R0.56R167.53804371008
Gelaspan 4 %5.55 g/1000ml500S3R9037.28R0.90R707.103007373001
+ 23 more infusion products (not shown)

solutionGeneric· 27 products

from R0.02/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Sabax Standard Acute Acid Diasol- g5000S3R224.85R0.02R87.07705931001
Sabax Diasol Formula 3 5Lt- g/1000ml5000S3R314.35R0.03R111.69801534003
Physioneal 40 Glucose 2.27% W/V/22.7 Mg?Ml- g/ml2000S3R336.62R0.04R117.81706198001
Sabax Low Glucose Acid Diasol 5000Ml- g5000S3R393.92R0.04R133.58705927002
Sabax Diasol(R) Formula 2 5L- g/1000ml5000S3R445.51R0.04R147.77801526019
Sabax Diasol Formula 162135 g/1000ml5000S1R447.22R0.04R148.24801542007
Sabax Diasol Formula 162135 g/1000ml5000S1R256.49R0.05R95.77801542006
Sabax Diasol Formula 3 5Lt- g/1000ml5000S3R542.06R0.05R164.21801534004
Sabax Diasol Formula 175337 g/1000ml5000S3R277.55R0.06R101.56801550009
Sabax Low Magnesium Acid Diasol (1000Ml)- g1000S3R198.41R0.10R80.53705924001
Sabax Standard Chronic Acid Diasol (1000Ml)- g1000S3R377.54R0.19R129.07705933002
Sabax Low Calcium Acid Diasol (1000Ml)- g1000S3R377.69R0.19R129.11705928002
Combibic 500Ml Sol Bc-Hf-El 00Sa Label - Prod 00043990.91 g/l500S1R124.36R0.25R54.91711895001
St Thomas Hosp Cadio Soln Il- g/1000ml1000S3R2747.96R0.46R365.13804371009
Sabax balanced ophthalmic salt solution- g500S1R386.37R0.77R131.50875120008
Sabax Cardioplegic Solution B- g/1000ml50S3R5173.74R8.62R497.02804401005
Haemodialysis Concentrate- g/1000ml10S1R253.00R25.30R94.81327649002
Acidic bicarbonate haemodialysis concent3.56 g/1000ml6S3R327.44R27.29R115.29718834002
Haemodialysis concentrate acidic bicarbo5.22 g/1000ml6S3R340.87R28.41R118.98718838002
Haemodialysis concentrate acidic bicarbo5.219 g/1000ml6S3R350.71R29.23R121.69719930002
Haemodialysis concentrate acidic bicarbo3.56 g/1000ml6S3R359.35R29.95R124.07718836002
Acidic bicarbonate haemodialysis concent3.56 g/1000ml6S3R180.36R30.06R74.28718834001
Haemodialysis concentrate acidic bicarbo- g/1000ml6S3R187.81R31.30R76.86718838001
Haemodialysis concentrate acidic bicarbo- g/1000ml6S3R193.26R32.21R78.75719930001
Acidic bicarbonate haemodialysis concent- g/1000ml6S3R193.28R32.21R78.76719928001
Acidic bicarbonate haemodialysis concent- g/1000ml6S3R193.28R32.21R78.76719929001
Haemodialysis concentrate acidic bicarbo- g/1000ml6S3R198.04R33.01R80.40718836001

DiaGeneric· 8 products

from R0.05/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Sabax Diasol Formula 282135 g/1000ml5000S1R257.21R0.05R95.97801569028
Sabax Diasol Formula 28- g/1000ml5000S1R477.72R0.05R154.74801569029
Combibic Sh-El 02- g/1000ml500S1R804.90R0.16R202.88711897002
Sabax Diasol Formula 17 (5Lt)- g/1000ml2S3R483.30R0.24R155.56801550010
Sabax Low Calcium Diasol 5Lt2135 g/1000ml2S3R500.62R0.25R158.11821659007
Sabax Low Calcium Diasol 5Lt2135 g/1000ml1S3R288.25R0.29R104.51821659006
Acidic Bicarbonate Haemodilaysis Concentrate Sw127A- g/1000ml10S3R280.82R28.08R102.46711899001
Acidic Bicarbonate Haemodialysis Concentrate Sw 139 A5.22 g/1000ml10S3R283.79R28.38R103.28711898001

tabletGeneric· 1 product

from R0.06/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Bettamed cleanse & recover- g/1000ml500S3R627.60R0.06R176.79715316002

TpnGeneric· 8 products

from R1.11/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Nutriflex lipid peri 2500ml- g/1000ml2500S3R2776.56R1.11R366.68716311001
Nutriflex lipid plus 2500ml- g/1000ml2500S3R2833.20R1.13R369.76716314001
Nutriflex lipid peri 1875ml- g/1000ml1875S3R2139.46R1.14R332.04716310001
Nutriflex lipid plus 1875ml- g/1000ml1875S3R2181.93R1.16R334.35716312001
Nutriflex lipid special 2500ml- g/1000ml2500S3R2946.46R1.18R375.92716320001
Nutriflex lipid special 1875ml- g/1000ml1875S3R2266.87R1.21R338.97716318001
Nutriflex lipid special 1250ml- g/1000ml1250S3R1587.27R1.27R302.02716316001
Nutriflex lipid special 625ml- g/1000ml625S3R852.51R1.36R209.88716315001

injectionGeneric· 2 products

from R3.03/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Calcium chloride 10ml1 g/10ml10S3R303.45R3.03R108.69862789001
Calcium chloride 10% fresenius1 g/10ml10S3R368.20R3.68R126.50782211003

DmyGeneric· 1 product

from R19.46/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Ethical non specific- g/1000ml10S3R194.62R19.46R79.22827649002
Trade names (2)
  • Calcium Chloride-Fresenius 10%
  • Sabax Calcium Chloride 10%

Medical aid coverage

data not yet integrated
Discovery Health
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.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • 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

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Cited in 11 documents

NeoHealth® ID 15466 · updated 5/20/2024