Identification
- Brand Names
- Damylin With Codeine
- Generic Name
- Ammonium chloride
- DrugBank Accession Number
- DB06767
- Background
Ammonium chloride is an inorganic compound with the formula NH4Cl. It is highly soluble in water producing mildly acidic solutions.
- Type
- Small Molecule
- Groups
- Approved, Investigational, Vet approved
- Structure
Structure for Ammonium chloride (DB06767)
- Weight
- Average: 53.491
Monoisotopic: 53.00322684 - Chemical Formula
- ClH4N
- Synonyms
- Ammonium chloride
- Ammoniumchlorid
- Chlorammonic
- Chlorid ammonia
- External IDs
- E 510
- E-510
- FEMA NO. 4494
- Ins no.510
- Ins-510
Pharmacology
- Indication
- Expectorant in cough syrups.
- The ammonium ion (NH4+) in the body plays an important role in the maintenance of acid-base balance. The kidney uses ammonium (NH4+) in place of sodium (Na+) to combine with fixed anions in maintaining acid-base balance, especially as a homeostatic compensatory mechanism in metabolic acidosis. The therapeutic effects of Ammonium Chloride depend upon the ability of the kidney to utilize ammonia in the excretion of an excess of fixed anions and the conversion of ammonia to urea by the liver, thereby liberating hydrogen (H+) and chloride (Cl–) ions into the extracellular fluid. Ammonium Chloride Injection, USP, after dilution in isotonic sodium chloride injection, may be indicated in the treatment of patients with: (1) hypochloremic states and (2) metabolic alkalosis.
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- Associated Therapies
- Contraindications & Blackbox Warnings
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Systemic acidifier. In liver ammonium chloride is converted into urea with the liberation of hydrogen ions ( which lowers the pH) and chloride.
- Mechanism of action
Ammonium chloride increases acidity by increasing the amount of hydrogen ion concentrations.
Ammonium chloride can be used as an expectorant due to its irritative action on the bronchial mucosa. This effect causes the production of respiratory tract fluid which in order facilitates the effective cough.
- Absorption
Completely absorbed within 3–6 h. In healthy persons, absorption of ammonium chloride given by mouth was practically complete. Only 1 to 3% of the dose was recovered in the feces.
- Volume of distribution
Data not found.
- Protein binding
Data not found.
- Metabolism
Ammonium ion is converted to urea in the liver; chloride ion replaces bicarbonate.
- Route of elimination
Excretion: Urine
- Half-life
Unknown
- Clearance
Data not found.
- Adverse Effects
Improve decision support & research outcomesWith structured adverse effects data, including: blackbox warnings, adverse reactions, warning & precautions, & incidence rates.Improve decision support & research outcomes with our structured adverse effects data.- Toxicity
LD50 "Rat" after oral administration is: 1650 mg/kg. Overdosage of Ammonium Chloride has resulted in a serious degree of metabolic acidosis, disorientation, confusion and coma. If metabolic acidosis occur following overdosage, the administration of an alkalinizing solution such as sodium bicarbonate or sodium lactate will serve to correct the acidosis.
Patients administering Ammonium chloride should be watched to the signs of ammonia toxicity including (pallor, sweating, irregular breathing, bradycardia, cardiac arrhythmias, local and general twitching, tonic convulsions and coma). It should be used with caution in patients with high total CO2 and buffer base secondary to primary respiratory acidosis. Intravenous administration should be slow to avoid local irritation and toxic effects.
- Pathways
- Not Available
- Pharmacogenomic Effects/ADRs
- Not Available
Interactions
- Drug Interactions
- This information should not be interpreted without the help of a healthcare provider. If you believe you are experiencing an interaction, contact a healthcare provider immediately. The absence of an interaction does not necessarily mean no interactions exist.
Drug Interaction Integrate drug-drug
interactions in your softwareAbacavir Abacavir may decrease the excretion rate of Ammonium chloride which could result in a higher serum level. Acebutolol The risk or severity of hyperkalemia can be increased when Acebutolol is combined with Ammonium chloride. Aceclofenac The risk or severity of hyperkalemia can be increased when Aceclofenac is combined with Ammonium chloride. Acemetacin The risk or severity of hyperkalemia can be increased when Ammonium chloride is combined with Acemetacin. Acetazolamide Acetazolamide may increase the excretion rate of Ammonium chloride which could result in a lower serum level and potentially a reduction in efficacy. Acetylsalicylic acid The serum concentration of Acetylsalicylic acid can be increased when it is combined with Ammonium chloride. Aclidinium Ammonium chloride may decrease the excretion rate of Aclidinium which could result in a higher serum level. Acrivastine Ammonium chloride may decrease the excretion rate of Acrivastine which could result in a higher serum level. Acyclovir Acyclovir may decrease the excretion rate of Ammonium chloride which could result in a higher serum level. Adefovir dipivoxil Adefovir dipivoxil may decrease the excretion rate of Ammonium chloride which could result in a higher serum level. 
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- No interactions found.
Products
Drug product information from 10+ global regionsOur datasets provide approved product information including:dosage, form, labeller, route of administration, and marketing period.Access drug product information from over 10 global regions.- Brand Name Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Acidax Inj 0.9% USP Liquid .9 % Intravenous Wentworth Hall 1986-12-31 1997-05-30 Canada 
- Generic Prescription Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Ammonium Chloride Injection, solution, concentrate 5 meq/1mL Intravenous Hospira, Inc. 2005-02-28 2012-01-01 US 
- Over the Counter Products
Name Dosage Strength Route Labeller Marketing Start Marketing End Region Image Ecopp Long Acting Antibacterial Disinfectant Liquid 0.05 mg/250mL Extracorporeal Shenzhen Econin Environmental Protection Technology Co., Ltd. 2020-03-28 Not applicable US - Mixture Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image Acididyn Tab Ammonium chloride (32.4 mg) + Betaine hydrochloride (178.2 mg) Tablet Oral Nutri Dyn Products Ltd. 1975-12-31 1997-08-22 Canada ALLAVIN EXPECTORANT Ammonium chloride (135 mg/5ml) + Diphenhydramine hydrochloride (14 mg/5ml) Syrup Oral DUOPHARMA MANUFACTURING (BANGI) SDN BHD 2020-09-08 Not applicable Malaysia 
ANTI-PHLEGM COUGH MIXTURE Ammonium chloride (100 mg/5ml) + Ephedrine hydrochloride (4 mg/5ml) + Sodium citrate (150 mg/5ml) Solution Oral LI TA SHEN MEDICAL TRADER 1989-11-05 Not applicable Singapore Babys Own Cough Syr Ammonium chloride (910 mg / 100 mL) + Guaifenesin (1 g / 100 mL) + Mepyramine maleate (160 mg / 100 mL) Liquid Oral G.T. Fulford Pharmaceuticals 1977-12-31 1998-06-25 Canada Balminil Codeine Night Time + Expectorant Ammonium chloride (125 mg / 5 mL) + Codeine phosphate (3.33 mg / 5 mL) + Diphenhydramine hydrochloride (12.5 mg / 5 mL) Liquid Oral Rougier Pharma Division Of Ratiopharm Inc 2003-06-03 2015-10-01 Canada Balminil Night-time Ammonium chloride (125 mg / 5 mL) + Dextromethorphan hydrobromide (15 mg / 5 mL) + Diphenhydramine hydrochloride (12.5 mg / 5 mL) Syrup Oral TEVA Canada Limited 2001-03-20 2018-03-30 Canada BEANAMINE EXPECTORANT Ammonium chloride (0.12 g/5ml) + Diphenhydramine hydrochloride (0.01 g/5ml) Solution Oral BEACONS PHARMACEUTICALS PTE. LTD. 1989-05-22 Not applicable Singapore Bemosin Tab Ammonium chloride (97.2 mg) + Betaine hydrochloride (130 mg) + Pepsin (130 mg) Tablet Oral Therapeutic Foods Co. 1988-12-31 2003-07-16 Canada BENADRYL COUGH SYRUP Ammonium chloride (125 mg/5ml) + Diphenhydramine hydrochloride (12.5 mg/5ml) Syrup Oral JOHNSON & JOHNSON PTE. LTD. 2000-07-17 Not applicable Singapore BENADRYL ORIGINAL Ammonium chloride (125 mg/5mL) + Diphenhydramine hydrochloride (12.5 mg/5mL) Syrup Oral Integrated Healthcare Indonesia 2017-03-03 2027-02-16 Indonesia 
- Unapproved/Other Products
Name Ingredients Dosage Route Labeller Marketing Start Marketing End Region Image Ecopp Long Acting Antibacterial Disinfectant Ammonium chloride (0.05 mg/250mL) Liquid Extracorporeal Shenzhen Econin Environmental Protection Technology Co., Ltd. 2020-03-28 Not applicable US Ecopp Portable Virus Proection Ammonium chloride (0.007 g/3.5g) + Chlorine dioxide (0.595 g/3.5g) Granule Extracorporeal Shenzhen Econin Environmental Protection Technology Co., Ltd. 2020-03-28 Not applicable US
Categories
- ATC Codes
- G04BA01 — Ammonium chlorideB05XA04 — Ammonium chloride
- Drug Categories
- Acidifying Agents
- Agents causing hyperkalemia
- Ammonium Compounds
- Blood and Blood Forming Organs
- Blood Substitutes and Perfusion Solutions
- Chlorides
- Chlorine Compounds
- Drugs that are Mainly Renally Excreted
- Electrolyte Solutions
- Genito Urinary System and Sex Hormones
- I.V. Solution Additives
- Nitrogen Compounds
- Urinary Acidifying Agents
- Urologicals
- Chemical TaxonomyProvided by Classyfire
- Description
- This compound belongs to the class of inorganic compounds known as other non-metal halides. These are inorganic compounds containing 'other non-metals' and halogen.
- Kingdom
- Inorganic compounds
- Super Class
- Homogeneous non-metal compounds
- Class
- Other non-metal halides
- Sub Class
- Not Available
- Direct Parent
- Other non-metal halides
- Alternative Parents
- Inorganic chloride salts
- Substituents
- Inorganic chloride salt / Inorganic salt / Other non-metal halide
- Molecular Framework
- Not Available
- External Descriptors
- ammonium salt, inorganic chloride (CHEBI:31206)
- Affected organisms
- Humans and other mammals
Chemical Identifiers
- UNII
- 01Q9PC255D
- CAS number
- 12125-02-9
- InChI Key
- NLXLAEXVIDQMFP-UHFFFAOYSA-N
- InChI
- InChI=1S/ClH.H3N/h1H;1H3
- IUPAC Name
- ammonium chloride
- SMILES
- [NH4+].[Cl-]
References
- General References
- External Links
- KEGG Drug
- D01139
- KEGG Compound
- C12538
- PubChem Compound
- 25517
- PubChem Substance
- 347827792
- ChemSpider
- 23807
- 712
- ChEBI
- 31206
- ChEMBL
- CHEMBL1200939
- PharmGKB
- PA448392
- Wikipedia
- Ammonium_chloride
Clinical Trials
- Clinical Trials
Phase Status Purpose Conditions Count 4 Completed Other End Stage Renal Disease (ESRD) 1 1 Completed Basic Science Healthy Subjects (HS) 1
Pharmacoeconomics
- Manufacturers
- Not Available
- Packagers
- Not Available
- Dosage Forms
Form Route Strength Liquid Intravenous .9 % Tablet Oral Injection, solution Parenteral Injection, solution, concentrate Intravenous Injection, solution, concentrate Intravenous 5 meq/1mL Liquid Oral Solution Oral 0.12 g/5ml Syrup Oral 125 mg/5ml Solution Oral Solution Oral 100 mg/5ml Syrup Oral 3 g Elixir Oral Solution Oral 62.5 mg/5ml Liquid Extracorporeal 0.05 mg/250mL Granule Extracorporeal Injection, solution Intravenous Syrup Oral 135 mg/5ml Syrup Oral Syrup Syrup Oral 14 mg Syrup Oral Solution Oral 80 mg/5ml Granule Syrup Oral 100 mg/5ml Syrup Oral 102 mg/5ml Suspension Oral 62.5 mg/5ml Syrup Oral 2 g Syrup Oral 135 mg/5ml Suspension Oral 135 mg/5ml Solution Suspension Elixir - Prices
- Not Available
- Patents
- Not Available
Properties
- State
- Solid
- Experimental Properties
Property Value Source melting point (°C) 350 ° C (Sublimes) NIOSH, 2016 boiling point (°C) Sublimes NIOSH, 2016 - Predicted Properties
Property Value Source Water Solubility 124.0 mg/mL ALOGPS logP -0.21 ALOGPS logP 0.61 Chemaxon logS 0.37 ALOGPS pKa (Strongest Acidic) -7 Chemaxon Physiological Charge -1 Chemaxon Hydrogen Acceptor Count 0 Chemaxon Hydrogen Donor Count 0 Chemaxon Polar Surface Area 0 Å2 Chemaxon Rotatable Bond Count 0 Chemaxon Refractivity 5.62 m3·mol-1 Chemaxon Polarizability 2.39 Å3 Chemaxon Number of Rings 0 Chemaxon Bioavailability 1 Chemaxon Rule of Five Yes Chemaxon Ghose Filter No Chemaxon Veber's Rule Yes Chemaxon MDDR-like Rule No Chemaxon - Predicted ADMET Features
- Not Available
Spectra
- Mass Spec (NIST)
- Not Available
- Spectra
Spectrum Spectrum Type Splash Key Predicted MS/MS Spectrum - 10V, Positive (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 20V, Positive (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 40V, Positive (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 10V, Negative (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 20V, Negative (Annotated) Predicted LC-MS/MS Not Available Predicted MS/MS Spectrum - 40V, Negative (Annotated) Predicted LC-MS/MS Not Available
Drug created at September 14, 2010 16:21 / Updated at March 22, 2023 23:54