Hydrite

Hydrite

Manufacturer:

Amherst Lab

Distributor:

Pediatrica
Full Prescribing Info
Contents
Oral rehydration salts.
Description
Each sachet contains: Sodium chloride 520 mg, Trisodium citrate dihydrate 580 mg, Potassium chloride 300 mg, Glucose, anhydrous 2.7 g.
Contents of 5 sachets dissolved in 1 liter water will provide: Sodium 75 mmol, Potassium 20 mmol, Chloride 65 mmol, Citrate 10 mmol, Glucose 75 mmol, Total Osmolarity 245 mmol.
Indications/Uses
This medicine is used in the treatment of children and adults with dehydration due to diarrhea (except those with severe dehydration).
This medicine replaces fluid and electrolytes (body salts) lost due to diarrhea and/or vomiting.
Dosage/Direction for Use
The 2005 WHO Manual for the treatment of Diarrhea provides the following information on the assessment and treatment of dehydration: How to Asess the Degree of Dehydration and Choose a Treatment Plan: See Table 1.

Click on icon to see table/diagram/image

How Much ORS Solution To Use Based on Patient Assessment and Treatment Plan: To Prevent Dehydration (Treatment Plan A): Direction: Dissolve the contents of one sachet in one glass of (200 mL) of clean drinking water. Give as much fluid as the child or adult wants until diarrhea or vomiting stops or you may use the following guide according to the WHO: See Table 2.

Click on icon to see table/diagram/image

Give other suitable fluids including plain clean water, rice water, vegetable or chicken soup, green coconut water, yoghurt drink, weak tea (unsweetened), unsweetened fresh fruit juice.
Do not use sports drink or foods with a lot of sugar.
Continue usual feeding, as tolerated. Continue breastfeeding.
To Treat Dehydration (Treatment Plan B): To Replace Mild to Moderate Fluid Loss): Direction: Dissolve contents of one sachet in every glass (200 mL) of drinking water. (See Table 3.)

Click on icon to see table/diagram/image

Alternatively, one can multiply the patient's weight (in kg) by 75 mL to obtain the approximate volume (mL) of this reduced osmolarity ORS solution to be given in the first 4 hours.
Continue breastfeeding even during the initial rehydration period.
After 4 hours, reassess the patient using the assessment chart and select the appropriate Treatment Plan.
If there are no signs of dehydration, shift to Treatment Plan A.
If signs indicating some dehydration are still present, repeat Treatment Plan B and continue to reassess the patient frequently.
If signs of severe dehydration have appeared, bring the patient to the hospital immediately for urgent intravenous rehydration. For this to happen is unusual, however, occurring only in children who drinks ORS solution poorly and pass large watery stools frequently during the rehydration period.
When rehydration is complete, skin pinch is normal, thirst subsides, urine is passed, and the patient is no longer irritable.
Continue usual feeding, as tolerated, after the initial 4-hour rehydration period.
Give Zinc supplements. (For Both Treatment Plans A and B): See Table 4.

Click on icon to see table/diagram/image

Missed dose: Just take the next dose if still needed to help replace fluids and electrolytes lost due to diarrhea and/or vomiting.
If the patient has taken more than the recommended dosage, consult the doctor.
Overdosage
There is no information regarding overdosage of this product.
Contraindications
If the patient is allergic to any component of the product or if the patient has glucose malabsorption.
Warnings
Attention Phenylketonurics: HYDRITE contains 6.96 mg phenylalanine per tablet.
Special Precautions
Follow directions for dilution and the recommended amount of this reduced osmolarity ORS solution according to weight and/or age of patient and intended use (prevention or treatment of dehydration) (see Tables 1, 2, 3 and 4 under Dosage & Administration) to avoid underdosing or overdosing.
Oral rehydration salts may be used in severe dehydration only if intravenous fluid is not available.
This reduced osmolarity ORS granules in sachet should be made into solution immediately before use. If not refrigerated, discard any remaining solution 4 hours after reconstitution. If refrigerated, the reconstituted solution can be kept for 24 hours after which it should no longer be used.
Use only cool clean drinking water to reconstitute this product. The reconstituted solution should never be boiled.
This product gives a cloudy solution when reconstituted. Shake or stir well before feeding.
Do not use more than the recommended dose unless recommended by a doctor.
When to consult the doctor: If any undesirable effect occurs or dehydration worsens.
Consult a doctor if the patient: Passes many stools; Is very thirsty; Has sunken eyes; Seems not to be getting better after 3 days; Has fever; Does not eat or drink normally; Is having difficulty in breathing or is breathing fast; Has trouble or pain in swallowing food, vomiting with blood or has bloody or black stools.
Adverse Reactions
There are no expected undesirable effects if the recommended dilution and volume of solution to be administered is followed.
Drug Interactions
This medicine is not expected to interact with food or medicines.
Storage
Store at temperatures not exceeding 30°C.
MIMS Class
ATC Classification
A07CA - Oral rehydration salt formulations ; Used in the treatment of diarrhea.
Presentation/Packing
Granules for oral soln (off-white granules in a sachet in natural, apple and banana flavors) 4.1 g x 100's.
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