Cipoten Injection (Ascorbic Acid)

Adult administration

As ascorbic acid, 50 to 1,000 mg daily, administered subcutaneously, intramuscularly, or intravenously once or in multiple divided doses. Adjust appropriately based on age and symptoms.

This medication should not be administered to patients with allergies to this drug or any of its components. Patients with oxalate nephropathy, thalassemia, gout, or cystinuria should also avoid using this drug. Special caution is required for patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency, as hemolysis may occur with high doses. Patients with renal oxalate stones should not exceed 1 gram daily. Side effects such as nausea, vomiting, diarrhea, abdominal cramps, fatigue, flushing, headache, and insomnia may occur during treatment with this medication. Taking more than 1 gram daily may acidify the urine, increasing the risk of diarrhea or kidney stones. Doses over 600 mg may produce a diuretic effect. Caution is advised as excessive doses may lead to precipitation of oxalate or other substances in the urinary tract. This medication is usually taken orally, but should be administered via injection only in acute situations or when oral intake is not feasible, with a prompt transition to oral administration as soon as possible. Concurrent use with salicylates may impede absorption, so co-administration is not recommended. Usage with aspirin, nicotine, alcohol, certain appetite suppressants, iron preparations, anticonvulsants, oral contraceptives, and some antibiotics may affect the drug's efficacy. High doses may reduce the effectiveness of oral anticoagulants, so caution is necessary. During pregnancy, this medication should only be used when the benefits outweigh the risks, and it is advisable not to exceed 1 gram. During breastfeeding, it is known to be safe for the baby if taken within the recommended daily allowance. It is important to inform the doctor prior to any testing as this medication can affect the results of some carbohydrate tests or hematuria tests. Overdosing may lead to diarrhea or kidney stones, and diuretic effects may also occur; therefore, if symptoms arise, discontinue use immediately and visit a hospital. When administered via injection, there may be temporary pain at the injection site, and care should be taken to avoid nerve areas and not to repeat injections at the same site. The infusion rate should be adjusted slowly during intravenous administration to minimize side effects such as dizziness or phlebitis. This medication should be stored away from direct sunlight in a dry place, and kept out of reach of children. Additionally, it should be stored in its original container to prevent misuse or degradation of quality.

Serious side effects

Possible hemolysis in patients with G6PD deficiency

Mild side effects

Nausea, vomiting, diarrhea, abdominal cramps, fatigue, flushing, headache, insomnia, diuretic effect, temporary mild pain at the injection site, fainting, dizziness, phlebitis

This medication is sensitive to light and should be stored in a container that prevents light exposure. It is also important to maintain the efficacy of the drug by storing it between 2 to 8 degrees Celsius.

Appearance

A clear colorless or pale yellow injection solution in a brown vial

Package unit

20 mL/vial x 10