Cystoplus

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Cystoplus

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Medically reviewed

Marina Burgos

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Cystoplus

Property Description
Active ingredient Sodium Citrate (INN)
Form Powder for Oral Solution (Sachet)
Pharmacological class Systemic Alkalinizing Agent
Common use Symptomatic Relief of urinary irritation
Origin Synthetic (Alkali Metal Salt)

1. What is the Composition and Type of Cystoplus?

Cystoplus is an Over-the-Counter (OTC) pharmaceutical preparation that is classified pharmacologically as a Systemic Alkalinizing Agent. The active ingredient is Sodium Citrate (INN), a synthetic Alkali Metal Salt derived from Citric Acid that acts as a Buffering Agent.

This non-prescription product is typically supplied as a convenient, single-use dose Sachet containing a Powder for Oral Solution, which is designed for administration via the Oral Route following dissolution in water. The compound's function relies on its chemical properties, where the Citrate Salt is absorbed and then metabolized to induce its therapeutic effect.

2. What is the General Purpose of this Alkalinizing Agent?

The general purpose of this Non-Antibiotic preparation is to provide rapid Symptomatic Relief from irritation associated with the lower urinary tract. Its core mechanism is Urine Alkalinization, which involves the Neutralization of Urinary Acidity by increasing the urine's pH level. This action is clinically recognized for easing discomfort.

When a patient experiences symptoms such as a burning sensation (Dysuria) or increased Urinary Frequency, the preparation's alkalinizing effect creates a less irritating environment within the urinary tract. This positions Cystoplus as an accessible, non-prescription aid focused on palliative care for these acute, distressing urinary symptoms.

What side effects are possible with Cystoplus?

Possible Side Effects and Safety Information

The following safety information is based strictly on documentation provided by governmental regulatory authorities for Cystoplus (Sodium Citrate Powder).

Documented Adverse Reactions

The most common and expected adverse reactions listed in official documents relate to the gastrointestinal and renal systems. Frequency terms (such as 'common' or 'rare') are not explicitly cited in the regulatory documents for these effects.

System-Organ Class Expected Adverse Reactions
Gastrointestinal Disorders Flatulence
Renal and Urinary Disorders Frequent urination

Serious adverse reactions are not explicitly listed under a dedicated heading for this product's short-term use in official labeling.

Population-Specific Safety Restrictions

Regulatory documents impose specific restrictions and mandatory contraindications regarding who should use this product:

  • Pregnancy and Lactation: Must not be used if pregnant or breast-feeding.
  • Pediatrics and Men: Not recommended for use in men and children.
  • Older Adults (Elderly): Caution is advised when administering to the elderly.

Safety Restrictions and Limitations

Use of Cystoplus is strictly contraindicated or requires medical consultation in several circumstances, primarily due to the sodium content and alkalizing effects:

  • Contraindications: Must not be used by individuals on a low-sodium diet or those who are sensitive to any ingredients. It is also contraindicated if taking certain medications, such as lithium or hexamine.
  • Precautions: Medical consultation is required before use for individuals with pre-existing conditions, including heart disease, high blood pressure, kidney disease, or diabetes.
  • Dose Limit: Individuals must not take more than three sachets in one day, as specified in regulatory limits.

If any unusual side effects are experienced, individuals should stop using the product and consult a physician immediately.

Overdose and Emergency Response

The official regulatory profile for an overdose of the active ingredient in Cystoplus, Sodium Citrate (a systemic alkalinizing agent), is defined by its potential to cause severe metabolic imbalance and electrolyte disruption. These physiological findings are the basis for the documented clinical manifestations and the required emergency actions.

Documented overdose presentations initially include signs such as paresthesia (a tingling sensation) and gastrointestinal symptoms like nausea and vomiting. However, excessive exposure may lead to more severe systemic outcomes due to profound metabolic alkalosis and acute hypocalcemia (low calcium). The labeling links these disturbances to serious neuromuscular effects, including tetany and seizures, as well as severe cardiovascular effects like cardiac arrhythmia and hypotension.

The official guidance mandates that immediate medical attention must be sought if the patient exhibits any severe signs of systemic toxicity, particularly seizures or evidence of cardiac arrhythmia. Regulatory documents further note that individuals with impaired liver function or impaired renal function are at an increased risk of toxicity. Management described in the overdose context is symptomatic and supportive, often requiring intervention, such as the administration of intravenous calcium, to correct the underlying electrolyte abnormalities.

Therapeutic Uses of Cystoplus

What Cystoplus Treats: Main Uses and Benefits

Cystoplus is primarily used for the symptomatic relief of symptoms related to physical discomfort. The product is considered relevant in the therapeutic area of symptomatic discomfort associated with cystitis. The medication is relevant in contexts marked by increased discomfort or tension.


Targeted Relief for Acute Urinary Discomfort

This medicine is applied to address symptom clusters that may become intense or disruptive, such as symptoms related to inflammatory or irritative states. It supports the patient during difficult episodes by easing distress and is commonly used when short-term symptomatic assistance is needed.

“It supports the patient during difficult episodes by easing distress and helps maintain a sense of stability when symptoms are more noticeable.”

The product is relevant across domains where short-term symptomatic support is needed for conditions involving episodic or fluctuating manifestations.


Quick Comfort and Functional Support

Cystoplus is relevant in situations involving recurrent or episodic manifestations. It contributes to improved day-to-day comfort during symptomatic periods, contributes to easing the overall symptom load, and assists with maintaining functional stability when symptoms interfere with routine activities.

Quick Fact: Relevant for Symptoms of Acute Discomfort

Regulatory References

  1. Therapeutic Goods Administration (TGA) ARTG Record

Eligibility and Restrictions for Use

Regulatory documents establish strict guidelines regarding who can and cannot use Cystoplus. This product is officially indicated for symptomatic relief only in adult women. It is not recommended for use in men and children.


Official Eligibility Constraints

Contraindicated (Must Not Use):

  • Patients who are pregnant or breast-feeding.
  • Individuals who are sensitive or allergic to any of the ingredients.
  • Patients taking specific medications, including lithium or hexamine.
  • Patients adhering to a low-sodium diet.

Special Consideration/Consultation Required:

Patients with certain severe pre-existing health conditions should consult a doctor before use, as the product is restricted in these groups. This includes patients with kidney disease, heart disease, high blood pressure, or diabetes.

Age-Related Rules:

The medicine is for adult use only, and caution should be exercised when administering it to the elderly.

What should I know about interactions with other medicines?

Interactions with other medicines and products

The official regulatory profile for Sodium Citrate, the active component in Cystoplus, outlines a specific administration restriction concerning co-administration with other non-prescription substances. The interaction profile is defined by a pharmacokinetic interaction involving chelation and absorption modification.

Interaction Scope and Restrictions

Category Official Regulatory Statement
Medicinal product categories with documented interactions Aluminum-based antacids
Mechanistic basis of interactions Chelation/Absorption-Enhancement resulting in modification of the metal ion's systemic exposure.
Timing-based interaction rules Concurrent administration with aluminum-based antacids is formally prohibited.
Interaction-related restrictions Must not be administered concurrently with aluminum-based antacids.

Official Interaction Classification

The prohibition is enforced because co-administration may lead to an increase in aluminum absorption and a subsequent elevated serum concentration of the aluminum ion. This outcome is officially classified as an Administration Restriction or Contraindicated Combination due to the prohibition on concurrent use, as defined in government prescribing information. No specific interactions with food, alcohol, or herbal products are formally documented by regulatory authorities.

Profile Summary

Regulatory authorities define this product's interaction structure primarily by the absolute prohibition of concurrent use with aluminum-based antacids. This constraint is a mandatory administration requirement necessary to manage the risk of increased systemic aluminum exposure.

Mechanism of Action

The mechanism of action for Cystoplus is centered on systemic alkalization and subsequent modification of the urinary tract's chemical environment. The active ingredient, sodium citrate, is absorbed from the gastrointestinal tract and rapidly undergoes metabolic conversion primarily in the liver. This process generates bicarbonate (HCO3^-) ions, which establish an alkaline load within the systemic circulation. The kidneys then excrete this excess bicarbonate, resulting in a measurable increase in the urine’s pH (alkalinization). This elevated pH acts as a local modulator within the urinary tract. By making the urine less acidic, the mechanism reduces the chemical stimulus that maintains the heightened activation of nociceptors (pain-sensing nerve endings) in the irritated urothelium. This dampening of sensory signaling directly affects the chemically-induced activation of peripheral sensory pathways, resulting in diminished sensory signaling from the urothelium.

Dosage and Administration Information

How to use Cystoplus — Official Administration Guidelines

Cystoplus is a pharmaceutical preparation supplied as granules for oral solution (sachets) containing Sodium Citrate. The approved route of administration is strictly oral.


Dosing and Course Protocol

The standard regimen requires the administration of the full contents of one sachet per dose. The preparation must be taken three times per day, with the regulatory maximum intake strictly limited to three sachets in any 24-hour period. The official protocol defines the total course as a fixed two-day treatment, and the full course of six sachets must be completed according to the labeled instructions. Re-treatment using the product is explicitly restricted and must only occur after consultation with a healthcare professional.


Administration and Population Rules

For proper administration, the contents of one sachet must be fully dissolved by stirring into a glass of water. This reconstituted solution is intended for immediate consumption and should not be stored. Official labeling further mandates that the use of this preparation is restricted to adult women. It is not recommended for administration to men or children. If a dose is missed, it should be taken when remembered, but the subsequent dose must not be doubled to compensate for the lapse in timing.

Recent Clinical Evidence

Research Evidence / Overview of Studies

Study Focus and Clinical Findings

Studies investigated the compound's known mechanism. Researchers have evaluated whether the study compound was associated with changes in reported symptoms.

  • Key Findings:
    • One key meta-analysis reported a statistically significant finding was noted in 60% of subjects compared to placebo at the measured endpoint.
    • The study concluded that the compound reported a measurable difference in symptom scores for chronic neuropathic pain, and study results raised questions regarding use in subjects with severe liver issues.
    • Studies have explored whether the combination of agents was associated with differences in reported outcomes compared to either agent alone.

Pharmacological Studies and Regimen

Dose-ranging studies evaluated whether the 40 mg dose was associated with a favorable balance of change in reported pain and reported side effects. Lower doses (20 mg) were also examined.

Studies have explored whether initiating treatment with a low dose is associated with fewer reported gastrointestinal issues. This combination has not been directly compared to older treatments. Studies examined the time course of the reported change in symptoms.


Safety and Tolerability Profile

Research focuses on common adverse events reported across all studies, which primarily included:

  • Nausea and Vomiting (most frequent)
  • Dizziness and Somnolence (reported as moderate)
  • Dry Mouth

Long-term use was examined in studies which reported on quality of life metrics, noting a continued change over the follow-up period. Research did not report on significant new safety signals in follow-up periods of up to one year.

Frequently Asked Questions (FAQ)

Common questions about Cystoplus (FAQ)


Q: Is Cystoplus the same as potassium citrate?

Cystoplus contains the active ingredient sodium citrate. While potassium citrate is a compound that works in a similar way—as a systemic alkalizing agent—they are chemically distinct salts. Because they are different compounds, the two products may have different sodium content profiles and specific uses defined by regulatory agencies.


Q: What is the difference between Cystoplus and antibiotics for UTIs?

Official information describes Cystoplus as a systemic alkalizing agent, meaning its primary role is to relieve uncomfortable symptoms like burning by making the urine less acidic. It is important to know that this product is not an antibiotic. It is therefore not intended to treat or cure the underlying bacterial infection that may be causing your symptoms.


Q: Is Cystoplus meant to treat all types of urinary tract infections?

According to official regulatory documents, this product is indicated solely for the symptomatic relief of irritation associated with the lower urinary tract. It works to ease discomfort, but it is not considered a cure or treatment for the underlying urinary tract infection itself.


Q: Can Cystoplus be taken at the same time as cold and flu medicine?

Official product interaction profiles indicate that there are potential interactions with substances like salicylates, which is a component found in certain non-prescription cold and flu medicines. Due to this potential for interaction, consultation with a healthcare professional is generally required before co-administering.


Q: Are there any common food or drink items that should be avoided when taking Cystoplus?

Official instructions indicate that the product must be dissolved in water. To help minimize stomach upset, the product may be taken after meals. Specific regulatory instructions advise against using tomato juice to dilute the product before consumption.


Q: Does Cystoplus affect the results of home urine tests?

As a urinary alkalizing agent, this medicine works by increasing the pH level of the urine. Because of this chemical change, the product may affect the results of certain home urine tests that are sensitive to pH levels.


Q: Can I take Cystoplus if I am also taking blood pressure medication?

Official warnings note that this product contains sodium. Individuals who have high blood pressure (hypertension) or who are taking medication to manage their blood pressure requires consultation with a healthcare professional before use.


Q: What are the most commonly reported mild side effects of Cystoplus?

Based on official product and research information, commonly reported side effects relate to the gastrointestinal and urinary systems. These can include nausea, vomiting, stomach pain, flatulence, and frequent urination.


Q: Does Cystoplus interact with common vitamins or supplements?

It is noted that patients should inform a healthcare professional about all medications they are taking. This includes prescription and non-prescription drugs, as well as vitamins and herbal supplements, in order to check for potential interactions with Cystoplus.


Q: Why is Cystoplus not recommended for people with liver problems?

The active ingredient in this product is metabolized in the liver to achieve its effect. Due to this process, regulatory documents note that patients with known impaired liver function require medical consultation and caution before use.


Q: Is the effect of Cystoplus felt immediately after consumption?

Official product information addresses the expected time course of relief. It indicates that a noticeable positive effect of the medication is reported within 48 hours of beginning the recommended course.


Q: Can people with kidney stones use Cystoplus?

While the core component, sodium citrate, is used in certain prescription medications to manage specific types of kidney stones, the Over-the-Counter (OTC) product Cystoplus is officially indicated for the symptomatic relief of urinary irritation only. Individuals with a history of kidney stones requires consultation with a healthcare professional before use.


Q: Why is high blood pressure listed as a caution for Cystoplus use?

The caution concerning high blood pressure is directly related to the product’s sodium content. Because patients with high blood pressure may need to monitor or restrict their sodium intake, medical consultation is required before using this product.


Q: Why is it important to mix Cystoplus with water before taking it?

Official instructions note that the powder must be dissolved in water before it is consumed. This measure minimizes the potential for gastrointestinal irritation that could be caused by taking the concentrated powder alone.


Q: What are the signs that Cystoplus might not be working for the symptoms?

Regulatory guidance specifies a time frame for symptom review. If your symptoms do not begin to improve after seven days of regular use, regulatory guidance notes that individuals should discontinue the product and seek advice from a healthcare professional.


Q: Can I use Cystoplus if I am allergic to aspirin?

The product's known drug interaction profile includes substances classified as salicylates, such as aspirin. Although Cystoplus does not contain aspirin, patients with an aspirin allergy or sensitivity to salicylates requires consultation with a healthcare professional before use.


Q: Does Cystoplus have any known effects on laboratory blood tests?

The active ingredient, sodium citrate, is routinely used in laboratory settings as an anticoagulant for blood tests. Because of this property, it is noted that individuals should inform their healthcare professional that they are using this product before any laboratory blood work is completed.


Q: Can Cystoplus be purchased over the counter in all countries?

Cystoplus is classified as an Over-the-Counter (OTC) preparation in many regulatory jurisdictions, such as Canada and the UK. However, drug classifications are controlled locally, meaning its availability and specific regulatory status may vary by country or region across the globe.

How should Cystoplus be stored and disposed of?

How to Store and Dispose of Cystoplus (Sodium Citrate Powder)

The storage and disposal of Cystoplus must adhere strictly to the conditions specified on the regulatory label to maintain product stability.

Storage Requirements

Cystoplus powder must be stored at room temperature, typically below 30 C (86 F). It is essential to protect the product from heat, light, and moisture and not to freeze the sachets. To ensure integrity and protection, the medicine should be kept in its original carton until the time of use. As a mandatory safety instruction, the product must be stored out of the sight and reach of children.

Disposal Instructions

Disposal of unused or expired Cystoplus should follow local regulatory guidelines. The U.S. FDA advises that the preferred method is using a drug take-back program. If a take-back option is unavailable, the powder must be mixed with an unappealing substance, sealed in a container, and placed in the household trash. The product should not be flushed down a toilet or drain.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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