Electrolytes – Dextrose
Indications And Clinical Uses: For the management of watery diarrhea of varying types, including gastroenteritis and oral correction of fluid and electrolyte loss in infants, children and adults.
Contra-Indications: There are no known contraindications to this product.
Manufacturers’ Warnings In Clinical States: Cow’s milk and artificial milk feeds in infants should be stopped for 24 hours and gradually introduced when the diarrhea has lessened. However, breast feeding should be continued.
Precautions: For oral administration only, Gastrolyte should not be reconstituted in diluents other than water. Each sachet should always be dissolved in 200 mL of water. A weaker solution than recommended will not contain the optimal dextrose and electrolyte concentration while a stronger solution than recommended may give rise to electrolyte imbalance. The composition of Gastrolyte stimulates intestinal water absorption.
With intractable vomiting, adynamic ileus, intestinal obstruction or perforated bowel, nothing should be administered orally.
If the diarrhea does not improve promptly, the patient should be reassessed.
Dosage And Administration: Reconstitution: The contents of each sachet should be dissolved in sufficient drinking water to make 200 mL. An infant’s feeding bottle is a convenient measure of this volume. The solution should be made up immediately prior to feeding and any solution remaining an hour after reconstitution should be discarded. However, the solution may be used for up to 24 hours if stored in a refrigerator immediately after reconstitution. The reconstituted solution must not be boiled.
For oral administration only. A basic principle of treatment of diarrhea is to replace fluid loss and then to maintain sufficient fluid intake to replace further loss from stools.
For toddlers, older children and adults, Gastrolyte solution may be given freely until the thirst is satisfied.
For infants, a number of different regimens are used by different physicians, but the basic principle is to omit milk feeds or solids initially, while maintaining adequate fluid intake. Milk can then be re-introduced to provide calories, but to avoid worsening or prolonging the diarrhea, this should be gradual.
General Dosage Guide: 150 mL of Gastrolyte solution/kg of body weight/day.
In those patients who are vomiting at the start of treatment, it may be advisable to give very small volumes initially until vomiting is under control. Infantile diarrhea is uncommon in breastfed infants. However, if treatment with this product becomes necessary, it is suggested that the infant be breastfed until satisfied followed by the solution if necessary.
Availability And Storage: Each foil/laminate sachet contains: sodium chloride 470 mg, disodium citrate 530 mg, potassium chloride 300 mg and dextrose monohydrate 3 560 mg.
Gastrolyte Fruit: A liter made up of 5 sachets´200 mL contains: sodium 60 mmol, potassium 20 mmol, chloride 60 mmol and dextrose (anhydrous) 90 mmol. Nonmedicinal ingredients: aspartame, colloidal silica, disodium hydrogen citrate, flavor grapefruit, flavor pineapple, glucose, potassium chloride and sodium chloride. Boxes of 10´4.9 g sachets.
Gastrolyte Regular: A liter made up of 5 sachets´200 mL contains: sodium 60 mmol, potassium 20 mmol, chloride 60 mmol and dextrose (anhydrous) 90 mmol. Nonmedicinal ingredients: aspartame, colloidal silica, disodium hydrogen citrate, glucose, potassium chloride and sodium chloride. Boxes of 10´4.9 g sachets.
Store in a cool, dry place.
GASTROLYTE® Rhône-Poulenc Rorer Electrolytes – Dextrose Antidiarrheal