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Sodium Chloride 4 mEq/mL Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Sodium Chloride

The Sodium Chloride 4 mEq/mL Oral Liquid is a specially compounded solution designed for oral use, ensuring precise dosing of sodium chloride for patients. This formulation is particularly beneficial for individuals who have difficulty swallowing pills or tablets, such as pediatric and geriatric patients. The liquid form allows for ease of administration and rapid absorption.

This oral liquid is primarily used to treat patients with conditions that lead to sodium depletion, such as hyponatremia, which can occur due to various factors including excessive sweating, prolonged diarrhea or vomiting, and certain medical conditions that affect sodium balance. It is also used in the management of patients with adrenal insufficiency, where sodium conservation is impaired, and to prevent the occurrence of heat cramps due to sodium loss from heavy perspiration.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Sodium Chloride
Oral Liquid
65d5253ac41a3240fc5812de
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Sodium Chloride 4 mEq/mL Oral Liquid is a specially compounded medication designed for oral use, providing a precise concentration of sodium chloride to patients who require electrolyte supplementation. This liquid formulation is particularly beneficial for individuals who have difficulty swallowing pills, such as pediatric and geriatric patients, or those with dysphagia. The solution ensures that patients receive an accurate dose of sodium chloride, which is essential for maintaining proper electrolyte balance and osmotic pressure in the body.

The medication is used to treat or prevent conditions caused by low sodium levels in the blood, known as hyponatremia. This can occur due to various reasons, including excessive fluid intake, certain medications, heart failure, kidney problems, or chronic, severe vomiting or diarrhea. By providing sodium chloride, this oral liquid helps to restore the normal balance of sodium and water in the body, which is crucial for the proper functioning of muscles and nerves.

It is also used in patients with conditions that cause them to lose too much sodium, such as adrenal insufficiency (Addison's disease), or in those receiving total parenteral nutrition (TPN), where adequate sodium intake must be ensured. The formulation can be customized to meet the specific needs of the patient, taking into account their sodium levels and overall health status. It is important for prescribers to monitor serum electrolytes regularly to adjust the dose as needed.

For patients and prescribers considering the use of Sodium Chloride 4 mEq/mL Oral Liquid, it is essential to understand that this medication should be used under medical supervision, with careful consideration of the patient's sodium levels and clinical condition. Overuse or misuse can lead to hypernatremia, a condition characterized by excessively high levels of sodium in the blood, which can be just as dangerous as hyponatremia. Therefore, adherence to the prescribed dosage and regular monitoring are key to the safe and appropriate use of this medication.

If you have any questions or require further information about Sodium Chloride 4 mEq/mL Oral Liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the best possible outcomes for our patients and the healthcare professionals we serve.

Drug Interactions

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Sodium Chloride 4 mEq/mL Oral Liquid is a hypertonic saline solution that is used to treat patients with conditions that require the administration of sodium, such as hyponatremia (low sodium levels in the blood), or to provide maintenance of sodium levels in situations where dietary intake may be inadequate. It is important to consider potential drug interactions when administering this oral liquid formulation.

One of the primary concerns with the use of Sodium Chloride Oral Liquid is its interaction with medications that affect sodium and water balance in the body. Diuretics, especially loop diuretics like furosemide and thiazide diuretics, can lead to an increased risk of electrolyte imbalances when used concurrently with sodium chloride supplements. Careful monitoring of electrolytes is necessary to avoid hypernatremia (high sodium levels in the blood) or hypokalemia (low potassium levels).

Patients taking corticosteroids or corticotropin may experience enhanced electrolyte depletion, particularly hypokalemia, when these drugs are used in combination with Sodium Chloride Oral Liquid. It is crucial to monitor serum electrolyte levels regularly and adjust the dosage of either medication as needed.

Medications that increase blood pressure, such as nonsteroidal anti-inflammatory drugs (NSAIDs), may have their hypertensive effects exacerbated by the administration of sodium chloride. Patients with cardiovascular conditions or those on antihypertensive therapy should use Sodium Chloride Oral Liquid with caution, and blood pressure should be monitored closely.

Lithium, a drug used to treat bipolar disorder, has a narrow therapeutic index and its renal clearance can be affected by sodium levels. Sodium Chloride Oral Liquid can increase renal clearance of lithium, potentially leading to decreased lithium levels and reduced efficacy. Lithium levels should be monitored when initiating or adjusting the dose of Sodium Chloride Oral Liquid.

Concomitant use of Sodium Chloride Oral Liquid with drugs that can lead to sodium retention, such as certain antidiabetic drugs (e.g., thiazolidinediones), may result in edema and exacerbation of congestive heart failure in susceptible patients. It is important to assess the patient's fluid status and adjust medications as necessary.

Lastly, patients on a controlled sodium diet or those with conditions such as congestive heart failure, liver cirrhosis, or renal impairment should use Sodium Chloride Oral Liquid with caution due to the risk of fluid overload and worsening of the underlying condition.

It is essential for prescribers to review all medications, both prescription and over-the-counter, that a patient is taking before initiating treatment with Sodium Chloride Oral Liquid. Pharmacists should be consulted for any concerns regarding potential drug interactions. Regular monitoring of serum electrolytes and renal function is recommended to ensure safe and appropriate use of this medication. If you have any questions or require further information, please reach out to us at Bayview Pharmacy.

How Does it Work

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The Sodium Chloride 4 mEq/mL Oral Liquid is a hypertonic saline solution that is meticulously prepared to ensure a precise concentration of sodium chloride for therapeutic use. This oral liquid formulation is designed to deliver a specific dose of sodium ions, which are essential for maintaining fluid balance, nerve transmission, and muscle function in the body. When ingested, the sodium chloride works by increasing the osmotic pressure in the gastrointestinal tract, which can help to replenish electrolyte levels in patients with deficiencies.

One of the primary uses of this formulation is in the treatment of patients with hyponatremia, a condition characterized by low sodium levels in the blood. Hyponatremia can result from various factors, including excessive fluid intake, certain medications, or underlying medical conditions. By providing a concentrated source of sodium, this oral liquid helps to raise serum sodium levels to within the normal range, thereby alleviating symptoms such as headache, nausea, confusion, and in severe cases, seizures and coma.

Additionally, the Sodium Chloride 4 mEq/mL Oral Liquid may be used in patients with conditions that cause a loss of sodium, such as adrenal insufficiency, where the body does not produce enough of certain hormones that help regulate sodium and water balance. It is also beneficial for patients who have experienced excessive loss of sodium through sweating due to vigorous exercise or heat exposure, or through gastrointestinal losses such as vomiting or diarrhea.

The liquid dosage form is particularly advantageous for patients who have difficulty swallowing pills, such as young children, the elderly, or those with dysphagia. The oral liquid allows for flexible dosing and can be easily administered with the aid of a dosing syringe or dropper for accurate measurement. It is important for both patients and prescribers to follow the dosing instructions carefully to avoid potential complications associated with electrolyte imbalance, such as hypernatremia, which can occur if too much sodium is ingested.

For optimal results, the Sodium Chloride 4 mEq/mL Oral Liquid should be used under the guidance of a healthcare professional who can monitor electrolyte levels and adjust the dosage as necessary. If you have any questions about this formulation or its appropriate use, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing you with the information and support you need to effectively manage your health or the health of your patients.

Frequently Asked Questions

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What is Sodium Chloride 4 mEq/mL Oral Liquid prescribed for?

Sodium Chloride 4 mEq/mL Oral Liquid is commonly prescribed to treat or prevent sodium depletion when dietary measures are inadequate. It can be used for patients who require a controlled sodium intake or in certain clinical conditions where sodium supplementation is necessary.

How should I take Sodium Chloride 4 mEq/mL Oral Liquid?

The liquid should be taken exactly as prescribed by your healthcare provider. It can be administered directly into the mouth or mixed with a small amount of food or beverage to improve palatability. Follow the instructions concerning dosage and duration of the treatment.

Can children and elderly patients take this medication?

Yes, Sodium Chloride 4 mEq/mL Oral Liquid is suitable for both pediatric and geriatric patients, particularly as it offers a liquid dosage form that is easier to swallow compared to solid dosage forms.

What should I do if I miss a dose?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

Are there any potential side effects of taking Sodium Chloride 4 mEq/mL Oral Liquid?

Possible side effects may include nausea, vomiting, stomach cramps, and a salty taste. If you experience any severe side effects or signs of allergic reaction, seek medical attention immediately.

Can I take this medication with other prescriptions?

Always consult with your healthcare provider before combining medications. Sodium Chloride 4 mEq/mL Oral Liquid may interact with other drugs, so it is essential to inform your doctor of all medications you are taking.

How should I store Sodium Chloride 4 mEq/mL Oral Liquid?

Store the medication at room temperature away from light and moisture. Keep the bottle tightly closed when not in use, and keep out of reach of children and pets.

What is the proper dosage of Sodium Chloride 4 mEq/mL Oral Liquid?

The dosage will vary based on the individual's needs and medical condition. Always adhere to the prescribed amount and frequency as directed by your healthcare provider.

Can I dilute the Sodium Chloride 4 mEq/mL Oral Liquid if it is too salty?

You may only dilute the solution if instructed by your healthcare provider. It is vital to maintain the effectiveness and accuracy of the dosage.

What should I do in the case of an overdose?

In the event of an overdose, contact poison control or seek emergency medical attention immediately. Symptoms of overdose may include nausea, vomiting, diarrhea, abdominal pain, and increased thirst.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Sodium Chloride 4 mEq/mL Oral Liquid
Oral Liquid
controlled

Take orally

Twice daily