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CITORSAL 43.6 mg/24 mg/258 mg/32 mg/149 mg/5 g/58.5 mg/71 mg Oral Solution/Suspension

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Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use CITORSAL powder for oral solution in sachets

Contents of the leaflet

  1. Introduction
  2. What Citorsal is and what it is used for
  3. What you need to know before taking Citorsal
  4. How to Take Citorsal
  5. Possible Side Effects
  6. Storage of Citorsal

Introduction

Package Leaflet: Information for the User

Citorsal

Powder for Oral Solution in Sachet

Calcium lactate anhydrous, magnesium sulfate anhydrous, citric acid anhydrous, sodium citrate anhydrous, sodium chloride anhydrous, potassium chloride anhydrous, sodium phosphate anhydrous, and glucose monohydrate

Read this entire leaflet carefully before starting to take this medication, as it contains important information for you.

  • Keep this leaflet, as you may need to read it again.
  • If you have any questions, consult your doctor or pharmacist.
  • This medication has been prescribed to you only, and you should not give it to others, even if they have the same symptoms as you, as it may harm them.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. See section 4.

Contents of the Package Leaflet

  1. What Citorsal is and what it is used for
  2. What you need to know before taking Citorsal
  3. How to take Citorsal
  4. Possible side effects
  5. Storage of Citorsal
  6. Package Contents and Additional Information

1. What Citorsal is and what it is used for

Citorsal belongs to the pharmacotherapeutic group of oral rehydration salts and is used in the prevention and treatment of mild and moderate dehydration caused by various factors, such as acute gastrointestinal disorders in infants, acidosis, acetonemic vomiting, extrarenal uremia, vomiting in pregnant women, and all cases of abundant fluid loss due to persistent vomiting or diarrhea.

Citorsal is indicated for adults, infants, and children.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Citorsal

Do not take Citorsal:

  • If you are allergic to the active ingredients or any of the components of this medication (listed in section 6).
  • If you have glucose or galactose malabsorption.
  • If you have diabetes.
  • If you are unable to drink.
  • If you require oral administration through a gastric tube or intravenously.
  • If you have severe, persistent diarrhea, or other critical fluid losses that require parenteral therapy.
  • If you have intense and sustained vomiting.
  • If you have intestinal obstruction, paralytic ileus, or intestinal perforation.
  • If you have anuria (cessation of urine secretion) or oliguria (decreased urine production).
  • If you have renal insufficiency.
  • Premature infants or infants under one month of age.

Warnings and Precautions

Consult your doctor or pharmacist before starting to take Citorsal.

Be particularly careful with Citorsal:

  • When parenteral rehydration is indicated, such as in cases of severe dehydration and continuous or frequent vomiting, as oral administration of Citorsal is not appropriate in these cases.
  • You can eat food normally once the diarrhea is corrected.

Taking Citorsal with Other Medications

Inform your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medication.

Due to its calcium content, it interferes with the absorption of tetracyclines.

Taking Citorsal with Food and Drinks

  • Avoid taking foods or other liquids with high sugar content, such as fruit juices or other liquids containing electrolytes; if additional liquid is desired, use water.
  • Avoid salty foods.
  • Cow's milk should only be stopped if the diarrhea worsens considerably after taking it, replacing it with another protein-rich food.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medication.

Driving and Using Machines

This medication does not affect your ability to drive or use machines.

Citorsal Contains Glucose, Sodium, Potassium, and Yellow-Orange Colorant (E-110)

This medication contains glucose. If your doctor has told you that you have an intolerance to certain sugars, consult with them before taking this medication.

Patients with diabetes mellitus should note that this medication contains 5g of glucose per 100ml of reconstituted solution.

This medication contains 115mg of sodium (main component of table salt/cooking salt) per 100ml of prepared solution. This is equivalent to 6% of the maximum recommended daily sodium intake for an adult.

Patients with renal insufficiency or those on low-potassium diets should note that this medication contains 78mg (2mmol) of potassium per 100ml of prepared solution.

This medication may cause allergic reactions because it contains yellow-orange colorant (E-110). It can trigger asthma, especially in patients allergic to acetylsalicylic acid.

3. How to Take Citorsal

Follow the administration instructions for this medication exactly as indicated by your doctor or pharmacist. If in doubt, consult your doctor or pharmacist again.

Citorsal should be taken by dissolving the contents of one sachet in half a liter of water (500ml) or two sachets in one liter.

The solution should be prepared and administered at room temperature.

The water, if necessary, can be previously boiled, but not after preparation.

No other ingredients, such as sugar, should be added.

Citorsal is administered orally.

The normal dose should be calculated individually based on the patient's weight and the severity of their illness, although the recommended dose is generally:

Infants from one month: recommended between 1-1.5 times their usual food volume.

Children from one year: 200ml of solution per diarrheal episode.

Adults: between 200-400ml of solution per diarrheal episode.

Treatment should continue while diarrhea persists, and once it has stopped, your doctor will assess whether rehydration has been achieved and there is no risk of dehydration, which is usually achieved in 4 or 5 days.

Administration is usually done "ad libitum," allowing the patient to drink as much as they want. In cases of patients with very frequent diarrhea, they should be encouraged to drink, and in cases of very weak patients, they should be helped.

In children, especially if they are weak or have vomiting, it is advisable to administer the solution at a rate of 25-30ml at intervals of 10-15 minutes.

If dehydration is mild and in children under 2 years, on the first day of treatment, a dose of water alone should be administered for every two doses of Citorsal oral solution powder, all of the same volume. On subsequent days, drink water frequently.

Always start with small amounts and increase as required by the patient. In all cases, it is recommended to administer the solution frequently, in small amounts, and slowly to facilitate its absorption. In infants and children, continued feeding, including breastfeeding, is important to maintain hydration and nutrition.

In adults, the diet should be resumed as soon as appetite returns.

Elderly Patients

The recommended dosage is the same as for adults.

Patient with Hepatic Impairment

In this case, no dose adjustment is necessary.

Patient with Renal Impairment

In patients with altered renal function, Citorsal should not be administered, as these patients may develop very high levels of sodium (hypernatremia) and potassium (hyperkalemia) in the blood.

Instructions for Correct Administration of the Preparation:

Pour the contents of one sachet into half a liter of water (500ml) or two sachets into one liter. To facilitate dissolution of the product, it is recommended to slowly add the powder to the water while vigorously stirring with a tablespoon until completely dissolved.

Under certain circumstances, which do not affect its therapeutic qualities, Citorsal may harden in the packaging. Simply pressing the sachet with your hand will convert it into a fine, equally soluble powder.

If You Take More Citorsal Than You Should

In case of overdose or accidental ingestion, consult your doctor or pharmacist immediately or call the Toxicology Information Service, phone: 91 562 04 20, indicating the medication and the amount used.

An excess of Citorsal can cause overhydration. Suspend treatment if you notice that your eyelids are swollen.

In patients with renal impairment, overdose can lead to hypernatremia and hyperkalemia.

If You Forget to Take Citorsal

Do not take a double dose to make up for forgotten doses.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible Side Effects

Like all medications, this medication can cause side effects, although not everyone will experience them. The most common are vomiting, which can occur when administered too quickly. In these cases, administration of Citorsal should be interrupted for 10 minutes and then resumed with smaller, more frequent amounts.

Reporting Side Effects

If you experience any side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medications: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medication.

5. Storage of Citorsal

Keep this medication out of the sight and reach of children.

Unused solution should be discarded 24 hours after preparation and does not require any special storage precautions.

Do not use this medication after the expiration date stated on the packaging after CAD. The expiration date is the last day of the month indicated.

Medications should not be disposed of through wastewater or household waste. Deposit the packaging and any unused medications at the SIGRE collection point in your pharmacy. If in doubt, ask your pharmacist how to dispose of the packaging and any unused medications. This will help protect the environment.

6.

Composition of Citorsal

  • The active ingredients are calcium lactate anhydrous, magnesium sulfate anhydrous, citric acid anhydrous, sodium citrate anhydrous, sodium chloride anhydrous, potassium chloride anhydrous, sodium phosphate anhydrous, and glucose monohydrate.
  • The other components are: neohesperidin, orange flavor, and yellow-orange colorant (E-110).

Each sachet should be dissolved in half a liter (500ml) of water. Each 100ml of the resulting solution contains as active ingredients: 0.0436g of calcium lactate anhydrous, 0.024g of magnesium sulfate anhydrous, 0.032g of citric acid anhydrous, 0.258g of sodium citrate anhydrous, 0.0585g of sodium chloride anhydrous, 0.149g of potassium chloride anhydrous, 0.071g of sodium phosphate anhydrous, and 5g of glucose (monohydrate).

Appearance of the Product and Package Contents

Citorsal is presented in the form of sachets with a lightly orange-colored powder for oral solution and an orange odor. It can be presented in two formats: boxes containing 2 or 5 paper-aluminum sachets.

Marketing Authorization Holder

LABORATORIOS ERN, S.A.

Perú, 228 - 08020 Barcelona, Spain

Manufacturer

LABORATORIOS ERN, S.A.

Gorgs Lladó, 188 – 08210 Barberá del Vallés, Barcelona, Spain

Date of the Last Revision of this Leaflet:June 2020

Detailed and updated information on this medication is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/.

Online doctors for CITORSAL powder for oral solution in sachets

Discuss questions about CITORSAL powder for oral solution in sachets, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(11)

Anna Biriukova

Gastroenterology6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
Book a video appointment
€66
Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(21)

Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management

  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses

  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment

  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance

  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis

  • Pain management: acute and chronic pain, post-surgical care

  • Public health: prevention, health screenings, long-term monitoring

  • Sick leave (Baixa médica) connected to Segurança Social in Portugal

  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Get CITORSAL powder for oral solution in sachets Prescription Online

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Frequently Asked Questions

CITORSAL powder for oral solution in sachets requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in CITORSAL powder for oral solution in sachets is Oral rehydration salt formulations. This information helps identify medicines with the same composition but different brand names.

The average pharmacy price for CITORSAL powder for oral solution in sachets is around 4.62 EUR. Prices may vary depending on the manufacturer and dosage form.

CITORSAL powder for oral solution in sachets is manufactured by Laboratorios Ern S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether CITORSAL powder for oral solution in sachets is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy CITORSAL powder for oral solution in sachets in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

Other medicines with the same active substance (Oral rehydration salt formulations) include SUERORAL CASEN Powder for Oral Solution, SUERORAL HYPOSODIC, ABECLIN 2 mg TABLETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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