Quick answers
- What is Citric acid monohydrate, dextrose monohydrate, and trisodium citrate dihydrate used for?
- The FDA-approved label (Acd a, Terumo BCT, Ltd., June 15, 2026) says: “ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A is an anticoagulant for blood collection for use only with apheresis devices. […] ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A is an anticoagulant for blood collection for use only with apheresis devices.” This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
- Does Citric acid monohydrate, dextrose monohydrate, and trisodium citrate dihydrate have a boxed warning?
- No. None of the 2 FDA labels we found for this medicine has a boxed warning.
- Is there a shortage of Citric acid monohydrate, dextrose monohydrate, and trisodium citrate dihydrate?
- No current shortage is listed by the FDA for the products of this medicine (FDA data from October 30, 2026).
- Has Citric acid monohydrate, dextrose monohydrate, and trisodium citrate dihydrate been recalled?
- No recall linked to the products of this medicine appears in the FDA enforcement reports we use.
- Who makes Citric acid monohydrate, dextrose monohydrate, and trisodium citrate dihydrate?
- 1 company lists prescription products of Citric acid monohydrate, dextrose monohydrate, and trisodium citrate dihydrate in the FDA NDC Directory, including Terumo BCT, Ltd.
What Citric acid monohydrate, dextrose monohydrate, and trisodium citrate dihydrate is used for
Quoted from the “Indications and Usage” section of the FDA-approved label.
ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A is an anticoagulant for blood collection for use only with apheresis devices. […] ANTICOAGULANT CITRATE DEXTROSE SOLUTION USP (ACD) SOLUTION A is an anticoagulant for blood collection for use only with apheresis devices.
— FDA label: Acd a, Terumo BCT, Ltd., effective June 15, 2026. Read the full label on DailyMed →
The FDA has 2 labels for products of this medicine (different makers and forms); uses can differ between them. Check the label that comes with your own medicine.
This page is not medical advice. Talk to your doctor or pharmacist before you start, stop or change any medicine.
Boxed warning
A boxed warning (“black box”) is the FDA’s strongest warning on a drug label, for serious or life-threatening risks.
The label quoted above has no boxed warning.
0 of 2 FDA labels for this medicine have a boxed warning.
Forms and how it is given
| Dosage forms | Injection, solution |
|---|---|
| Route | Intravenous |
| Prescription products | 2 in the FDA NDC Directory |
| Brand names | Acd a |
Companies that list this medicine
Labelers in the FDA NDC Directory: the company named on the package (maker or distributor), with the number of prescription products.
- Terumo BCT, Ltd2 products
FDA approval history
No Drugs@FDA application is linked to these products.
Shortage status
The FDA drug shortage list does not show these products.
Recalls
No recall linked to these products (by their NDC code) appears in the FDA enforcement reports.
Official identifiers
| SPL set ID of the quoted label | 395aec48-198a-4aed-8e38-7accfb3232f9 |
|---|---|
| FDA labels (SPL) | 2 |
| Active ingredients (FDA) | CITRIC ACID MONOHYDRATE / DEXTROSE MONOHYDRATE / TRISODIUM CITRATE DIHYDRATE |
Sources
- FDA-approved label on DailyMed (National Library of Medicine) — Acd a, Terumo BCT, Ltd., effective June 15, 2026; via openFDA, FDA data exported October 30, 2026, retrieved October 31, 2026
- NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- Drugs@FDA (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
- Drug shortages (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
openFDA data is provided by the FDA as is; it may be incomplete. Always rely on the label that comes with your medicine. FDA Enforcement Report search →