Ural Effervescent Granule 28s (Box)

Ural Effervescent Granule is a sugar-free, lemon-flavoured effervescent granule preparation manufactured by Abbott Laboratories (M) Sdn. Bhd. and made in Australia. It belongs to the drug class of oral urinary alkalinising agents, and each 4g sachet contains a combination of sodium citrate, citric acid, and tartaric acid. This listing is the 28-sachet box format sold through DoctorOnCall Malaysia.

The granules are white and dissolve in cold water to form a clear, colourless, lemon-flavoured effervescent drink. Because the formulation is sugar-free, it is formulated to be suitable for people who are monitoring their sugar intake, which is a formulation detail rather than a health claim about any specific condition.

Ural is registered with the National Pharmaceutical Regulatory Authority (NPRA) in Malaysia, and the 28-sachet box is intended to provide a supply for repeated use across several days, in contrast to the single-sachet format also available from the same manufacturer.

Dissolve the entire contents of one to two sachets (4g to 8g) in a glass of cold water, and stir until fully dissolved.

Drink the solution promptly after it has been prepared, rather than allowing it to stand for an extended period.

Follow the frequency stated on the packaging, typically up to four times daily, or as directed by a doctor or pharmacist.

The typical dose is 4g to 8g (one to two sachets) dissolved in cold water, taken up to four times daily, or as prescribed by a healthcare professional.

Do not exceed the maximum daily amount stated on the packaging, and space doses evenly through the day rather than taking them all at once.

• Store in a cool, dry place below 30°C.
• Protect the sachets from moisture and direct sunlight.
• Keep sachets sealed until just before use.
• Keep out of the reach and sight of children.

• Common: Mild stomach upset.
• Common: Nausea.
• Common: Flatulence.
• Common: A salty or tart aftertaste, or mild throat irritation.
• Serious: Rare allergic reactions such as rash or itching — stop use and seek medical attention if these occur.

• Kidney failure or significant kidney impairment, unless a doctor has specifically assessed suitability.
• Severe heart disease or conditions requiring a sodium-restricted diet, due to the sodium citrate content.
• Known hypersensitivity to citrate compounds or to any ingredient in the formulation.

• Citrate-containing alkalinising agents may alter urinary pH in a way that affects the absorption of certain antibiotics, such as tetracyclines or fluoroquinolones; space these medicines apart from Ural where possible and check with a pharmacist.
• Avoid taking with other alkalinising agents or potassium/sodium-containing supplements at the same time without medical advice, to prevent an additive effect.
• No significant interactions with common food or beverages have been established beyond the advice to dissolve the granules fully in water before drinking.

• Dissolve the granules completely in a full glass of cold water before drinking.
• Do not exceed the recommended daily dose printed on the packaging.
• Avoid taking with other sodium-containing supplements unless a doctor has approved this.
• Store sachets in a dry, cool place below 30°C.
• Keep sachets sealed until you are ready to use them.
• Check the expiry date before consuming each sachet.

Precautions: Ural Effervescent Granule should not be used by individuals with kidney failure, severe heart disease, or a sodium-restricted diet requirement, due to its sodium citrate content. Pregnant or breastfeeding women should check with a doctor before use, and anyone taking other alkalinising or potassium/sodium-containing supplements should seek advice before combining products.

When to See a Doctor or Pharmacist: Speak with a doctor or pharmacist if symptoms do not improve after a few days of use, if you experience persistent stomach upset, or if you notice any signs of an allergic reaction such as rash or itching.