UreaPRO has the same safety and efficacy of ure-Na which is used in America's hospitals, but with added affordability for outpatient use.

UreaPRO bag with 30 doses with 15 grams of urea per dose.

UreaPRO comes in a bag with Thirty 15 gram urea doses and a dosing scoop that measures the 15g dose.

UreaPRO is a lower cost option to treat hyponatremia patients with urea. Unlike ure-Na, UreaPRO needs to be flavored. Flavoring recipes are available on this site on the Flavoring UreaPRO page.

The urea in UreaPRO is the same high quality pharmaceutical grade urea that is used in ure-Na and trusted in Americas hospitals.

Hospital discharge image

Printable patient education, initiation and discharge instructions in English and Spanish

Link to UreaPRO education and initiation instructions

UreaPRO Dosing Chart

The dosing in this chart s based off of the European Guidelines that support the use of urea to manage hyponatremia as a second line therapy for fluid restriction refractory patients

Mechanism of action of urea in the treatment of hyponatremia/SIADH/SIAD

Urea normalizes sodium by inducing osmotic excretion of free water without associated electrolyte depletion. Urea also ameliorates hyponatremia in SIADH/SIAD by a more specific effect, diminishing the natriuresis in association with increased medullary urea content

European Guidelines on the management of SIADH

 

European renal best practice guidelines for the treatment of SIADH

7.4.3. Patients with SAIDH

 

 7.4.3.1  In moderate or profound hyponatremia, we suggest restricting fluid intake as a first-line-treatment (2D).
7.4.3.2 In moderate or profound hyponatremia, we suggest the following can be considered equal second-line treatments: a) Increasing solute intake with 0.25–0.50g/kg per day if urea or a combination of low dose loop diuretics and oral sodium chloride (2D).
7.4.3.3 In moderate or profound hyponatremia, we recommend against lithium or demeclocycline (1D).
7.4.3.4  In moderate hyponatremia, we do not recommend vasopressin receptor antagonists (1C).
7.4.3.5  In profound hyponatremia, we recommend against vasopressin receptor antagonists (1C).

 Reference



mOsm comparison of urea vs. NaCl

1 - 15 gram scoop of UreaPro equals 250 mOsm, equal to 14.7 500mg NaCl tablets or 7.35 1g NaCl tablets.

2 - 15 gram scoops of UreaPro contains 30g of urea and equals 500 mOsm, equal to 29.4 500mg NaCl tablets or 14.7 1g NaCl tablets.

Patients not appropriate for UreaPro

Click below to view a presentation on the clinical data for the use of urea for the outpatient management of hyponatremia.

 

 

November 2018 CJASN published clinical study on the use of ure-Na to treat hyponatremia in the inpatient setting. 

 


ASN Kidney News editorial featuring our sister product ure-Na

 


UreaPro and BUN

Urea is produced normally in the body by the liver. As such, it is considered safe (GRAS designation by the FDA), and does not carry nephrotoxic or hepatotoxic potential. Since the blood test for BUN measures Blood Urea Nitrogen levels, it is expected that when UreaPro is administered, an increase in BUN levels may be seen. However, this isolated increase in not indicative of kidney function, and is similar to what may be seen when individuals consume a high protein diet with production of additional amounts of urea by the liver.

UreaPro should be used under medical supervision with close monitoring of laboratory studies.


UreaPro Ingredients

Ingredients in descending order:

  • Synthetically derived urea powder
  • Silica
  • Calcium Silicate