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Calcium Chloride

Published: July 26, 2026Updated: July 26, 2026

Calcium Chloride is an electrolyte replacement medication used to treat low blood calcium levels (hypocalcemia) and calcium deficiency conditions. It is also used in cardiac resuscitation scenarios as a calcium channel agent and in the treatment of certain poisonings, including those from calcium channel blockers or beta-blocker overdoses.

Quick summary

Calcium Chloride is an essential electrolyte supplement used to treat low blood calcium and support cardiac function during emergencies.

Medically reviewed by WellAlly Editorial TeamLast reviewed July 26, 2026Editorial policy

Key facts at a glance

ATC
A12AA07
RxNorm
1901
Generic
Calcium Chloride
Class
atc-a12
Brands
Clinimix E 4.25/10, Extraneal, Nutrilyte II, Dianeal PD-2/4.25, Dianeal PD-2/2.5, Dianeal PD-2/1.5, Dianeal Low Calcium 1.5, Dianeal Low Calcium 4.25, Dianeal Low Calcium 2.5, Clinimix E 4.25/5, Clinimix E 2.75/5, Clinimix E 5/15, Clinimix E 5/20, Clinimix E 5/25, BSS Ophthalmic Solution
Availability
rx
Lactation
unknown
Routes
ophthalmic
Forms
injection, prefilled syringe, solution
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)IV solution
Usual dose
2.5 mEq/L calcium
Maximum
consult physician
Frequency
continuous infusion during dialysis
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)IV solution
Usual dose
1.5 mEq/L calcium
Maximum
consult physician
Frequency
continuous infusion during dialysis
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)IV solution
Usual dose
2.0 mEq/L calcium
Maximum
consult physician
Frequency
continuous infusion during dialysis
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose exceeding 2 grams may cause serious hypercalcemia and tissue irritation
Chronic overdose: Repeated administration leading to serum calcium levels above normal range
Immediate actions
discontinue calcium administration, initiate intravenous hydration, monitor cardiac function and serum electrolytes
Antidote
No specific antidote exists; treatment is supportive(Supportive care including hydration, diuretics, and bisphosphonates is effective in managing hypercalcemia)
Poison Control: 1-800-222-1222

Special Populations

6 groups
⚠

pregnancy

all trimesters
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

use only when clearly needed for calcium replacement; benefits of adequate calcium intake may outweigh risks

Monitor

monitor serum calcium levels regularly

Use with caution and monitor for adverse effects.

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

calcium supplementation is generally safe and may be beneficial

Monitor

routine maternal serum calcium monitoring if high doses used

⚠

pediatric_age

neonates infants
caution
FDA Category
C
Dose Adjustment

weight-based dosing required; reduce dose proportionally

Key Recommendations

use under close medical supervision; avoid rapid infusion

Monitor

continuous cardiac monitoring; frequent serum calcium checks

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly 65
caution
FDA Category
C
Dose Adjustment

start with lower dose, titrate slowly

Key Recommendations

assess renal and cardiac function before use; avoid rapid infusion

Monitor

monitor renal function, serum calcium, ECG, blood pressure

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild moderate
caution
FDA Category
C
Dose Adjustment

reduce dose and monitor closely

Key Recommendations

use with caution; monitor serum calcium frequently

Monitor

frequent serum calcium, phosphorus, creatinine monitoring

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild moderate
caution
FDA Category
C
Dose Adjustment

no specific adjustment; monitor electrolytes

Key Recommendations

use standard dosing with monitoring

Monitor

monitor serum calcium, liver function tests

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1970s

General prescribing information for calcium chloride solutions

drug_classWHO
2023

Drug class

Value:Electrolyte Supplement

Drug class information for calcium chloride

usageMedical guidelines
2023

Common uses

Value:Calcium replacement, peritoneal dialysis, ophthalmic irrigation

Common therapeutic uses

mechanismFDA
2023

Mechanism of action

Value:Provides calcium ions for physiological functions including bone mineralization, muscle contraction, and nerve transmission

Pharmacological mechanism

Treatment and prevention of hypocalcemia, electrolyte replacement, cardiac resuscitation, magnesium sulfate overdose, calcium channel blocker or beta-blocker toxicity, and as an adjunct in hyperkalemia management.

Calcium Chloride provides ionized calcium, an essential cation critical for bone structure, neuromuscular function, blood coagulation, and cardiac contractility. It works by rapidly increasing serum calcium levels.

Administered intravenously with caution in patients on digoxin (risk of arrhythmias), requires careful monitoring of calcium levels, and may cause tissue necrosis if extravasation occurs. Generally not administered intramuscularly or subcutaneously.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed July 26, 2026. · Read our editorial policy