Avosoda Urinary Alkalinizer Effervescent Granules

Avosoda Urinary Alkalinizer Effervescent Granules is an effervescent granule preparation sold in individual 4g sachets, with each sachet containing Sodium Bicarbonate BP 1.76g, Sodium Citrate Anhydrous USP 0.63g, Anhydrous Citric Acid BP 0.72g, and Tartaric Acid BP 0.89g. These ingredients belong to the urinary alkalinizer class, a category of effervescent oral preparations that dissolve in water to form a citrus-flavoured drink. Avosoda is manufactured as a lemon or lime-flavoured, sugar-free granule for oral use.

Each sachet is individually sealed and designed to be dissolved fully in water before drinking, rather than taken as a dry powder. The combination of sodium bicarbonate and sodium citrate with the acid components (citric acid and tartaric acid) produces the characteristic effervescent fizzing reaction when the granules meet water. Because of its sodium bicarbonate and sodium citrate content, each sachet carries a meaningful sodium load, which is relevant for anyone monitoring their daily sodium intake.

Avosoda Urinary Alkalinizer Effervescent Granules is sold in Malaysia as an OTC (Over-the-Counter) product, typically supplied in boxes of 12 sachets. As with any OTC product, check the packaging for the exact ingredient list, batch number, and expiry date, and consult a pharmacist if you are unsure whether this product is suitable for you.

• Empty the full contents of one sachet (4g) into a glass containing approximately 200ml of water.
• Stir until the granules have completely dissolved and the effervescence has settled before drinking.
• Drink the full glass promptly after the granules have dissolved.
• Do not take more than the number of sachets per day stated on the packaging.

The typical adult dose of Avosoda Urinary Alkalinizer Effervescent Granules is one sachet (4g) dissolved in water, taken two to four times a day as printed on the product packaging, usually spaced evenly through the day. Dosing for children should follow the age-specific guidance on the pack insert or a pharmacist’s advice, as a lower frequency or a reduced sachet amount may be appropriate.

Do not exceed the maximum daily number of sachets stated on the packaging. If a dose is missed, take it as soon as remembered unless it is almost time for the next dose, in which case the missed dose should be skipped rather than doubled up. If symptoms do not improve within a few days of regular use, or if fever, worsening pain, or blood in the urine develop, stop use and see a doctor.

Store below 30°C, in a dry place away from direct sunlight and moisture, and out of reach of children. Keep each sachet sealed until ready to use, as the granules can absorb moisture and lose their effervescence if exposed to humid air.

• Common: mild stomach discomfort or bloating.
• Common: flatulence (gas) from the effervescent reaction.
• Common: mild nausea if taken on an empty stomach.
• Serious: signs of excess sodium or alkalosis such as muscle twitching, unusual tiredness, confusion, or irregular heartbeat, which need urgent medical attention if they occur, particularly with higher-than-recommended or prolonged use.
• Serious: swelling of the face, lips, or throat, or difficulty breathing, which may indicate a rare allergic reaction and requires immediate medical care.

• Known hypersensitivity to sodium bicarbonate, sodium citrate, citric acid, tartaric acid, or any other component of this product.
• Patients on a medically prescribed sodium-restricted diet, due to the sodium content of each sachet.
• Severe kidney impairment, where excess sodium and citrate cannot be cleared effectively.
• Severe or uncontrolled high blood pressure, or congestive heart failure, where additional sodium intake is a specific concern.
• Conditions associated with high blood potassium (hyperkalaemia), as citrate metabolism can contribute to this.

• Can alter urine pH, which may change how quickly the kidneys clear certain other medicines — for example, it may reduce the elimination of medicines such as quinidine and some amphetamine-type medicines, and may increase the elimination of aspirin and other salicylate-containing medicines.
• May reduce the absorption or effect of tetracycline-class antibiotics if taken at the same time; leave a gap of at least two hours between doses.
• Should not be taken together with potassium-sparing diuretics, ACE inhibitors, or potassium supplements without medical advice, due to the combined effect on blood potassium levels.
• Should not be taken together with other sodium bicarbonate or sodium citrate-containing products, to avoid an excessive combined sodium load.
• No specific food interactions are established; take with a full glass of water as directed rather than with other acidic or carbonated drinks.

• Always dissolve the full sachet completely in water before drinking — do not swallow the dry granules.
• Drink plenty of plain water through the day in addition to each dose.
• Keep track of the number of sachets taken so you do not exceed the daily maximum on the packaging.
• Check with a pharmacist before use if you are on a low-sodium diet or take regular prescription medicines.
• Keep sachets sealed and stored away from humidity to preserve the effervescent effect.
• Keep out of reach of children, as the citrus flavour may be mistaken for a sweet drink powder.

Precautions: Use with caution in pregnancy and breastfeeding, and seek a doctor’s or pharmacist’s advice first, as there is limited published safety data specifically for this combination product. Use with caution in elderly patients and those with any degree of kidney or heart impairment, given the sodium and citrate content. Each sachet should be counted toward total daily sodium intake for anyone monitoring their salt consumption.

When to See a Doctor or Pharmacist: Speak to a doctor or pharmacist before use if you have kidney disease, heart failure, high blood pressure, or are on a sodium-restricted or potassium-restricted diet. Seek medical attention if symptoms persist beyond a few days of regular use, if you develop fever, loin pain, or blood in the urine, or if you notice any signs of an allergic reaction after taking this product.