Citrasate® is an acid concentrate for bicarbonate-based dialysis that uses citric acid, a known anticoagulant, instead of acetic acid as the primary acidifying agent.

Proven Safety and Efficacy

Citrasate has a 10 year history of being safe and well-tolerated in hemodialysis patients. Moreover, Citrasate is the most prescribed citric acid concentrate and has been used in tens of thousands of treatments.

Citrasate contains citric acid, which forms citrate in solution, is easily metabolized in the body, and has a long and safe history of use in medicine, most notably as an anticoagulant used in the collection and storage of blood for transfusion. Citrate dialysate contains only a small fraction of the citrate concentration used to anticoagulate blood, yet evidence shows it may be associated with an increase in the delivered dose of dialysis.1 Chronic dialysis patients treated with Citrasate have demonstrated stable total and ionized serum calcium levels. 2

The Simple, Smart Choice

Citrasate can be used just like traditional dialysate. There is no additional patient or system monitoring needed beyond that normally employed in treatment with standard dialysate formulations. For patients and staff, switching to Citrasate is transparent and convenient. It's all in the dialysate.

By selecting Fresenius Medical Care, you join the industry leader with over two decades of experience providing superior quality products and excellent customer support.

You also get the benefit of a citrate dialysate product line based on best practice dialysate composition. Citrasate, liquid citric acid concentrate, is available is one gallon jugs and 55 gallon drums.

Need your Fresenius 2008K or 2008K2 machine software upgraded to use Citrasate? Please contact FMCNA Technical Services at 1-800-227-2572 for more information.

For more information or to order, please contact Fresenius Medical Care Customer Service at 1-800-323-5188


1 Kossmann, R., et all (2009). Increased efficiency of hemodialysis with citrate dialysate: a prospective controlled study. Clinical Journal of American Society of Nephrology, 4: 1459-1464
2 Ahmad S, Callan R, Cole JJ, Blagg CR. Dialysate made from dry chemicals using citric acid increases dialysis dose. Am J Kidney Dis. 35(3):493-499, 2000.



Formulations - Materials Safety Data Sheet