Ceralyte FAQ

Ceralyte FAQs 

When do you use the Ceralyte 50 versus Ceralyte 70?

Your physician or pharmacist can assist in deciding whether Ceralyte -50, 70 or 90 is most appropriate for you.

Ceralyte 50 is to prevent or treat mild dehydration from mild to moderate diarrhea or vomiting; it is also appropriate to use following a more severe case of diarrhea which has subsided.  

Ceralyte 50 Potassium-free has 50 mEq/Liter of sodium and no potassium. It is not appropriate for general use but rather is made for people who have had or will have a transplant, or for those who take other medications which have potassium. Check with your physician on this.

Ceralyte 70 is for moderate diarrhea and vomiting and contains 70 mEq/L, which is a higher level of sodium, along with 20 mEq/L of potassium, 60 mEq/L of chloride and 30 mEq/Liter of citrate. It is given where moderate diarrhea and vomiting require more electrolytes.

Ceralyte 90 is similar to Ceralyte 50 and 70 but contains more sodium, i.e., 90 milliequivalents per liter, plus potassium at 20 mEq/L, and chloride (80 mEq/Liter, and citrate at 30 mEq/Liter. Ceralyte -90 is for heavy purging, such as in short gut or cholera or for other patients with significantly reduced absorption capacity.

IMPORTANT NOTE:

Medical treatment should be sought right away if any of the following warning signs are present:

  • Severe diarrhea, such as over 3 episodes in 8 hours, possibly including vomiting
  • Dehydration symptoms, including:
  • Sunken eyes or, for infants, sunken fontanel (“soft spot” at the top of the head)
  • Excessive thirst or dry mouth
  • Decreased urine or no urine
  • Very ill appearance, listless or fainting
  • High temperature (over 103°F)
  • Blood in the stool; severe abdominal cramps

How much Ceralyte should be given to a child? Is pediatric dosing based on age and/or weight? How long can pediatric dosing be continued? 

Give Ceralyte with the goal of replacing lost fluids. A quick rule of thumb is to give young children 2 to 4 oz after every loose stool. Greater amounts may be needed if large amounts of fluid are lost with the diarrhea or if vomiting is involved. A general rule is to continue taking Ceralyte until the urine is a pale yellow with good flow every two to four hours.

If the child is vomiting it may be better to initially give Ceralyte in small quantities (tablespoonfuls or sipping) and increasing the amounts when possible. The idea is “if you lose a cup, drink a cup.”

Oral fluids should not be withheld from anyone who is thirsty (unless medically necessary) since this is a typical sign that the patient is not adequately hydrated. Patients who are severely dehydrated may not be able to drink or they may drink poorly. 

Encourage continued eating of regular food and water. Eating helps speed recovery. Small amounts may be more easily tolerated. For infants, breastfeed or give formula, as usual.

The duration of Ceralyte use depends upon the type of illness. Some patients (including pediatric patients) suffering from chronic ailments, and under the supervision of their physician, will rely on Ceralyte throughout their lives.

How much per day should be given to an adult? What is the normal length of use?

The goal for oral rehydration fluids is to replace the amount of fluid lost (if you lose a cup drink a cup). An average person 10 years of age or older with diarrhea should slowly drink the contents of one ready to drink package (11 ounces) or the contents of one 10 gram packet dissolved in about 7 ounces of water after every loose stool. Greater amounts may be needed if large amounts of fluid are lost with the diarrhea or if vomiting is involved.

A general rule is to continue taking Ceralyte until the urine is a pale yellow with good flow every two to four hours. An initial starting dose of approximately one liter over one to two hours is often an adequate starting point.

Oral fluids should not be withheld from anyone who is thirsty (unless medically necessary) since this is a typical sign that the patient is not adequately hydrated. Patients who are severely dehydrated may have difficulty drinking.

The duration of Ceralyte use depends upon the type of illness. Some patients (including pediatric patients) suffering from chronic ailments, and under the supervision of their physician, will rely on Ceralyte throughout their lives.

What should be done if diarrhea continues? 

If the patient’s diarrhea continues for more than two to three days or gets worse, they should seek medical attention. Medical treatment should be sought IMMEDIATELY

if any of the following warning signs are present:

  • Severe diarrhea, possibly including vomiting
  • Dehydration symptoms, including:
  • sunken eyes or, for infants, sunken fontanel (“soft spot” at the top of the head)
  • excessive thirst or dry mouth
  • decreased urine or no urine
  • very ill appearance, listless or fainting
  • High temperature (over 103°F)
  • Blood in the stool; severe abdominal cramps

Can Ceralyte be administered through an NG tube? 

Ceralyte can be given via an NG tube or gastrostomy (“G” tube) but should be done so only under close medical supervision. The amount to be given should match the amount lost by diarrhea. The best way to judge adequate dose is good urine flow (50-100 ml/hour) with pale colored urine. Initially, in moderate dehydration, the dosage should be 20 ml/kg/hour for 2 - 3 hours to match losses. Check for residual fluid in the stomach if patient becomes distended or vomits. Slow the rate of infusion if residuals are more than 50 ml until the residuals diminish.

Can Ceralyte or Cerasport be administered to pregnant women?

Ceralyte and Cerasport are classified as a medical food by the Food and Drug Administration and are labeled for use under medical supervision. Clinicians considering recommending Ceralyte for pregnant women should do so after careful evaluation of the ingredients of Ceralyte. Some physicians have suggested their pregnant patients take Ceralyte on a trip in case of diarrhea or vomiting.

Should Ceralyte be given if the patient is vomiting? 

Dehydration occurs more rapidly if the patient has diarrhea and vomiting. Treatment with Ceralyte should be initiated or continued unless other medical complications exist that would preclude oral treatment.

Sipping small quantities, often with a spoon, frequently may allow more Ceralyte to be ingested and retained whereas ingesting larger volumes of fluids including Ceralyte could increase bouts of vomiting.

Oral fluids should be avoided if the patient is unconscious or nearing unconsciousness and the patient should seek immediate medical attention.

If a home care provider or medical associate asks a medical information question for which there is not a standard FAQ response, we will contact our medical department and have someone get back to you as soon as we can. We need your name, phone number/s and, if possible, an email address so we can reach you.

What is Ceralyte 90? When is it appropriate to use Ceralyte 90? How can I order/buy Ceralyte 90?

Ceralyte 90 is similar to Ceralyte 50 and 70 but contains the highest level of sodium, 90 milliequivalents per liter. Ceralyte 90 is for heavy purging, such as in short gut or other patients with significantly reduced absorption capacity. Ceralyte 90 can be used where the greatest levels of sodium are lost. You can use any major credit card to purchase ceralyte-90 directly from Cera Products at 843-842-2600 or 1-888-237-2598.

General FAQs

How long can a reconstituted product be stored and under what conditions should it be stored?

Ceralyte and Cerasport should be used within several hours if stored at room temperature but can be stored up to 24 hours after reconstituting (dissolving) the powder if it is stored in a clean sealed container in the refrigerator. Any remaining quantities should be discarded. The product can become contaminated from bacteria or mold in the air or water and become unsuitable to drink if the allowed to stand for longer periods.

Reconstituted product can be stored frozen -- Ideally, freeze the reconstituted Ceralyte or Cerasport in a covered ice cube tray. Once the cubes are frozen, place in a ziplock bag, and these can be stored frozen for up to one month. Please mark the bag with the correct date.

How long can you keep an opened packet of Ceralyte or Cerasport? How long can you safely keep an opened liquid of ready-to-drink Ceralyte or Cerasport?

Packet:

The ingredients in an opened packet of Ceralyte or Cerasport (but not yet mixed with water) are chemically stable. The remaining powder can be stored up to a week in the refrigerator if the packet is folded over and then stored in a sealed plastic bag. Opened packets should not be used beyond a day if they are left in an unsealed container at room temperature.  

Ready-to-drink:

Ceralyte or Cerasport ready to drink is packaged in easy to use single use containers. Opened containers should be consumed within a few hours of opening, unless they are refrigerated. If the opened package is refrigerated, use within 24 hours. This will ensure product quality and minimize the chance for potential microbial contamination after opening the containers, much in the same way as milk or milk products are treated.

What is the minimum age for use of Ceralyte or Cerasport?

Ceralyte or Cerasport can be used for any age, including infants or the elderly. Young children, the elderly and those with chronic conditions are most at risk for serious consequences of dehydration. Dehydration can occur quickly in young children and should be monitored closely. The elderly often do not recognize that they are getting dehydrated, due to the diminished thirst hormone.

in reference to combatting dehydration as a result of sickness, start giving Ceralyte right away by giving small sips of Ceralyte to infants or the elderly, if there is vomiting. Follow up with the pediatrician or physician. 

For children, it is usually easier to begin helping the child to sip and then continue taking small quantities (such as a sip from a spoon) more frequently than larger quantities all at once. This will help prevent vomiting.

What recommendations do you have for accidental ingestions/exposures?

It is always a good idea to ask your physician or medical center if you have any questions. Any swelling of hands and feet would be a sign to reduce or stop the Ceralyte or Cerasport and call your medical center. However, it is nearly impossible to overdose on Ceralyte or Cerasport. Children or adults with normal cardiovascular systems and kidneys generally will dispose of any excess with no side effects except increased urine output and some edema (swelling) if an extreme amount is taken (2 - 4 liters). If someone has heart failure or kidney failure then they should consult their physician who may prescribe a diuretic and measure blood potassium levels.

For persons who must restrict their intake of sodium, there is a chance that they may absorb too much salt if they drink large amounts of Ceralyte or Cerasport.

The symptoms of too much sodium being absorbed would typically include swelling of feet and legs or eyelids.

What liquids can the powder be mixed with? Can Ceralyte or Cerasport be mixed with something other than water? Do not like flavor. What other flavors does it come in? 

It is best to dissolve the Ceralyte or Cerasport powder in water. Crystal Light or other powdered NON-SUGARY drink mixes (including herb or other tea, or even diet jello) can be added.

While diet (non-sugary) soft drinks without caffeine, such as diet ginger ale or diet lemon lime sodas, can be added, MIX SLOWLY due to EXCESSIVE “FIZZING.”

Sugary drinks, fruit drinks, sugar or honey should NOT be added to Ceralyte or Cerasport as these change the chemical composition and can cause increased fluid loss or osmotic diarrhea.

Ceralyte and Cerasport is available in lemon, mixed berry and natural flavors.

Is Ceralyte and Cerasport available in Canada or other countries? 

Ceralyte and Cerasport are primarily available in the United States, and we do not currently have a distributor in Canada. However, we can ship to Canada by US Mail, UPS or FedEx at additional cost; we would need to include a Free Trade Form with the shipment and the customer pays the Canadian import tax. Ceralyte and Cerasport are available in South Africa and in Central America.

For international sales information, contact Charlene Riikkonen or Jennifer Rapp at Cera Products at 706-221-1542 or 843 842 2600 or 1-888-237-2598 or ADMIN@ceraproducts.us

Where can I purchase this? My pharmacy does not carry it. Can I order it directly? 

Pharmacist Response: Call your wholesaler or contact Cera Products Distribution Customer Service at 1-888-237-2598 and ask for Charlene Riikonen or Jennifer Gurrola.

Consumer Response: You can use your VISA or MASTERCARD or American Express card to purchase CeraLyte directly

How do I get in touch with a sales representative for Ceralyte or Cerasport?

Please contact Jennifer Gurrola at Cera Products at 706-221-1542

Does it contain sugar, lactose, salicylate, or gluten? Is Ceralyte and Cerasport gluten-free? Is it non-gmo? What about arsenic?

Ceralyte and Cerasport have been specially formulated and contains NO lactose, gluten or salicylate or sugar. All Ceralyte and Cerasport products contain a mix of rice-carbohydrate from the patented rice syrup, natural flavors and Reb A, a natural non-nutritive sweetener.

All Ceralyte and Cerasport products are certified gluten-free by the Celiac Support Association.

All Ceralyte and Cerasport products are NON-GMO rice, and have no arsenic.

 

What is the source for the flavorings and dyes? Are the flavorings natural or artificial?

Ceralyte and Cerasport comes in natural, lemon, and mixed berry flavors. The lemon and berry also include natural non-nutritive sweetener known as Reb A. The natural Ceralyte contains no flavors or colors. The lemon ready to drink contains natural flavors and sweeteners, and no artificial flavors or colors.

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