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Sodium Chloride

Published: July 26, 2026Updated: August 24, 2026

Sodium Chloride is an essential mineral supplement containing sodium and chloride ions that are vital for maintaining proper fluid balance, electrolyte homeostasis, and normal cellular function in the body. It is used to treat or prevent sodium and chloride deficiencies, support hydration therapy, and serve as a component in various therapeutic solutions for wound care and nasal irrigation.

Quick summary

An essential mineral supplement used to maintain electrolyte balance and support hydration in patients with sodium or chloride deficiencies.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
A12CA01
RxNorm
9863
Generic
Sodium Chloride
Class
atc-a12
Brands
SaltAire, Cleanoz Saline, Pretz, Clinimix E 4.25/10, Extraneal, Nebusal, Mycinaire, Aminosyn II 8.5 % with Electrolytes, Sulfite-Free, Aminosyn 8.5 % with Electrolytes, Sulfite-Free, Isolyte S in 5 % Dextrose, Normosol-R in 5 % Dextrose, Trophamine 10 %, Trophamine 6 %, Plasma-Lyte 56 in 5 % Dextrose, Nasadrops
Availability
rx
Lactation
unknown
Routes
oral, ophthalmic, nasal, topical
Forms
injection, prefilled syringe, solution, spray, tablet, ointment, gel
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)intravenous solution
Usual dose
1000mL normal saline 0.9%
Maximum
consult physician
Frequency
every 8 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)intravenous solution
Usual dose
20mL/kg normal saline 0.9%
Maximum
consult physician
Frequency
as needed for volume replacement
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)intravenous solution
Usual dose
500mL normal saline 0.9%
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose exceeding 35g of sodium may cause serious toxicity in adults; toxicity highly dependent on water intake and renal function
Chronic overdose: Prolonged excessive intake leading to hypernatremia (serum sodium >145 mEq/L)
Immediate actions
Administer water or IV dextrose 5% to dilute serum sodium; monitor vital signs and electrolytes
Antidote
No specific antidote exists; treatment is supportive and focused on gradual sodium correction(Effectiveness depends on timely correction of hypernatremia and prevention of cerebral edema)
Poison Control: 1-800-222-1222

Special Populations

10 groups
✓

pregnancy

first trimester
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

generally considered safe for hydration and electrolyte replacement during pregnancy

Monitor

monitor blood pressure and fluid balance

✓

pregnancy

second trimester
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

generally considered safe for hydration and electrolyte replacement during pregnancy

Monitor

monitor blood pressure and fluid balance

✓

pregnancy

third trimester
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

generally considered safe for hydration and electrolyte replacement during pregnancy

Monitor

monitor blood pressure and fluid balance

✓

lactation

postpartum
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

safe for use while breastfeeding

Monitor

no specific monitoring required

⚠

pediatric_age

neonates
caution
FDA Category
N
Dose Adjustment

adjust dose based on weight and age

Key Recommendations

use with caution in neonates; appropriate concentrations must be used

Monitor

monitor electrolytes and fluid balance closely

Use with caution and monitor for adverse effects.

⚠

pediatric_age

infants
caution
FDA Category
N
Dose Adjustment

adjust dose based on weight and age

Key Recommendations

use with caution in infants; appropriate concentrations must be used

Monitor

monitor electrolytes and fluid balance

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

may require dose adjustment based on renal function

Key Recommendations

use with caution in elderly patients due to potential renal and cardiovascular changes

Monitor

monitor blood pressure, renal function, and fluid balance

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild
caution
FDA Category
N
Dose Adjustment

may require dose adjustment based on renal function

Key Recommendations

use with caution in mild renal impairment

Monitor

monitor renal function and electrolytes

Use with caution and monitor for adverse effects.

⚠

renal_impairment

moderate to severe
caution
FDA Category
N
Dose Adjustment

use with caution; may require reduced dose or avoided in severe cases

Key Recommendations

use with caution in moderate to severe renal impairment

Monitor

closely monitor renal function, electrolytes, and fluid balance

Use with caution and monitor for adverse effects.

✓

hepatic_impairment

any
safe
FDA Category
N
Dose Adjustment

no adjustment typically needed

Key Recommendations

generally safe for use in hepatic impairment

Monitor

routine monitoring of electrolytes

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1950s

General prescribing information for IV saline solutions

drug_classWHO
2023

Drug class

Value:Electrolyte replacement agent

Drug class information for Sodium Chloride

usageMedical guidelines
2023

Common uses

Value:IV fluid therapy, nasal irrigation, electrolyte replacement

Common therapeutic uses for Sodium Chloride formulations

Treatment and prevention of sodium and chloride deficiencies, electrolyte imbalances, dehydration from various causes, and as a component in IV hydration therapy, nasal irrigation solutions, and wound cleansing.

Sodium chloride dissociates into sodium and chloride ions, which are essential electrolytes that regulate fluid distribution, maintain blood pressure, support nerve impulse transmission, and enable proper muscle contraction and cellular function.

Use with caution in patients with heart failure, kidney disease, or conditions causing fluid retention. Blood pressure and electrolyte levels should be monitored during prolonged use. Oral intake is preferred for mineral supplementation when possible.

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 August 24, 2026. · Read our editorial policy