Last update Dec. 13, 2019

Sodium Citrate

Very Low Risk

Safe. Compatible. Minimal risk for breastfeeding and infant.

Sodium salt of citric acid.
It is used rectally in enemas as it acts as an osmotic laxative and in bladder irrigations to dissolve clots. It has the alkalizing properties of urine, neutralizing gastric pH and is an anticoagulant.

Since the last update, we have not found published data on its excretion in breast milk.

Given the small amounts and route of administration, systemic absorption is practically nil (AEMPS 2013), so no significant excretion in breast milk is expected.

If absorbed, it is metabolized to bicarbonate, which is compatible with breastfeeding.

Both sodium and bicarbonate are normal components of the body and are found in breastmilk at concentrations which are different to plasma (Allen 1991).

See below the information of this related product:


We do not have alternatives for Sodium Citrate since it is relatively safe.

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Sodium Citrate is also known as

Sodium Citrate in other languages or writings:


Main tradenames from several countries containing Sodium Citrate in its composition:

  • Clisteran™. Contains other elements than Sodium Citrate in its composition
  • Dalmacol™. Contains other elements than Sodium Citrate in its composition
  • Micralax™. Contains other elements than Sodium Citrate in its composition
  • Microlax ™. Contains other elements than Sodium Citrate in its composition
  • Pazbronquial™. Contains other elements than Sodium Citrate in its composition


Variable Value Unit
Molecular weight 294 daltons
VD 0.27 - 0.55 l/Kg
Tmax 1.6 - 2.2 hours
0.3 - 0.9 hours


  1. AEMPS. Micralax. Ficha técnica. 2013 Full text (in our servers)
  2. Allen JC, Keller RP, Archer P, Neville MC. Studies in human lactation: milk composition and daily secretion rates of macronutrients in the first year of lactation. Am J Clin Nutr. 1991 Abstract

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e-lactancia is a resource recommended by Academy of Breastfeeding Medicine - 2012 of United States of America

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