Sodium Phosphate

Indications
Oral
Hypophosphataemia
Adult: Up to 100 mmol of phosphate daily.
Renal impairment: Dose reduction may be necessary.
Intravenous
Severe hypophosphataemia
Adult: As monobasic potassium phosphate: Up to 9 mmol of phosphate given over 12 hr, repeat 12 hrly if needed. Alternatively, 0.2-0.5 mmol/kg phosphate (max: 50 mmol), may be given over 6-12 hr.
Rectal
Mild osmotic laxative for bowel evacuation and cleansing
Adult: Usually contains monobasic and dibasic sodium phosphates but the composition and dosage may vary. Phosphate enemas work within 2-5 minutes. Use as directed.
Renal impairment: Dose reduction may be necessary.

Special Populations: Reduce doses in patients with renal function impairment.

Incompatibility: Incompatible with calcium salts.
Contraindications
Severe renal function, congestive heart failure, ascites, unstable angina pectoris, gastric retention, ileus or acute obstruction or pseudo-obstruction, severe chronic constipation, bowel perforation, acute colitis, toxic megacolon or hypomotility syndrome, hypertension, hyperkalaemia, oedema, low serum-calcium concentrations, infected phosphate renal calculi.
Warnings / Precautions
Chronic renal disease, pre-existing electrolyte disturbances. Concurrent admin with drugs that may affect electrolyte levels. Correct electrolyte abnormalities before initiating therapy. Monitor renal function, serum calcium, serum phosphorus, serum potassium, and serum sodium at periodic intervals during therapy. Caution in patients taking drugs that may prolong QT interval. Ensure adequate hydration. Pregnancy. Elderly or debilitated patients.
Adverse Reactions
Abdominal discomfort or pain, diarrhoea, nausea, vomiting, hypernatraemia, dehydration (with high doses). Convulsions, drowsiness, mood change, trembling, malaise, loss of appetite, muscle spasm (with long-term use). Less frequently, headaches, dizziness, mental confusion, seizures, weakness or heaviness of legs, muscle cramps, numbness, tingling, pain, arrhythmia; shortness of breath or troubled breathing; swelling of lower legs or feet; unusual weight gain, low urine output; unusual thirst; bone and joint pain.
Overdose Reactions
May lead to severe electrolyte disturbances, including hyperphosphataemia, hypocalcaemia, hypernatraemia, or hypokalaemia, as well as dehydration and hypovolaemia. May also lead to cardiac arrhythmias, seizure, renal failure and death. Monitor carefully and treat symptomatically until stable.
Drug Interactions
Concurrent use with aluminium, calcium, or magnesium salts will reduce absorption of phosphates. Vitamin D increases the GI absorption of phosphates and risk of hyperphosphataemia. Increased risk of hyperphosphataemia, hypocalcaemia, and hypernatraemia when used in patients receiving diuretics or drugs that may affect serum electrolytes. Increased risk of ectopic calcification when used concurrently with calcium supplements or calcium-containing antacids.
See Below for More sodium phosphate Drug Interactions
Food Interactions
Decreased effects with milk or dairy products due to their calcium content.
Mechanism of Actions
Sodium phosphate can be used in the management of hypophosphataemia. It also acts as a mild osmotic laxative when given orally as dilute solutions or by the rectal route. Phosphate enemas or concentrated oral solutions are used for bowel cleansing before surgery or endoscopy procedures.
Absorption: About 66% of an oral dose is absorbed from the GI tract.
Metabolism:
Excretion: Mainly excreted in the urine with the remaining dose via the faeces.
Storage Conditions
Oral: Store at 15-30°C. Rectal: Store at 15-30°C.
ATC Classification
A06AD17 - sodium phosphate ; Belongs to the class of osmotically acting laxatives.
A06AG01 - sodium phosphate ; Belongs to the class of enemas. Used in the treatment of constipation.
B05XA09 - sodium phosphate ; Belongs to the class of electrolyte solutions used in I.V. solutions.
Storage
Oral: Store at 15-30°C. Rectal: Store at 15-30°C.
Available As
  • Sodium Phosphate 0.1%
  • Sodium Phosphate 0.1% w/v
  • Sodium Phosphate 0.42 mg
  • Sodium Phosphate 0.975%
  • Sodium Phosphate 10 mg
  • Sodium Phosphate 16% w/v
  • Sodium Phosphate 18 mg
  • Sodium Phosphate 6 gm
  • Sodium Phosphate 6% w/v
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    Sodium Phosphate Containing Brands

    Click on Prescription information to see Indications ( Uses ), Contraindications, Prescription information of respective Constituents.

    Brand Name Manufacturer Unit/Price Package unit/Price Constituents/Unit
    Tablet Betaphos (0.5 mg) Pharma Synth Formulations Ltd. 1 Tablet
    ₹ 0.40
    10 Tablet
    ₹ 4.00
  • More Information Betamethasone Sodium Phosphate 0.5 mg
  • See Brands having above combination
    Tablet Betalide (0.5 mg) Allied Chemicals & Pharmaceuticals Pvt.Ltd. 1 Tablet
    ₹ 0.39
    10 Tablet
    ₹ 3.88
  • More Information Betamethasone Sodium Phosphate 0.5 mg
  • See Brands having above combination
    Drop Betameth (E/E) Entod Pharmaceuticals Ltd 1 ml
    ₹ 1.92
    5 ml
    ₹ 9.58
  • More Information Betamethasone Sodium Phosphate 0.1% w/v
  • See Brands having above combination
    Drop Betameth N (E/E) Entod Pharmaceuticals Ltd 1 ml
    ₹ 1.76
    5 ml
    ₹ 8.81
  • More Information Neomycin 0.5% w/v
  • More Information Betamethasone Sodium Phosphate 01% w/v
  • See Brands having above combination
    Drop Bentor (Eye) (5 ml) Indoco Remedies Ltd 1 ml
    ₹ 1.86
    5 ml
    ₹ 9.30
  • More Information Neomycin 0.5% w/v
  • More Information Betamethasone Sodium Phosphate 0.1% w/v
  • See Brands having above combination
    Infusion Basol Plus (480 ml) Le Sante (Cadila Pharmaceuticals Ltd.) 1 ml
    ₹ 0.61
    480 ml
    ₹ 295.00
  • More Information Calcium Chloride 3.85 mg
  • More Information Potassium Chloride 0.38 mg
  • More Information Sodium Chloride 7.14 mg
  • More Information Glutathione 4.6 mg
  • More Information Dextrose 23 mg
  • More Information Sodium Bicarbonate 2.1 mg
  • More Information Magnesium Chloride 5 mg
  • More Information Sodium Phosphate 0.42 mg
  • See Brands having above combination
    ToothPaste K Dent F (Mouth/Throat) (50 gm) Centaur Pharmaceuticals Pvt.Ltd. 1 gm
    ₹ 0.57
    50 gm
    ₹ 28.50
  • More Information Potassium Nitrate 5% w/w
  • More Information Sodium Monofluoro Phosphate 0.7% w/w
  • See Brands having above combination
    Injection Phosphate (40 mg) Tribhawan Injectables 1 ml
    ₹ 1.35
    10 ml
    ₹ 13.50
  • More Information Dexamethasone Sodium Phosphate 4 mg
  • See Brands having above combination
    Drop Solodex J (E/E) (10 ml) Jawa Pharmaceuticals (India) Pvt. Ltd. 1 ml
    ₹ 0.69
    10 ml
    ₹ 6.88
  • More Information Dexamethasone Sodium Phosphate 0.01% w/v
  • More Information Phenyl Mercuric Nitrate 0.001% w/v
  • See Brands having above combination
    Syrup Sodium Phosphates Enema (100 ml) Pharma Synth Formulations Ltd. 5 ml
    ₹ 0.90
    100 ml
    ₹ 18.00
  • More Information Sodium Acid Phosphate 16% w/v
  • More Information Sodium Phosphate 6% w/v
  • See Brands having above combination
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    Sodium Phosphate is used in following diseases

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    Drug - Drug Interactions of Sodium Phosphate
    Interaction
    Moderate, Consider therapy modification Drospirenone and estradiol vs Sodium Phosphates
    Minor, Monitor Therapy Amitriptyline and perphenazine vs Sodium Phosphates
    Moderate, Consider therapy modification Benazepril vs Sodium Phosphates
    Minor, Monitor Therapy Doxepin (topical) vs Sodium Phosphates
    Moderate, Consider therapy modification Fosinopril vs Sodium Phosphates
    Moderate, Consider therapy modification Trandolapril vs Sodium Phosphates
    Moderate, Consider therapy modification Diflunisal vs Sodium Phosphates
    Moderate, Consider therapy modification Chlorothiazide vs Sodium Phosphates
    Moderate, Consider therapy modification Oxycodone and ibuprofen vs Sodium Phosphates
    Minor, Monitor Therapy Doxepin (systemic) vs Sodium Phosphates
    Pages: 1 2 3 4 5 6 7 8 ... 15 16 17 Next