citric acid 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
666 77-92-9

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • citric acid
  • anhydrous citric acid
  • citric acid monohydrate
A key intermediate in metabolism. It is an acid compound found in citrus fruits. The salts of citric acid (citrates) can be used as anticoagulants due to their calcium chelating ability.
  • Molecular weight: 192.12
  • Formula: C6H8O7
  • CLOGP: -2
  • LIPINSKI: 0
  • HAC: 7
  • HDO: 4
  • TPSA: 132.13
  • ALOGS: -0.26
  • ROTB: 5
  • Status: OFP
    • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

DoseUnitRoute
2 g O

ADMET properties:

None

Approvals:

DateAgencyCompanyOrphan
June 22, 1982 FDA BAXTER HLTHCARE

FDA Adverse Event Reporting System (Female)

None

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Toxic epidermal necrolysis 68.43 25.22 30 1878 21616 34933407
Appendicolith 55.61 25.22 20 1888 8581 34946442
Blood phosphorus increased 53.88 25.22 19 1889 7702 34947321
Drug hypersensitivity 48.66 25.22 38 1870 80491 34874532
Appendicitis 45.08 25.22 20 1888 14787 34940236
Myasthenia gravis 40.62 25.22 15 1893 6925 34948098
Dry mouth 36.79 25.22 22 1886 30143 34924880
Ventricular fibrillation 36.75 25.22 20 1888 22934 34932089
Blood uric acid increased 35.86 25.22 15 1893 9609 34945414
Stress 34.09 25.22 21 1887 30326 34924697
Cardiogenic shock 33.99 25.22 20 1888 26598 34928425
Ascites 25.98 25.22 21 1887 46550 34908473
Abdominal distension 25.71 25.22 23 1885 58469 34896554

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Appendicolith 60.28 18.99 20 3421 8531 79732416
Toxic epidermal necrolysis 54.45 18.99 30 3411 44551 79696396
Blood phosphorus increased 49.03 18.99 18 3423 10329 79730618
Appendicitis 43.03 18.99 20 3421 20774 79720173
Myasthenia gravis 38.12 18.99 15 3426 10384 79730563
Ventricular fibrillation 34.94 18.99 20 3421 31906 79709041
Blood uric acid increased 34.49 18.99 15 3426 13345 79727602
Abdominal distension 33.49 18.99 33 3408 119617 79621330
Drug hypersensitivity 30.85 18.99 50 3391 298866 79442081
Cardiogenic shock 29.92 18.99 20 3421 41894 79699053
Stress 28.12 18.99 25 3416 79587 79661360
Analgesic therapy 23.60 18.99 6 3435 1003 79739944
Sleep disorder therapy 23.52 18.99 6 3435 1018 79739929
Thrombosis 23.15 18.99 23 3418 84077 79656870
Hyperphosphataemia 22.68 18.99 9 3432 6367 79734580
Drug therapy 22.57 18.99 6 3435 1195 79739752
Neuralgia 21.61 18.99 15 3426 33369 79707578
Dry mouth 20.49 18.99 22 3419 87997 79652950
Ascites 19.58 18.99 20 3421 75542 79665405

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC A09AB04 ALIMENTARY TRACT AND METABOLISM
DIGESTIVES, INCL. ENZYMES
DIGESTIVES, INCL. ENZYMES
Acid preparations
FDA PE N0000008556 Decreased Coagulation Factor Activity
FDA MoA N0000175089 Calcium Chelating Activity
FDA MoA N0000175833 Acidifying Activity
FDA EPC N0000175835 Calculi Dissolution Agent
FDA EPC N0000175980 Anti-coagulant
CHEBI has role CHEBI:33281 antibiotics
CHEBI has role CHEBI:38161 Chelating agent
CHEBI has role CHEBI:64049 pH control agents
CHEBI has role CHEBI:78675 fundamental metabolites
MeSH PA D000925 Anticoagulants
MeSH PA D065096 Calcium Chelating Agents
MeSH PA D002614 Chelating Agents
MeSH PA D006401 Hematologic Agents
MeSH PA D064449 Sequestering Agents

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Pain indication 22253000
Indigestion indication 162031009
Headache disorder indication 230461009
Struvite Renal Calculi indication
Calcium Phosphate Renal Calculi indication
Renal tubular acidosis off-label use 1776003 DOID:14219
Cystinuria off-label use 85020001 DOID:9266
Calcium renal calculus off-label use 427649000
Calcium Oxalate Renal Calculi off-label use
Cystine Renal Calculi off-label use
Metabolic alkalosis contraindication 1388004
Anuria contraindication 2472002 DOID:2983
Hypocalcemia contraindication 5291005
Alcoholism contraindication 7200002
Peptic ulcer contraindication 13200003 DOID:750
Hyperkalemia contraindication 14140009
Pulmonary edema contraindication 19242006 DOID:11396
Complete atrioventricular block contraindication 27885002
Dehydration contraindication 34095006
Hypertensive disorder contraindication 38341003 DOID:10763
Hypernatremia contraindication 39355002
Gastrointestinal ulcer contraindication 40845000
Chronic heart failure contraindication 48447003
Vitamin K deficiency contraindication 52675005 DOID:11249
Nasal polyp contraindication 52756005
Congenital myotonia, autosomal dominant form contraindication 57938005
Acute nephropathy contraindication 58574008
Factor II deficiency contraindication 73975000
Reye's syndrome contraindication 74351001 DOID:14525
Gastrointestinal hemorrhage contraindication 74474003
Thrombotic thrombocytopenic purpura contraindication 78129009 DOID:10772
Oliguria contraindication 83128009
Gout contraindication 90560007 DOID:13189
Kidney disease contraindication 90708001 DOID:557
Hemophilia contraindication 90935002
Anemia due to enzyme deficiency contraindication 111577008
Gastrointestinal obstruction contraindication 126765001
von Willebrand disorder contraindication 128105004 DOID:12531
Impaired renal function disorder contraindication 197663003
Myocardial dysfunction contraindication 233928007
Gastroparesis contraindication 235675006
Disease of liver contraindication 235856003 DOID:409
Chronic diarrhea contraindication 236071009
Hyporeninemic hypoaldosteronism contraindication 236464008
Edema contraindication 267038008
Anemia contraindication 271737000 DOID:2355
Peripheral edema contraindication 271809000
Pregnancy, function contraindication 289908002
Thrombocytopenic disorder contraindication 302215000 DOID:1588
Familial hyperkalemic periodic paralysis contraindication 304737009 DOID:14451
Primary adrenocortical insufficiency contraindication 373662000
Adrenal cortical hypofunction contraindication 386584007 DOID:10493
Breastfeeding (mother) contraindication 413712001
Acute erosive gastritis contraindication 444926003
Azotemia contraindication 445009001
Severe dehydration contraindication 450316000




🐶 Veterinary Drug Use

SpeciesUseRelation
Cattle Dehydration associated with diarrhea Indication
Cattle Early treatment of scouring Indication
Cattle Followup treatment following intravenous fluid therapy Indication

🐶 Veterinary products

ProductApplicantIngredients
Re-Sorb, Vytrate Zoetis Inc. 6

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 2.49 acidic
pKa2 4.55 acidic
pKa3 5.74 acidic
pKa4 13.14 acidic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
1%;1.8%;0.4% PHEXXI EVOFEM INC N208352 May 22, 2020 RX GEL VAGINAL 10568855 March 15, 2033 PREVENTION OF PREGNANCY
1%;1.8%;0.4% PHEXXI EVOFEM INC N208352 May 22, 2020 RX GEL VAGINAL 11337989 March 15, 2033 PREVENTION OF PREGNANCY
12GM/BOT;3.5GM/BOT;10MG/BOT CLENPIQ FERRING PHARMS INC N209589 Nov. 28, 2017 RX SOLUTION ORAL 11191753 June 23, 2034 FOR CLEANSING OF THE COLON AS A PREPARATION FOR COLONOSCOPY
12GM/BOT;3.5GM/BOT;10MG/BOT CLENPIQ FERRING PHARMS INC N209589 Nov. 28, 2017 RX SOLUTION ORAL 9827231 June 26, 2034 FOR CLEANSING THE LARGE INTESTINE AS A PREPARATION FOR COLONOSCOPY

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
1%;1.8%;0.4% PHEXXI EVOFEM INC N208352 May 22, 2020 RX GEL VAGINAL May 22, 2023 NEW PRODUCT

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])		Mechanism
action		Bioact sourceMoA source
3-dehydroquinate dehydratase Enzyme Kd 5.60 CHEMBL
3-dehydroquinate dehydratase Enzyme Kd 5.14 CHEMBL
Transient receptor potential cation channel subfamily V member 4 Ion channel ACTIVATOR EC50 5.60 IUPHAR

External reference:

IDSource
4017464 VUID
N0000145852 NUI
D00037 KEGG_DRUG
5949-29-1 SECONDARY_CAS_RN
21183 RXNORM
4017464 VANDF
4018049 VANDF
4020085 VANDF
C0055819 UMLSCUI
CHEBI:30769 CHEBI
CIT PDB_CHEM_ID
CHEMBL1261 ChEMBL_ID
DB04272 DRUGBANK_ID
CHEMBL2107737 ChEMBL_ID
D019343 MESH_DESCRIPTOR_UI
311 PUBCHEM_CID
2478 IUPHAR_LIGAND_ID
4458 MMSL
4459 MMSL
4460 MMSL
4933 MMSL
NOCODE MMSL
d03066 MMSL
002329 NDDF
002487 NDDF
006406 NDDF
116545009 SNOMEDCT_US
75399008 SNOMEDCT_US
XF417D3PSL UNII

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Sodium Citrate and Citric Acid HUMAN PRESCRIPTION DRUG LABEL 2 0121-0595 SOLUTION 334 mg ORAL unapproved drug other 12 sections
Sodium Citrate and Citric Acid HUMAN PRESCRIPTION DRUG LABEL 2 0121-0595 SOLUTION 334 mg ORAL unapproved drug other 12 sections
Potassium Citrate and Citric Acid HUMAN PRESCRIPTION DRUG LABEL 2 0121-0676 SOLUTION 334 mg ORAL unapproved drug other 12 sections
Potassium Citrate and Citric Acid HUMAN PRESCRIPTION DRUG LABEL 2 0121-0676 SOLUTION 334 mg ORAL unapproved drug other 12 sections
TRICITRATES HUMAN PRESCRIPTION DRUG LABEL 3 0121-0677 SOLUTION 334 mg ORAL unapproved drug other 12 sections
TRICITRATES HUMAN PRESCRIPTION DRUG LABEL 3 0121-0677 SOLUTION 334 mg ORAL unapproved drug other 12 sections
Sodium Citrate and Citric Acid HUMAN PRESCRIPTION DRUG LABEL 2 0121-1190 SOLUTION 334 mg ORAL unapproved drug other 12 sections
Sodium Citrate and Citric Acid HUMAN PRESCRIPTION DRUG LABEL 2 0121-1190 SOLUTION 334 mg ORAL unapproved drug other 12 sections
Alka-Seltzer Heartburn HUMAN OTC DRUG LABEL 2 0280-0047 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 17 sections
Alka-Seltzer Heartburn HUMAN OTC DRUG LABEL 2 0280-0047 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 17 sections
Alka-Seltzer Heartburn Relief Extra Strength HUMAN OTC DRUG LABEL 2 0280-0079 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 16 sections
Alka-Seltzer Heartburn Relief Extra Strength HUMAN OTC DRUG LABEL 2 0280-0079 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 16 sections
Alka-Seltzer Heartburn Relief Lemon Lime HUMAN OTC DRUG LABEL 2 0280-0083 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 16 sections
Alka-Seltzer Heartburn Relief Lemon Lime HUMAN OTC DRUG LABEL 2 0280-0083 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 16 sections
Alka-Seltzer Extra Strength HUMAN OTC DRUG LABEL 3 0280-0211 GRANULE, EFFERVESCENT 1000 mg ORAL OTC monograph not final 17 sections
Alka-Seltzer Extra Strength HUMAN OTC DRUG LABEL 3 0280-0211 GRANULE, EFFERVESCENT 1000 mg ORAL OTC monograph not final 17 sections
Alka-Seltzer Original HUMAN OTC DRUG LABEL 3 0280-4000 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph not final 17 sections
Alka-Seltzer Lemon Lime HUMAN OTC DRUG LABEL 3 0280-4020 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph not final 16 sections
Alka-Seltzer Gold HUMAN OTC DRUG LABEL 3 0280-4100 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 16 sections
Alka-Seltzer Gold HUMAN OTC DRUG LABEL 3 0280-4100 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 16 sections
Renacidin HUMAN PRESCRIPTION DRUG LABEL 3 0327-0012 SOLUTION 6.60 g IRRIGATION NDA 14 sections
Walgreens Effervescent Pain Relief HUMAN OTC DRUG LABEL 3 0363-0421 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 17 sections
Walgreens Effervescent Pain Relief HUMAN OTC DRUG LABEL 3 0363-0421 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 17 sections
Walgreens Antacid Pain Relief Extra Strength HUMAN OTC DRUG LABEL 3 0363-0541 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 17 sections
Walgreens Antacid Pain Relief Extra Strength HUMAN OTC DRUG LABEL 3 0363-0541 TABLET, EFFERVESCENT 1000 mg ORAL OTC monograph final 17 sections
Sodium Citrate and Citric Acid HUMAN PRESCRIPTION DRUG LABEL 2 0904-7316 SOLUTION 334 mg ORAL unapproved drug other 12 sections
ACD-A HUMAN PRESCRIPTION DRUG LABEL 3 0942-0641 SOLUTION 7.30 g INTRAVENOUS NDA 2 sections
ACD-A HUMAN PRESCRIPTION DRUG LABEL 3 0942-0641 SOLUTION 3.65 g INTRAVENOUS NDA 2 sections
CPDA-1 HUMAN PRESCRIPTION DRUG LABEL 5 0942-6305 SOLUTION 188 mg INTRAVENOUS NDA 2 sections
CPDA-1 HUMAN PRESCRIPTION DRUG LABEL 5 0942-6307 SOLUTION 209 mg INTRAVENOUS NDA 2 sections