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Sodium Propionate

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

Sodium Propionate is an antimicrobial and antifungal agent used in ophthalmology, primarily as a preservative in eye drop formulations and sometimes as an active ingredient for treating superficial eye infections. Its acidic nature creates an environment hostile to bacterial and fungal growth, making it effective for ocular surface disinfection.

Quick summary

Sodium Propionate is an ophthalmic antimicrobial/preservative agent used for eye infection treatment and formulation preservation.

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

Key facts at a glance

ATC
S01AX10
RxNorm
56513
Generic
Sodium Propionate
Class
atc-s01
Brands
Blu-Kote
Availability
rx
Lactation
unknown
Routes
topical
Forms
spray
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)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Estimated single dose that may cause toxicity in adults
Chronic overdose: prolonged use leading to metabolic alkalosis and electrolyte imbalances
Immediate actions
supportive care, monitoring of vital signs and electrolytes
Antidote
no specific antidote(supportive care is mainstay of treatment)
Poison Control: 1-800-222-1222

Special Populations

11 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

use only if clearly needed

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

use only if clearly needed

Key Recommendations

use under physician supervision

Monitor

routine prenatal care

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

use only if clearly needed

Key Recommendations

use under physician supervision

Monitor

routine prenatal care

Use with caution and monitor for adverse effects.

✓

lactation

breastfeeding
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

compatible with breastfeeding due to minimal systemic absorption

Monitor

no specific monitoring required

✓

geriatric

elderly
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing applies

Monitor

standard ophthalmic follow-up

⚠

pediatric_age

infants
caution
FDA Category
C
Dose Adjustment

use with caution

Key Recommendations

use only under medical supervision in infants

Monitor

close ophthalmic monitoring

Use with caution and monitor for adverse effects.

✓

pediatric_age

children
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard pediatric dosing

Monitor

routine ophthalmic examination

✓

renal_impairment

mild
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing

Monitor

no specific monitoring

✓

renal_impairment

severe
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing due to topical application

Monitor

no specific monitoring

✓

hepatic_impairment

mild
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing

Monitor

no specific monitoring

✓

hepatic_impairment

severe
safe
FDA Category
N
Dose Adjustment

no adjustment needed

Key Recommendations

standard dosing

Monitor

no specific monitoring

Statistics and clinical data

preservingFDA
2023

Commonly used since

Value:1950s

General preservative use information

drug_classFDA
2023

Chemical class

Value:Propionate salt

Chemical classification information

usageFDA
2023

Common applications

Value:Food preservative, Animal feed additive, Topical antimicrobial

Common therapeutic and industrial applications

Used for the treatment and prevention of superficial eye infections, particularly those involving fungi and certain bacteria. Also serves as a preservative component in multi-dose ophthalmic solutions to maintain sterility during storage and use.

Exerts antimicrobial effects by lowering pH and creating an acidic environment that inhibits the growth of bacteria, fungi, and other microorganisms. This property helps maintain ocular surface hygiene and treats infected tissues.

For ophthalmic use only; avoid contamination of the dropper tip. Patients with known hypersensitivity to propionates or severe eye conditions should consult a physician before use. May cause temporary stinging upon application. Not suitable for deep intraocular infections.

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