Torex

Ammonium Chloride (Torex) Injection, USP, after dilution in isotonic sodium chloride injection, may be indicated in the treatment of patients with (1) hypochloremic states and (2) metabolic alkalosis.

this medicine is indicated for symptomatic control of all allergic conditions responsive to antihistamines, including hay fever, vasomotor rhinitis, urticaria, angioneurotic oedema, food Chlorpheniramine (Torex), drug and serum reactions, insect bites.

Also indicated for the symptomatic relief of itch associated with chickenpox

Articular syndrome (rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, gout); symptomatic treatment of inflammatory and degenerative diseases of the musculoskeletal (shoulder, artrosinovit, tendonitis, tenosynovitis, bursitis, lumbago), back pain, neuralgia, myalgia. Uncomplicated trauma, particularly sports, sprains, sprain or rupture of ligaments and tendons, bruises, post-traumatic pain. As part of combination therapy of inflammatory diseases of veins, lymphatic vessels, lymph nodes (phlebitis, periflebit, lymphangitis, lymphadenitis surface).

Oral

Nasal congestion; Throat irritation

Adult: As a loz (usually in combination with eucalyptus oil or cetylpyridinium chloride): 1 loz every 3 hr, to be sucked slowly.

Child: >6 yr: As a lozenge (usually in combination with eucalyptus oil or cetylpyridinium chloride): 1 lozenge every 3 hr, to be sucked slowly.

Topical/Cutaneous

Muscular aches and pains

Adult: As an ointment/cream (usually in combination with camphor, clove oil or methyl salicylate): Apply and rub gently onto the affected skin areas 2-3 times daily.

Prophylaxis & treatment of cystine & uric acid renal calculi. Urinary alkalizer in gout therapy. Treatment of acidosis in renal tubular disorders; chronic metabolic acidosis resulting from chronic renal insufficiency or the syndrome of renal tubular acidosis especially when administration of K salts is contraindicated. Prophylactic agent for acid-aspiration pneumonitis. Used in pre-anaesth medication as a non-particulate acid-neutralizing buffer of gastric acid to lessen the danger from acid-aspiration pneumonitis.

Chlorpheniramine (Torex) is an antihistamine that reduces the effects of natural chemical histamine in the body. Histamine can produce symptoms of sneezing, itching, watery eyes, and runny nose.

Chlorpheniramine (Torex) is used to treat runny nose, sneezing, itching, and watery eyes caused by allergies, the common cold, or the flu.

Chlorpheniramine (Torex) may also be used for purposes not listed in this medication guide.

Epinastine (Torex) ophthalmic (eye) solution is used to prevent itching of the eye caused by a condition known as allergic conjunctivitis. It works by preventing the effects of certain inflammatory substances, which are produced by cells in your eyes and sometimes cause allergic reactions.

Epinastine (Torex) is available only with your doctor's prescription.

Relieving minor pain caused by conditions such as arthritis, backache, bruising, bursitis, cramping, muscle strains or sprains, and tendonitis. It may also be used for other conditions as determined by your doctor.

Menthol (Torex) lotion is a topical analgesic. It works by temporarily relieving minor pain.

Citric acid and Sodium Citrate (Torex) are both alkalinizing agents that make the urine less acidic.

The combination of citric acid and Sodium Citrate (Torex) is used to prevent gout or kidney stones, or metabolic acidosis in people with kidney problems.

Citric acid and Sodium Citrate (Torex) may also be used for other purposes not listed in this medication guide.

Ammonium Chloride (Torex) Injection, USP is administered intravenously and must be diluted before use. Solutions for intravenous infusion should not exceed a concentration of 1% to 2% of Ammonium Chloride (Torex).

Dosage is dependent upon the condition and tolerance of the patient. It is recommended that the contents of one to two vials (100 to 200 mEq) be added to 500 or 1000 mL of isotonic (0.9%) sodium chloride injection. The rate of intravenous infusion should not exceed 5 mL per minute in adults (approximately 3 hours for infusion of 1000 mL). Dosage should be monitored by repeated serum bicarbonate determinations.

Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit. See PRECAUTIONS.

Dosage Forms

Excipient information presented when available (limited, particularly for generics); consult specific product labeling. [DSC] = Discontinued product

Liquid,

Oral, as maleate:

Ed ChlorPed: 2 mg/mL (60 mL [DSC]) [contains fd&c red #40, propylene glycol, saccharin sodium, sodium benzoate; cotton candy flavor]

Syrup,

Oral, as maleate:

Chlorpheniramine (Torex): 2 mg/5 mL (120 mL [DSC]) [contains alcohol, usp, fd&c yellow #6 (sunset yellow), menthol, methylparaben, propylene glycol, propylparaben]

Chlorpheniramine (Torex): 2 mg/5 mL (120 mL) [contains alcohol, usp]

Ed Chlorped Jr: 2 mg/5 mL (118 mL [DSC], 473 mL) [alcohol free, sugar free; contains fd&c red #40, methylparaben, propylene glycol, propylparaben; cherry flavor]

Tablet,

Oral, as maleate:

Chlorpheniramine (Torex): 4 mg [scored; contains fd&c yellow #10 aluminum lake]

Chlorpheniramine (Torex): 4 mg [scored; contains corn starch, fd&c yellow #10 aluminum lake]

Chlorpheniramine (Torex) Relief: 4 mg [contains fd&c yellow #10 aluminum lake]

Chlorpheniramine (Torex)-Time: 4 mg [contains fd&c yellow #10 aluminum lake]

Chlorpheniramine (Torex): 4 mg [scored]

Ed-Chlortan: 4 mg [DSC] [scored; contains fd&c yellow #10 aluminum lake]

Pharbechlor: 4 mg

Generic: 4 mg

Tablet Extended Release,

Oral, as maleate:

Chlorpheniramine (Torex) Chlorpheniramine (Torex): 12 mg [contains fd&c blue #2 aluminum lake, fd&c yellow #10 aluminum lake, fd&c yellow #6 aluminum lake]

Chlorpheniramine (Torex) Chlorpheniramine (Torex): 12 mg [contains fd&c yellow #6 (sunset yellow), fd&c yellow #6 aluminum lake]

Generic: 12 mg

Dosing: Adult

Allergic symptoms, allergic rhinitis, urticaria, pruritus:

Oral:

Immediate release: 4 mg every 4 to 6 hours; do not exceed 24 mg/24 hours

Extended release: 12 mg every 12 hours; do not exceed 24 mg/24 hours

Motion sickness (off-label use): Immediate release: 4 to 12 mg administered 3 hours prior to initiating stimulus for motion sickness (Buckey 2004). Note: Avoid use if it is unsafe for patient to be sedated.

Dosing: Geriatric

Avoid use (Beers Criteria [AGS 2019]).

Dosing: Pediatric

Note: Safety and efficacy for the use of cough and cold products in infants and young children is limited; the AAP warns against the use of these products for respiratory illnesses in infants and young children; the FDA does not recommend OTC use in infants and children <2 years of age due to the risk of serious and life-threatening adverse effects (including death) and recommends to use with caution in pediatric patients ≥2 years of age (AAP 2018; FDA 2017).

Allergic symptoms:

Oral:

Immediate release:

Oral liquid (2 mg/5 mL):

Children 2 to <6 years: 1 mg every 4 to 6 hours; maximum daily dose: 6 mg/day.

Children 6 to <12 years: 2 mg every 4 to 6 hours; maximum daily dose: 12 mg/day.

Children ≥12 years and Adolescents: 4 mg every 4 to 6 hours; maximum daily dose: 24 mg/day.

Tablets:

Children 6 to <12 years: 2 mg every 4 to 6 hours; maximum daily dose: 12 mg/day.

Children ≥12 years and Adolescents: 4 mg every 4 to 6 hours; maximum daily dose: 24 mg/day.

Extended-release tablet: Children ≥12 years and Adolescents: 12 mg every 12 hours; maximum dose: 24 mg in 24 hours.

Usual Adult Dose for Allergic Conjunctivitis

Instill 1 drop in each eye twice daily

Comments: Treatment should be continued through period of exposure even when symptoms are not present.

Use: For the prevention of itching associated with allergic conjunctivitis

Usual Pediatric Dose for Allergic Conjunctivitis

Age: 2 years and older

Instill 1 drop in each eye twice daily

Comments: Treatment should be continued through period of exposure even when symptoms are not present.

Use: For the prevention of itching associated with allergic conjunctivitis

Renal Dose Adjustments

No adjustment recommended

Liver Dose Adjustments

No adjustment recommended

Precautions

Safety and efficacy have not been established in patients younger than 2 years.

Consult WARNINGS section for additional precautions.

Dialysis

Data not available

Other Comments

Administration advice:

-For ophthalmic use only

-Contact lenses should be removed prior to drug administration; lenses may be reinserted 10 minutes after its administration.

Patient advice:

-Patients should be instructed not to touch bottle tip to eyes, hands, or any other surface in order to prevent contamination of the bottle.

Oral

Nasal congestion; Throat irritation

Adult: As a loz (usually in combination with eucalyptus oil or cetylpyridinium chloride): 1 loz every 3 hr, to be sucked slowly.

Child: >6 yr: As a lozenge (usually in combination with eucalyptus oil or cetylpyridinium chloride): 1 lozenge every 3 hr, to be sucked slowly.

Topical/Cutaneous

Muscular aches and pains

Adult: As an ointment/cream (usually in combination with camphor, clove oil or methyl salicylate): Apply and rub gently onto the affected skin areas 2-3 times daily.

Adult: Add the contents of 1-2 sachets to a glass of cool water and mix. Sodium Citrate (Torex) may be taken up to 4 times daily. Do not take for >5 days unless advised to do so by the physician.

Ammonium Chloride (Torex) is contraindicated in patients with severe impairment of renal or hepatic function.

Ammonium Chloride (Torex) should not be administered when metabolic alkalosis due to vomiting of hydrochloric acid is accompanied by loss of sodium (excretion of sodium bicarbonate in the urine).

See also:
What is the most important information I should know about Chlorpheniramine (Torex)?

Hypersensitivity to Chlorpheniramine (Torex) maleate or any component of the formulation; narrow-angle glaucoma; bladder neck obstruction; symptomatic prostate hypertrophy; during acute asthmatic attacks; stenosing peptic ulcer; pyloroduodenal obstruction. Avoid use in premature and term newborns due to possible association with SIDS.

OTC labeling: When used for self-medication, do not use to make a child sleep

See also:
What is the most important information I should know about Epinastine (Torex)?

Hypersensitivity to Epinastine (Torex) or to any of the components of Epinastine (Torex).

See also:
What is the most important information I should know about Menthol (Torex)?

Not to be used in

No known conditions.

This medicine should not be used if you are allergic to one or any of its ingredients. Please inform your doctor or pharmacist if you have previously experienced such an Menthol (Torex). If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately.

See also:
What is the most important information I should know about Sodium Citrate (Torex)?

Renal failure or hypernatremia; in conjunction with hexamine mandelate or hexamine hippurate therapy because an acidic urine is needed.

Caution is advised in overt and occult cardiac failure. Concomitant use of urinary alkalinizers and quinolone antibiotics should be avoided. Crystalluria may be more likely to occur in alkaline urine.

Use Chlorpheniramine (Torex) suspension drops as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Chlorpheniramine (Torex) suspension drops may be taken with or without food.
• Shake well before using.
• Use the dropper that comes with Chlorpheniramine (Torex) suspension drops to measure your dose. Ask your pharmacist for help if you are unsure of how to measure your dose.
• If you miss a dose of Chlorpheniramine (Torex) suspension drops, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Chlorpheniramine (Torex) suspension drops.

Use Epinastine (Torex) as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Epinastine (Torex) is only for the eye. Do not get it in your nose or mouth.
• Remove contact lenses before you use Epinastine (Torex).
• To use Epinastine (Torex) in the eye, first, wash your hands. Tilt your head back. Using your index finger, pull the lower eyelid away from the eye to form a pouch. Drop the medicine into the pouch and gently close your eyes. Immediately use your finger to apply pressure to the inside corner of the eyelid for 1 to 2 minutes. Do not blink. Remove excess medicine around your eye with a clean tissue, being careful not to touch your eye. Wash your hands to remove any medicine that may be on them.
• To prevent germs from contaminating your medicine, do not touch the applicator tip to any surface, including your eye. Keep the container tightly closed.
• If you miss a dose of Epinastine (Torex), use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once.

Ask your health care provider any questions you may have about how to use Epinastine (Torex).

Use Menthol (Torex) spray as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Wash your hands before and right after using Menthol (Torex) spray.
• Spray Menthol (Torex) spray directly onto the affected area. Do not rub or massage the medicine into the skin.
• Do not wrap, bandage, or use a heating pad on the treated area.
• Do not apply Menthol (Torex) spray more than 4 times daily.
• If you miss a dose of Menthol (Torex) spray, use it as soon as you remember. Continue to use it as directed by your doctor or on the package label.

Ask your health care provider any questions you may have about how to use Menthol (Torex) spray.

Use Sodium Citrate (Torex) as directed by your doctor. Check the label on the medicine for exact dosing instructions.

• Take Sodium Citrate (Torex) after meals and at bedtime, unless directed otherwise by your health care provider.
• Shake well before using.
• Use a measuring device marked for medicine dosing. Ask your pharmacist for help if you are unsure of how to measure your dose.
• Mix Sodium Citrate (Torex) with water before swallowing. Follow with additional water, if desired.
• If you miss a dose of Sodium Citrate (Torex), take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use Sodium Citrate (Torex).

Ammonium Chloride (Torex) is used for the relief of cough in the form of cough expectorant. It is also used as an injection to treat patients with hypochloremia and metabolic alkalosis.

Use: Labeled Indications

Allergic symptoms, allergic rhinitis, urticaria, pruritus: Perennial and seasonal allergic rhinitis and other allergic symptoms including urticaria, pruritus

Off Label Uses

Motion sickness

Data from a limited number of patients studied suggests that Chlorpheniramine (Torex) may be beneficial in the treatment of motion sickness. Additional data may be necessary to further define its role in this condition.

Epinastine (Torex) is used to relieve symptoms such as watery eyes and itchy, red, swollen eyes or eyelids of allergic conjunctivitis (irritation and redness in the membrane covering the eye).

Pharmaceutical Aid

Use: Labeled Indications

Anticoagulant:

Concentrate (triCitrasol): Anticoagulant used in granulocytapheresis procedures

Solution: Anticoagulant for use with cytapheresis device only

Off Label Uses

Regional anticoagulation for continuous renal replacement therapy circuit

Data from several small randomized, controlled trials support the use of regional Sodium Citrate (Torex) to reduce the risk of clot formation in continuous renal replacement therapy (CRRT) circuits, thus prolonging circuit life and avoiding interruptions in therapy. It should be noted that patients with high bleeding risk, severe coagulopathy, metabolic abnormalities, or liver dysfunction were excluded from these trials.

In a treatment, patients should be monitored closely for signs of ammonia poisoning: pallor, sweating, irregular breathing, vomiting, bradycardia, arrhythmias, tremors, convulsions and coma.

Ammonium Chloride (Torex) should be used with caution in patients with heart and lung failure.

A longer-term correction of a hypochloraemia in patients with secondary metabolic alkalosis due to an intracellular potassium depletion can not be achieved by the sole administration of Ammonium Chloride (Torex). Concomitant administration of potassium is also necessary.

See also:
What other drugs will affect Chlorpheniramine (Torex)?

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Some products that may interact with this drug include: antihistamines applied to the skin (such as diphenhydramine cream, ointment, spray), antispasmodics (e.g., atropine, belladonna alkaloids), drugs for Parkinson's disease (e.g., anticholinergics such as benztropine, trihexyphenidyl), scopolamine, tricyclic antidepressants (e.g., amitriptyline).

Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone). Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients. Ask your pharmacist about the safe use of those products.

Chlorpheniramine (Torex) is very similar to dexchlorpheniramine. Do not use medications containing dexchlorpheniramine while using Chlorpheniramine (Torex).

This medication may interfere with certain laboratory tests (including Chlorpheniramine (Torex) skin testing), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

When this drug applied simultaneously with:

- other NSAIDs increases the risk of erosive and ulcerative lesions of the gastrointestinal tract and bleeding

- antihypertensive drugs (including those with beta-blockers, ACE inhibitors, diuretics) it may decreases their actions

- aspirin may decrease the binding of ketoprofen to plasma proteins and increase its plasma clearance

- heparin, ticlopidine increase risk of bleeding

- lithium therapy - it may increase the concentration of lithium in blood plasma to the toxic by reducing its renal excretion

- diuretics increases the risk of renal failure due to a decrease in renal blood flow caused by inhibition of prostaglandin synthesis, and against the background of hypovolemia

- probenecid it may decreases the clearance of ketoprofen and its binding to plasma proteins

- methotrexate - may increase the side effects of methotrexate

- warfarin may develop severe, sometimes fatal bleeding.

Tell your doctor of any over-the-counter or prescription medication you may take including: blood thinners.

Do not start or stop any medicine without doctor or pharmacist approval.

See also:
What other drugs will affect Sodium Citrate (Torex)?

General: Alkalinization of the urine due to the use of Sodium Citrate (Torex), theoretically, may result in a decreased therapeutic effect of the following medications: Chlorpropamide, lithium, salicylates and tetracyclines. Alternatively, alkalinization of the urine due to the use of Sodium Citrate (Torex), theoretically, may result in an increased therapeutic effect of the following medications: Amphetamines, ephedrine/pseudoephedrine.

Antacids: Concurrent use of antacids with citrates may result in systemic alkalosis. Concomitant administration of antacids with Sodium Citrate (Torex) and sodium bicarbonate may promote the development of calcium stones in patients with uric acid stones and may also cause hypernatremia. Concurrent use of aluminum-containing antacids with citrate salts can increase aluminum absorption, possibly resulting in acute aluminum toxicity, especially in patients with renal insufficiency.

Quinolones: Citrates may reduce the solubility of ciprofloxacin, norfloxacin or ofloxacin in the urine. Patients should be observed for signs of crystalluria and nephrotoxicity.

Laxatives: Concurrent administration of citrates with laxatives may have an additive effect.

See also:
What are the possible side effects of Ammonium Chloride (Torex)?

Rapid intravenous administration of Ammonium Chloride (Torex) may be accompanied by pain or irritation at the site of injection or along the venous route.

Reactions which may occur because of the solution or the technique of administration include febrile response, infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection, extravasation and hypervolemia (from large volume diluent).

If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate therapeutic countermeasures and save the remainder of the fluid for examination if deemed necessary.

See also:
What are the possible side effects of Chlorpheniramine (Torex)?

Applies to Chlorpheniramine (Torex): capsules, controlled-release capsules, suspension drops, sustained-release capsules, syrup, tablets

Other dosage forms:

• suspension

Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; diarrhea; dizziness; drowsiness; dry mouth, nose, or throat; excitability; headache; loss of appetite; nausea; nervousness or anxiety; trouble sleeping; upset stomach; vomiting; weakness.

Seek medical attention right away if any of these SEVERE side effects occur while taking Chlorpheniramine (Torex) (the active ingredient contained in Chlorpheniramine (Torex) (Chlorpheniramine (Torex)))

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating or inability to urinate; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; tremor; trouble sleeping; vision changes.

See also:
What are the possible side effects of Epinastine (Torex)?

Applies to Epinastine (Torex) ophthalmic: ophthalmic solution

In addition to its needed effects, some unwanted effects may be caused by Epinastine (Torex) ophthalmic. In the event that any of these side effects do occur, they may require medical attention.

Major Side Effects

You should check with your doctor immediately if any of these side effects occur when taking Epinastine (Torex) ophthalmic:

More common:

• Burning sensation in the eye
• increase in blood flow to the whites of the eyes
• redness, itching, pain, swelling, or other irritation of the eye

Minor Side Effects

Some of the side effects that can occur with Epinastine (Torex) ophthalmic may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

More common: - some side effects were similar to problem being treated

• Body aches or pain
• chills
• cough
• difficulty with breathing
• ear congestion
• fever
• headache
• loss of voice
• nasal congestion
• runny nose
• sneezing
• sore throat
• unusual tiredness or weakness

• Congestion
• hoarseness
• increased cough
• pain or tenderness around the eyes and cheekbones
• shortness of breath
• stuffy nose
• tender, swollen glands in the neck
• tightness of the chest or wheezing
• trouble with swallowing
• troubled breathing
• voice changes

See also:
What are the possible side effects of Menthol (Torex)?

May cause hypersensitivity reactions such as cutaneous dermatitis. Ingestion of large amount of Menthol (Torex) may cause GI effects such as severe abdominal pain, nausea, vomiting, vertigo, ataxia, drowsiness and coma.

See also:
What are the possible side effects of Sodium Citrate (Torex)?

The tartrate component of Sodium Citrate (Torex) may be incompletely absorbed. Because of this Sodium Citrate (Torex) may be exert a mild laxative effect. Prolonged and excessive use may cause a systemic alkolosis and / or hypernatremia.

An alpha- and beta-adrenergic agonist that may also enhance release of norepinephrine. It has been used in the treatment of several disorders including asthma, heart failure, rhinitis, and urinary incontinence, and for its central nervous system stimulatory effects in the treatment of narcolepsy and depression. It has become less extensively used with the advent of more selective agonists.

Epinastine (Torex) is used for the prevention of itching associated with allergic conjunctivitis. It has a multi-action effect that inhibits the allergic response in 3 ways: 1. stabilizes mast cells by preventing mast cell degranulation to control the allergic response, 2. prevents histamine binding to both the H1- and H2-receptors to stop itching and provide lasting protection, and 3. prevents the release of proinflammatory chemical mediators from the blood vessel to halt progression of the allergic response.

Menthol (Torex) is a covalent organic compound made synthetically or obtained from peppermint or other mint oils. It is a waxy, crystalline substance, clear or white in color, which is solid at room temperature and melts slightly above. The main form of Menthol (Torex) occurring in nature is (-)-Menthol (Torex), which is assigned the (1R,2S,5R) configuration. Menthol (Torex) has local anesthetic and counterirritant qualities, and it is widely used to relieve minor throat irritation.

Each 4 g of Sodium Citrate (Torex) contains sodium bicarbonate 1760 mg, anhydrous Sodium Citrate (Torex) 630 mg, anhydrous citric acid 720 mg and tartaric acid 890 mg.

It also contains the following excipients: Nature identical lemon flavor oil, terpeneless and sodium saccharin.

Sodium Citrate (Torex) consists of formulation and pleasantly flavored granules. When added to water, Sodium Citrate (Torex) effervesces and dissolves, forming a clear or orange-colored alkaline solution.