Hazardous Substances Data Bank, National Library of Medicine, Bethesda, MD. http://toxnet.nlm.nih.gov/ Downloaded September, 2004 DISODIUM PHOSPHATE CASRN: 7558-79-4 For other data, click on the Table of Contents Human Health Effects: Human Toxicity Excerpts: ANHYDROUS FORM MAY CAUSE MILD IRRITATION TO SKIN, MUCOUS MEMBRANES; INTERNALLY CAUSES PURGING. [Budavari, S. (ed.). The Merck Index - Encyclopedia of Chemicals, Drugs and Biologicals. Rahway, NJ: Merck and Co., Inc., 1989. 1366]**PEER REVIEWED** TOXICITY OF PARENTERAL ... /DIBASIC & MONOBASIC SODIUM PHOSPHATE/ IS DUE TO THEIR SEQUESTRATION OF CALCIUM. ... SYSTEMIC REACTIONS ARE UNLIKELY WHEN THESE SALTS /DIBASIC & MONOBASIC SODIUM PHOSPHATE/ ARE GIVEN BY MOUTH. [Gosselin, R.E., R.P. Smith, H.C. Hodge. Clinical Toxicology of Commercial Products. 5th ed. Baltimore: Williams and Wilkins, 1984.,p. II-120]**PEER REVIEWED** ACUTE ... EYE CONTACT WITH CONCENTRATED ALKALI CAUSES CONJUNCTIVAL EDEMA & CORNEAL DESTRUCTION. ALKALIES PENETRATE SKIN SLOWLY. EXTENT OF DAMAGE THEREFORE DEPENDS ON DURATION OF CONTACT. CHRONIC POISONING (FROM SKIN CONTACT). CHRONIC DERMATITIS MAY FOLLOW REPEATED CONTACT ... /ALKALIES/ [Dreisbach, R. H. Handbook of Poisoning. 9th ed. Los Altos, California: Lange Medical Publications, 1977. 202]**PEER REVIEWED** ACUTE POISONING BY INJESTION: ... EVEN THOUGH PATIENTS RECOVER FROM IMMEDIATE DAMAGE, ESOPHAGEAL STRICTURE CAN OCCUR WK, MO, OR YR LATER TO MAKE SWALLOWING DIFFICULT. INGESTION OF TRIPOLYPHOSPHATE ... IN ... DETERGENTS OR LAXATIVES CAUSE SHOCKLIKE STATE, FALL OF BLOOD PRESSURE, SLOW PULSE, CYANOSIS COMA & SOMETIMES TETANY AS RESULT OF REDN IN IONIC CALCIUM. /ALKALIES/ [Dreisbach, R.H. Handbook of Poisoning. 12th ed. Norwalk, CT: Appleton and Lange, 1987. 211]**PEER REVIEWED** Sodium and potassium hexametaphosphates, polyphosphates, tripolyphosphates, pyrophosphates, and other phosphates used as water softeners form complexes with calcium and, after ingestion, are capable of seriously reducing the serum level of ionic calcium. They have less corrosive effect on mucous membranes than sodium or potassium hydroxide. Hydrolysis of the polymeric phosphates can also produce acidosis. /Alkalies & phosphates/ [Dreisbach, R.H. Handbook of Poisoning. 12th ed. Norwalk, CT: Appleton and Lange, 1987. 211]**PEER REVIEWED** The estimated fatal dose of sodium phosphates is 50 g. The corrosive effect is strong irritation & erythema, blistering. /Alkalies & phosphates; from table/ [Dreisbach, R.H. Handbook of Poisoning. 12th ed. Norwalk, CT: Appleton and Lange, 1987. 212]**PEER REVIEWED** Skin, Eye and Respiratory Irritations: Dust: Irritating to eyes, nose and throat. If inhaled will cause coughing or difficult breathing. Solid: Irritating to skin and eyes. [U.S. Coast Guard, Department of Transportation. CHRIS - Hazardous Chemical Data. Volume II. Washington, D.C.: U.S. Government Printing Office, 1984-5.]**PEER REVIEWED** Drug Warnings: THIS PHOSPHATE SHOULD NOT BE CONFUSED WITH TRIBASIC SODIUM PHOSPHATE WHICH IS VERY ALKALINE & HAS CAUSTIC ACTION. [Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980. 745]**PEER REVIEWED** Oral administration is safer, but careful monitoring of serum electrolyte levels and renal function is necessary. Nausea, vomiting, and diarrhea may occur and may be dose dependent. Concomitant use of antacids containing aluminum and/or magnesium should be avoided, because they may bind phosphate and prevent it absorption (calcium antacids also may bind phosphate, and it is assumed that these agents are not given to hypercalcemic patients). /Monobasic or dibasic sodium or potassium phosphate/ [American Medical Association, Department of Drugs. Drug Evaluations. 6th ed. Chicago, Ill: American Medical Association, 1986. 897]**PEER REVIEWED** Phosphate should not be given to patients with impaired renal function or hyperphosphatemia. They should not be given to patients with alkaline urine due to urinary tract infections because increased calcium and phosphate concentrations in the alkaline urine increase the risk of calcium phosphate stones. /Monobasic or dibasic sodium or potassium phosphate/ [American Medical Association, Department of Drugs. Drug Evaluations. 6th ed. Chicago, Ill: American Medical Association, 1986. 897]**PEER REVIEWED** Medical Surveillance: In total parenteral nutrition ... potassium or sodium phosphate is essential; requirements for phosphate are increased when glycolytic activity is increased or urinary losses are high (eg, persistent acidosis proximal renal tubular defect). For /adults/ approximately 200 to 400 mg (6.5 to 13 mM) of phosphorus is required daily for maintenance, but larger amounts are often needed when initiating total parenteral nutrition to maintain the serum phosphate level above 2.5 mg/dl. For each 500 ml of 50% dextrose in water infused, 12 mM of phosphorus has been recommended. [American Medical Association, Department of Drugs. Drug Evaluations. 6th ed. Chicago, Ill: American Medical Association, 1986. 864]**PEER REVIEWED** Emergency Medical Treatment: EMT Copyright Disclaimer: Portions of the POISINDEX(R) and MEDITEXT(R) database have been provided here for general reference. THE COMPLETE POISINDEX(R) DATABASE OR MEDITEXT(R) DATABASE SHOULD BE CONSULTED FOR ASSISTANCE IN THE DIAGNOSIS OR TREATMENT OF SPECIFIC CASES. The use of the POISINDEX(R) and MEDITEXT(R) databases is at your sole risk. The POISINDEX(R) and MEDITEXT(R) databases are provided "AS IS" and "as available" for use, without warranties of any kind, either expressed or implied. Micromedex makes no representation or warranty as to the accuracy, reliability, timeliness, usefulness or completeness of any of the information contained in the POISINDEX(R) and MEDITEXT(R) databases. ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE OR USE ARE HEREBY EXCLUDED. Micromedex does not assume any responsibility or risk for your use of the POISINDEX(R) or MEDITEXT(R) databases. Copyright 1974-2004 Thomson MICROMEDEX. All Rights Reserved. Any duplication, replication, "downloading," sale, redistribution or other use for commercial purposes is a violation of Micromedex' rights and is strictly prohibited. The following Overview, *** INORGANIC PHOSPHATES ***, is relevant for this HSDB record chemical. Life Support: o This overview assumes that basic life support measures have been instituted. Clinical Effects: 0.2.1 SUMMARY OF EXPOSURE 0.2.1.1 ACUTE EXPOSURE A) The most frequently seen effect following ingestion or rectal administration is gastrointestinal irritation. If a significant amount of phosphate is absorbed, hyperphosphatemia, hypocalcemia and hypomagnesemia may occur. B) Fluid and electrolyte abnormalities have been reported following exposure by oral, rectal, and intravenous routes. C) Severe hyperphosphatemia and hypocalcemia may result in tetany, seizures, bradycardia, prolonged QT interval, dysrhythmias, coma, and cardiac arrest. Severe dehydration, hypernatremia, hypotension, metabolic acidosis and tachycardia may also develop. D) The elderly, young children and patients with renal insufficiency are at increased risk of toxicity. 0.2.3 VITAL SIGNS 0.2.5 CARDIOVASCULAR 0.2.5.1 ACUTE EXPOSURE A) Tachycardia, bradycardia, heart block, EKG changes, and cardiac arrest have been reported secondary to electrolyte abnormalities. B) Excessive absorption of sodium may aggravate congestive heart failure. C) Hypotension secondary to dehydration may occur. 0.2.6 RESPIRATORY 0.2.6.1 ACUTE EXPOSURE A) Hyperventilation may occur secondary to hypocalcemia. 0.2.7 NEUROLOGIC 0.2.7.1 ACUTE EXPOSURE A) Coma, seizures, and tetany have been reported secondary to electrolyte abnormalities. 0.2.8 GASTROINTESTINAL 0.2.8.1 ACUTE EXPOSURE A) Nausea, vomiting, abdominal pain, and diarrhea are common, leading to dehydration. 0.2.10 GENITOURINARY 0.2.10.1 ACUTE EXPOSURE A) A mild diuresis may be noted following excessive absorption of these compounds. B) Acute renal failure in association with electrolyte imbalances was reported following therapeutic oral administration of a phosphosoda solution. 0.2.11 ACID-BASE 0.2.11.1 ACUTE EXPOSURE A) Metabolic acidosis is a frequent occurrence following administration of hypertonic phosphate enema solutions. 0.2.12 FLUID-ELECTROLYTE 0.2.12.1 ACUTE EXPOSURE A) Hyperphosphatemia, hypocalcemia, and tetany have occurred following overdosage with a phosphate-containing laxative and following recommended doses in patients with renal insufficiency. B) Fluid and electrolyte abnormalities (dehydration and hypokalemia) may be noted secondary to excessive diarrhea. 0.2.15 MUSCULOSKELETAL 0.2.15.1 ACUTE EXPOSURE A) Carpopedal spasm is a common presenting sign in inorganic phosphate poisoning and associated hypocalcemia. 0.2.20 REPRODUCTIVE HAZARDS A) At the time of this review, no data were available to assess the potential effects of exposure to this agent during pregnancy or lactation. Laboratory: A) Monitor fluid and electrolyte status, including serum phosphate, calcium, potassium, sodium and magnesium concentrations. B) Obtain an ECG and institute continuous cardiac monitoring. Treatment Overview: 0.4.2 ORAL EXPOSURE A) EMESIS: Ipecac-induced emesis is not recommended because of the potential for CNS depression, seizures and cardiovascular instability. B) GASTRIC LAVAGE: Consider after ingestion of a potentially life-threatening amount of poison if it can be performed soon after ingestion (generally within 1 hour). Protect airway by placement in Trendelenburg and left lateral decubitus position or by endotracheal intubation. Control any seizures first. 1) CONTRAINDICATIONS: Loss of airway protective reflexes or decreased level of consciousness in unintubated patients; following ingestion of corrosives; hydrocarbons (high aspiration potential); patients at risk of hemorrhage or gastrointestinal perforation; and trivial or non-toxic ingestion. C) Hydrate with 0.9% of 0.45% saline as clinically indicated. Correct hypocalcemia, hypomagnesemia, hypernatremia, and hyper or hypokalemia. Monitor urine output. D) CONGESTIVE HEART FAILURE patients with an excessive sodium load and normal renal function may be managed with a diuretic such as furosemide (1 mg/kg IV to a maximum of 40 mg). E) SEIZURES: Administer a benzodiazepine IV; DIAZEPAM (ADULT: 5 to 10 mg, repeat every 10 to 15 min as needed. CHILD: 0.2 to 0.5 mg/kg, repeat every 5 min as needed) or LORAZEPAM (ADULT: 2 to 4 mg; CHILD: 0.05 to 0.1 mg/kg). 1) Consider phenobarbital if seizures recur after diazepam 30 mg (adults) or 10 mg (children > 5 years). 2) Monitor for hypotension, dysrhythmias, respiratory depression, and need for endotracheal intubation. Evaluate for hypoglycemia, electrolyte disturbances, hypoxia. F) HYPOTENSION: Infuse 10 to 20 mL/kg isotonic fluid. If hypotension persists, administer dopamine (5 to 20 mcg/kg/min) or norepinephrine (ADULT: begin infusion at 0.5 to 1 mcg/min; CHILD: begin infusion at 0.1 mcg/kg/min); titrate to desired response. G) ATROPINE: ADULT DOSE: BRADYCARDIA: 0.5 to 1 mg IV every 5 min. ASYSTOLE: 1 mg IV every 5 min. Maximum total dose 3 mg or 0.04 mg/kg. Minimum single dose 0.5 mg. PEDIATRIC DOSE: 0.02 mg/kg IV repeat every 5 min, minimum single dose 0.1 mg; maximum single dose child 0.5 mg, adolescent 1 mg; maximum total dose 1 mg child, 2 mg adolescent. H) Hemodialysis may be necessary to rapidly correct hyperphosphatemia and hypocalcemia in severe cases. 0.4.3 INHALATION EXPOSURE A) INHALATION: Move patient to fresh air. Monitor for respiratory distress. If cough or difficulty breathing develops, evaluate for respiratory tract irritation, bronchitis, or pneumonitis. Administer oxygen and assist ventilation as required. Treat bronchospasm with inhaled beta2 agonist and oral or parenteral corticosteroids. 0.4.4 EYE EXPOSURE A) DECONTAMINATION: Irrigate exposed eyes with copious amounts of room temperature water for at least 15 minutes. If irritation, pain, swelling, lacrimation, or photophobia persist, the patient should be seen in a health care facility. 0.4.5 DERMAL EXPOSURE A) OVERVIEW 1) DECONTAMINATION: Remove contaminated clothing and wash exposed area thoroughly with soap and water. A physician may need to examine the area if irritation or pain persists. Range of Toxicity: A) Hyperphosphatemia, hypocalcemia, and hyperosmolarity developed in a 10 kg toddler following ingestion of 60 mL of a buffered sodium biphosphate and sodium phosphate solution. B) A premature infant developed hyperphosphatemia, and subsequently died, after inadvertently receiving 341 mg of sodium phosphate. [Rumack BH POISINDEX(R) Information System Micromedex, Inc., Englewood, CO, 2004; CCIS Volume 122, edition expires Nov, 2004. Hall AH & Rumack BH (Eds): TOMES(R) Information System Micromedex, Inc., Englewood, CO, 2004; CCIS Volume 122, edition expires Nov, 2004.]**PEER REVIEWED** Antidote and Emergency Treatment: Basic treatment: Establish a patent airway. Suction if necessary. Watch for signs of respiratory insufficiency and assist respirations if needed. Administer oxygen by nonrebreather mask at 10 to 15 L/min. Monitor for pulmonary edema and treat if necessary ... . Monitor for shock and treat if necessary ... . For eye contamination, flush eyes immediately with water. Irrigate each eye continuously with normal saline during transport ... . Do not use emetics. Activated charcoal is not effective. For ingestion, rinse mouth and administer 5 mL/kg up to 200 mL of water for dilution if the patient can swallow, has a strong gag reflex, and does not drool ... . Do not attempt to neutralize because of exothermic reaction. Cover skin burns with dry, sterile dressings after decontamination ... . /Inorganic Acids and Related Compounds/ [Bronstein, A.C., P.L. Currance; Emergency Care for Hazardous Materials Exposure. 2nd ed. St. Louis, MO. Mosby Lifeline. 1994. 149]**PEER REVIEWED** Advanced treatment: Consider orotracheal or nasotracheal intubation for airway control in the patient who is unconscious or in respiratory arrest. Early intubation, at the first signs of upper airway obstruction, may be necessary. Positive-pressure ventilation techniques with a bag-valve-mask device may be beneficial. Monitor cardiac rhythm and treat arrhythmias as necessary ... . Start an IV of D5W TKO /SRP: "To keep open", minimal flow rate/. Use lactated Ringer's if signs of hypovolemia are present. Watch for signs of pulmonary edema. For hypotension with signs of hypovolemia, administer fluid cautiously. Watch for signs of fluid overload. Consider drug therapy for pulmonary edema ... . For hypotension with signs of hypovolemia, administer fluid cautiously. Consider vasopressors if patient is hypotensive with a normal fluid volume. Watch for signs of fluid overload ... . Use proparacaine hydrochloride to assist eye irrigation ... . /Inorganic Acids and Related compounds/ [Bronstein, A.C., P.L. Currance; Emergency Care for Hazardous Materials Exposure. 2nd ed. St. Louis, MO. Mosby Lifeline. 1994. 149]**PEER REVIEWED** Animal Toxicity Studies: Non-Human Toxicity Excerpts: DISODIUM PHOSPHATE GIVEN INTRACEREBROVENTRICULARLY (ICV) IN RATS ELICITED A SYNDROME CHARACTERIZED BY BEHAVIORAL & EEG ACTIVATION, STEREOTYPES, HYPERRESPONSIVENESS, & ANALGESIA. [LABELLA F ET AL; DEV NEUROSCI (AMSTERDAM) 4 (CHARACT FUNCT OPIOIDS): 361-2 (1978)]**PEER REVIEWED** Tested on rabbit eyes by continuous exposure for three hours as 0.1 M solution at pH 7.0 to 7.5 made up to 0.46 osmolar with sodium chloride or sucrose, caused no disturbance of the cornea. [Clayton, G.D., F.E. Clayton (eds.) Patty's Industrial Hygiene and Toxicology. Volumes 2A, 2B, 2C, 2D, 2E, 2F: Toxicology. 4th ed. New York, NY: John Wiley & Sons Inc., 1993-1994. 841]**PEER REVIEWED** Non-Human Toxicity Values: LD50 Rat oral 17 g/kg [Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996. 2989]**PEER REVIEWED** Metabolism/Pharmacokinetics: Metabolism/Metabolites: In the body, phosphorus is converted to phosphates. /Phosphorus/ [Clayton, G. D. and F. E. Clayton (eds.). Patty's Industrial Hygiene and Toxicology: Volume 2A, 2B, 2C: Toxicology. 3rd ed. New York: John Wiley Sons, 1981-1982. 2122]**PEER REVIEWED** Absorption, Distribution & Excretion: ... PHOSPHATES (DIBASIC & MONOBASIC SODIUM PHOSPHATE) ARE SLOWLY & INCOMPLETELY ABSORBED. /DIBASIC & MONOBASIC SODIUM PHOSPHATE/ [Gosselin, R.E., H.C. Hodge, R.P. Smith, and M.N. Gleason. Clinical Toxicology of Commercial Products. 4th ed. Baltimore: Williams and Wilkins, 1976.,p. II-83]**PEER REVIEWED** Net phosphorus absorption may occur in the small intestine in some species but is primarily a function of the colon in horses. /Phosphorus/ [Booth, N.H., L.E. McDonald (eds.). Veterinary Pharmacology and Therapeutics. 5th ed. Ames, Iowa: Iowa State University Press, 1982.,p. 640]**PEER REVIEWED** Urinary excretion, the chief mode of elimination, is largely an organic and inorganic phosphate. /Phosphorus/ [Clayton, G. D. and F. E. Clayton (eds.). Patty's Industrial Hygiene and Toxicology: Volume 2A, 2B, 2C: Toxicology. 3rd ed. New York: John Wiley Sons, 1981-1982. 2122]**PEER REVIEWED** /Ortho/ phosphate is absorbed from, and to a limited extent secreted into, the gastrointestinal tract. Transport of phosphate from the gut lumen is an active, energydependent process that is modified by several factors. ... Vitamin D stimulates phosphate absorption, an effect reported to precede its action on calcium ion transport. In adults, about two thirds of the ingested phosphate is absorbed, and that which is absorbed is almost entirely excreted into the urine. In growing children, phosphate balance is positive. Concentrations of phosphate in plasma are higher in children than in adults. This "hyperphosphatemia" decreases the affinity of hemoglobin for oxygen and is hypothesized to explain the physiological "anemia" of childhood. /Phosphates/ [Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 1524]**PEER REVIEWED** Mechanism of Action: ... /PROMOTES/ DEFECATION BY RETAINING WATER IN THE INTESTINAL LUMEN THROUGH OSMOTIC FORCES. ... MAY ALSO ACT BY STIMULATING RELEASE OF CHOLECYSTOKININ. /SODIUM PHOSPHATE & SODIUM BIPHOSPHATE (FLEET'S ENEMA & FLEET'S PHOSPHO-SODA)/ [Miller, R. R., and D. J. Greenblatt. Handbook of Drug Therapy. New York: Elsevier North Holland, 1979. 1055]**PEER REVIEWED** Once phosphate gains access to the body fluids and tissues, it exerts little pharmacological effect. If the ion is introduced into the intestine, the absorbed phosphate is rapidly excreted. If large amounts are given by this route, much of it may escape absorption. Because this property leads to a cathartic action, phosphate salts are employed as mild laxatives. Inorganic phosphate poisoning following ingestion of laxatives that contain phosphate salts has been reported in adults and children. Ingestion of large amounts of sodium dihydrogen phosphate lowers urinary pH. If excessive phosphate salts are introduced intravenously or orally, they may prove toxic by reducing the concentration of Ca 2+ in the circulation and from the precipitation of calcium phosphate in soft tissues. /Phosphates/ [Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 1525]**PEER REVIEWED** Interactions: EXCEPT FOR D-THYROXINE, THE HYPOCHOLESTEROLEMIC AGENTS TESTED DID NOT PREVENT THE FORMATION OF CARDIAC LESIONS IN RATS ON A THROMBOGENIC DIET, BEING TREATED WITH LARGE DOSES OF DISODIUM PHOSPHATE. [SAVOIE LL; PATHOL-BIOL 20 (19-20): 751-5 (1972)]**PEER REVIEWED** DISODIUM PHOSPHATE INCREASED THE ANTIRACHITIC ACTIVITY OF VITAMIN D3 IN 3 WEEK OLD RATS. [PACZEK K, WARDYNSKA H; ACTA POL PHARM 32 (6): 717-19 (1975)]**PEER REVIEWED** Pharmacology: Therapeutic Uses: Cathartics [National Library of Medicine's Medical Subject Headings online file (MeSH, 1999)]**QC REVIEWED** SODIUM PHOSPHATE IS ... HYDRAGOGUE CATHARTIC WHICH IS NOT AS DRASTIC IN ACTION AS MAGNESIUM SULFATE. IT ACTS USUALLY WITHIN 1 HR AFTER ADMIN. [American Hospital Formulary Service. Volumes I and II. Washington, DC: American Society of Hospital Pharmacists, to 1984.,p. 56:12]**PEER REVIEWED** DRIED SODIUM PHOSPHATE /NATIONAL FORMULARY/ ... SALINE CATHARTIC. IT IS USED CHIEFLY IN FORM OF EFFERVESCENT SODIUM PHOSPHATE FOR WHICH PURPOSE IT SHOULD BE FRESHLY DRIED ... . /DRIED SODIUM PHOSPHATE/ [Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980. 745]**PEER REVIEWED** PHOSPHATE SALTS ARE RELATIVELY PLEASANT TASTING. THE MOST FREQUENTLY EMPLOYED PREPN IS SODIUM PHOSPHATES ORAL SOLUTION ... USP. /SODIUM PHOSPHATE ORAL SOLN/ [Hardman, J.G., L.E. Limbird, P.B. Molinoff, R.W. Ruddon, A.G. Goodman (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 9th ed. New York, NY: McGraw-Hill, 1996. 921]**PEER REVIEWED** SODIUM PHOSPHATES ENEMA, USP, IS EMPLOYED FOR RECTAL ADMIN. /SODIUM PHOSPHATES ENEMA/ [Gilman, A. G., L. S. Goodman, and A. Gilman. (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York: Macmillan Publishing Co., Inc. 1980. 1005]**PEER REVIEWED** EFFERVESCENT SODIUM PHOSPHATE, USP, & OTHER SALINE CATHARTICS THAT CONTAIN TARTRATES ARE PLEASANT-TASTING AGENTS. HOWEVER, THERE IS INSUFFICIENT EVIDENCE TO ESTABLISH SAFE & EFFECTIVE DOSAGE FOR THE TARTRATES. /EFFERVESCENT SODIUM PHOSPHATE/ [Gilman, A. G., L. S. Goodman, and A. Gilman. (eds.). Goodman and Gilman's The Pharmacological Basis of Therapeutics. 6th ed. New York: Macmillan Publishing Co., Inc. 1980. 1005]**PEER REVIEWED** VET: AS A LAXATIVE IT IS MILDER THAN SODIUM SULFATE ... & IT IS USED WITH THE MONOSODIUM PHOSPHORUS FORM AS AN ENEMA IN CATS & DOGS. [Rossoff, I.S. Handbook of Veterinary Drugs. New York: Springer Publishing Company, 1974. 544]**PEER REVIEWED** ONE OF THE MOST PLEASANT OF SALINE CATHARTICS, BEING AN EFFERVESCENT MIXTURE WHICH COMBINES CATHARTIC ACTION OF THE PHOSPHATE & TARTRATE IONS. /EFFERVESCENT SODIUM PHOSPHATE/ [Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980. 745]**PEER REVIEWED** DOSAGE: USUAL, RECTAL, 120 ML. USUAL, PEDIATRIC, RECTAL, DOSAGE NOT ESTABLISHED IN CHILDREN UNDER 2 YR OF AGE, OVER 2 YR...60 ML. /SODIUM PHOSPHATE & SODIUM BIPHOSPHATE ENEMA/ [Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980. 745]**PEER REVIEWED** VET: FOR SMALL ANIMALS: A DISPOSABLE PHOSPHATE ENEMA FOR EFFECTIVELY CLEANSING THE LOWER BOWEL WITHOUT IRRITATING DELICATE MEMBRANES. ESP USEFUL IN CAT HAIRBALL, ATONIC COLON, POST-VERMIFUGE & PREPN FOR ABDOMINAL SURGERY, SPAYING & DIAGNOSTIC X-RAYS OF INTESTINAL TRACT. /FLEET VETERINARY ENEMA/ [Aronson, C.E. (ed.). Veterinary Pharmaceuticals & Biologicals, 1980-1981. Media, Pa.: Harwal Publishing Co., 1980.,p. 16/244]**PEER REVIEWED** Drug Warnings: THIS PHOSPHATE SHOULD NOT BE CONFUSED WITH TRIBASIC SODIUM PHOSPHATE WHICH IS VERY ALKALINE & HAS CAUSTIC ACTION. [Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980. 745]**PEER REVIEWED** Oral administration is safer, but careful monitoring of serum electrolyte levels and renal function is necessary. Nausea, vomiting, and diarrhea may occur and may be dose dependent. Concomitant use of antacids containing aluminum and/or magnesium should be avoided, because they may bind phosphate and prevent it absorption (calcium antacids also may bind phosphate, and it is assumed that these agents are not given to hypercalcemic patients). /Monobasic or dibasic sodium or potassium phosphate/ [American Medical Association, Department of Drugs. Drug Evaluations. 6th ed. Chicago, Ill: American Medical Association, 1986. 897]**PEER REVIEWED** Phosphate should not be given to patients with impaired renal function or hyperphosphatemia. They should not be given to patients with alkaline urine due to urinary tract infections because increased calcium and phosphate concentrations in the alkaline urine increase the risk of calcium phosphate stones. /Monobasic or dibasic sodium or potassium phosphate/ [American Medical Association, Department of Drugs. Drug Evaluations. 6th ed. Chicago, Ill: American Medical Association, 1986. 897]**PEER REVIEWED** Interactions: EXCEPT FOR D-THYROXINE, THE HYPOCHOLESTEROLEMIC AGENTS TESTED DID NOT PREVENT THE FORMATION OF CARDIAC LESIONS IN RATS ON A THROMBOGENIC DIET, BEING TREATED WITH LARGE DOSES OF DISODIUM PHOSPHATE. [SAVOIE LL; PATHOL-BIOL 20 (19-20): 751-5 (1972)]**PEER REVIEWED** DISODIUM PHOSPHATE INCREASED THE ANTIRACHITIC ACTIVITY OF VITAMIN D3 IN 3 WEEK OLD RATS. [PACZEK K, WARDYNSKA H; ACTA POL PHARM 32 (6): 717-19 (1975)]**PEER REVIEWED** Drug Idiosyncrasies: The most common adverse effect of phosphate salts is diarrhea. Patients with kidney stones may pass old stones when phosphate therapy is started and should be warned of this possibility. Phosphates are contraindicated in patients with infected stones and in those with renal function less than 30% of normal. /Orthophosphates/ [American Medical Association, Department of Drugs. Drug Evaluations. 6th ed. Chicago, Ill: American Medical Association, 1986. 584]**PEER REVIEWED** Bionecessity: Phosphate is a major intracellular anion which participates in providing energy for metabolism of substances and contributes to important metabolic and enzymatic reactions in almost all organs and tissues. Phosphate exerts a modifying influence on calcium concentrations, a buffering effect on acid-base equilibrium, and has a major role in the renal excretion of hydrogen ions. /Phosphate/ [McEvoy, G.K. (ed.). AHFS Drug Information 90. Bethesda, MD: American Society of Hospital Pharmacists, Inc., 1990 (Plus Supplements 1990). 1420]**PEER REVIEWED** Phosphate as nutrient is also a limiting factor to plant growth. /Phosphate/ [Seiler, H.G., H. Sigel and A. Sigel (eds.). Handbook on the Toxicity of Inorganic Compounds. New York, NY: Marcel Dekker, Inc. 1988. 527]**PEER REVIEWED** For /adults/ approximately 200 to 400 mg (6.5 to 13 mM) of phosphorus is required daily for maintenance, but larger amounts are often needed when initiating total parenteral nutrition to maintain the serum phosphate level above 2.5 mg/dl. [American Medical Association, Department of Drugs. Drug Evaluations. 6th ed. Chicago, Ill: American Medical Association, 1986. 864]**PEER REVIEWED** Environmental Fate & Exposure: Environmental Standards & Regulations: FIFRA Requirements: Residues of disodium phosphate are exempted from the requirement of a tolerance when used as a anticaking agent or conditioning agent in accordance with good agricultural practices as inert (or occasionally active) ingredients in pesticide formulations applied to growing crops or to raw agricultural commodities after harvest. [40 CFR 180.1001(c) (7/1/97)]**PEER REVIEWED** As the federal pesticide law FIFRA directs, EPA is conducting a comprehensive review of older pesticides to consider their health and environmental effects and make decisions about their future use. Under this pesticide reregistration program, EPA examines health and safety data for pesticide active ingredients initially registered before November 1, 1984, and determines whether they are eligible for reregistration. In addition, all pesticides must meet the new safety standard of the Food Quality Protection Act of 1996. Pesticides for which EPA had not issued Registration Standards prior to the effective date of FIFRA, as amended in 1988, were divided into three lists based upon their potential for human exposure and other factors, with List B containing pesticides of greater concern and List D pesticides of less concern. Sodium phosphate is found on List D. Case No: 4053; Pesticide type: Fungicide, herbicide, antimicrobial; Case Status: None of the active ingredients in the case are being supported for reregistration by their registrants. All are unsupported, or some are unsupported and some are cancelled. Cases described as "unsupported" generally are being processed for cancellation.; Active ingredient (AI): Sodium phosphate; AI Status: The active ingredient is no longer contained in any registered pesticide products ... "cancelled." [USEPA/OPP; Status of Pesticides in Registration, Reregistration and Special Review p.318 (Spring, 1998) EPA 738-R-98-002]**QC REVIEWED** Acceptable Daily Intakes: FAO/WHO EXPERT COMMITTEE ON FOOD ADDITIVES...RECOMMENDED.../LEVELS/ FOR TOTAL DIETARY PHOSPHORUS...UNCONDITIONAL ACCEPTANCE LEVEL /OF LESS THAN 30 MG/KG BODY WT/ IS CONSIDERED SAFE IN ANY TYPE OF DIET...CONDITIONAL ACCEPTANCE LEVEL /OF 30-70 MG/KG BODY WT/ IS ACCEPTABLE ONLY WHEN DIETARY CALCIUM LEVEL IS HIGH /PHOSPHATES/ [Furia, T.E. (ed.). CRC Handbook of Food Additives. 2nd ed. Cleveland: The Chemical Rubber Co., 1972. 641]**PEER REVIEWED** CERCLA Reportable Quantities: Persons in charge of vessels or facilities are required to notify the National Response Center (NRC) immediately, when there is a release of this designated hazardous substance, in an amount equal to or greater than its reportable quantity of 5000 lb or 2270 kg. The toll free number of the NRC is (800) 424-8802; In the Washington D.C. metropolitan area (202) 426-2675. The rule for determining when notification is required is stated in 40 CFR 302.4 (section IV. D.3.b). [54 FR 33419 (8/14/89)]**PEER REVIEWED** Persons in charge of vessels or facilities are required to notify the National Response Center (NRC) immediately, when there is a release of this designated hazardous substance, in an amount equal to or greater than its reportable quantity of 5000 lb or 2270 kg. The toll free number of the NRC is (800) 424-8802; In the Washington D.C. metropolitan area (202) 426-2675. The rule for determining when notification is required is stated in 40 CFR 302.4 (section IV. D.3.b). [40 CFR 302.4 (7/1/97)]**PEER REVIEWED** Clean Water Act Requirements: Designated as a hazardous substance under section 311(b)(2)(A) of the Federal Water Pollution Control Act and further regulated by the Clean Water Act Amendments of 1977 and 1978. These regulations apply to discharges of this substance. [40 CFR 116.4 (7/1/90)]**QC REVIEWED** FDA Requirements: Disodium phosphate used as a sequestrant in food for human consumption is generally recognized as safe when used in accordance with good manufacturing practice. [21 CFR 182.6290 (4/1/97]**PEER REVIEWED** Disodium phosphate used as a sequestrant in animal drugs, feeds, and related products is generally recognized as safe when used in accordance with good manufacturing or feeding practice. [21 CFR 582.6290 (4/1/97]**PEER REVIEWED** Sodium phosphate (mono-, di-, & tribasic) used as a multiple purpose food substance in food for human consumption is generally recognized as safe when used in accordance with good manufacturing practice. /Sodium phosphate (mono-, di-, & tribasic)/ [21 CFR 182.1778 (4/1/97]**PEER REVIEWED** Sodium phosphate (mono-, di-, & tribasic) used as a dietary supplement food for human consumption is generally recognized as safe when used in accordance with good manufacturing practice. /Sodium phosphate (mono-, di-, & tribasic)/ [21 CFR 182.5778 (4/1/97]**PEER REVIEWED** Sodium phosphate (mono-, di-, & tribasic) used as a sequesterant in food for human consumption is generally recognized as safe when used in accordance with good manufacturing practice. /Sodium phosphate (mono-, di-, & tribasic)/ [21 CFR 182.6778 (4/1/97]**PEER REVIEWED** Sodium phosphate (mono-, di-, & tribasic) used as a nutrient in food for human consumption is generally recognized as safe when used in accordance with good manufacturing practice. /Sodium phosphate (mono-, di-, & tribasic)/ [21 CFR 182.8778 (4/1/97]**PEER REVIEWED** Sodium phosphate (mono-, di-, & tribasic) used as a general purpose food additive animal drugs, feeds, and related products is generally recognized as safe when used in accordance with good manufacturing or feeding practice. /Sodium phosphate (mono-, di-, & tribasic/ [21 CFR 582.1778 (4/1/97]**PEER REVIEWED** Sodium phosphate (mono-, di-, & tribasic) used as a nutrient and/or dietary supplement in animal drugs, feeds, and related products is generally recognized as safe when used in accordance with good manufacturing or feeding practice. /Sodium phosphate (mono-, di-, & tribasic)/ [21 CFR 582.5778 (4/1/97]**PEER REVIEWED** Sodium phosphate (mono-, di-, & tribasic) used as a sequestrant in animal drugs, feeds, and related products is generally recognized as safe when used in accordance with good manufacturing or feeding practice. /Sodium phosphate (mono-, di-, & tribasic)/ [21 CFR 582.6778 (4/1/97]**PEER REVIEWED** Allowable Tolerances: Residues of disodium phosphate are exempted from the requirement of a tolerance when used as an anticaking agent or conditioning agent in accordance with good agricultural practices as inert (or occasionally active) ingredients in pesticide formulations applied to growing crops or to raw agricultural commodities after harvest. [40 CFR 180.1001(c) (7/1/97)]**PEER REVIEWED** Chemical/Physical Properties: Molecular Formula: H3-O4-P.2Na **PEER REVIEWED** Molecular Weight: 141.98 [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** Color/Form: Colorless, translucent crystals or while powder. [Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 1065]**PEER REVIEWED** Odor: NONE [U.S. Coast Guard, Department of Transportation. CHRIS - Hazardous Chemical Data. Volume II. Washington, D.C.: U.S. Government Printing Office, 1984-5.]**PEER REVIEWED** Taste: Saline taste [Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 1065]**PEER REVIEWED** pH: 9.1 for 1% aq soln @ 25 deg C [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** Solubilities: Soluble in 8 parts water, much more soluble in hot water. Solubility per 100 gal water increases from 14 lbs at slightly >0 deg C to over 900 lbs at 95 deg C. Insoluble in alcohol. [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** Other Chemical/Physical Properties: Converted to sodium pyrophosphate @ about 240 deg C. [Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 1065]**PEER REVIEWED** MONOCLINIC PRISMS; 104 G SOL IN 100 CC WATER @ 40 DEG C. /DISODIUM PHOSPHATE HEPTAHYDRATE/ [Weast, R.C. (ed.) Handbook of Chemistry and Physics. 69th ed. Boca Raton, FL: CRC Press Inc., 1988-1989.,p. B-132]**PEER REVIEWED** LOSES 5H2O @ 48 DEG C. /DISODIUM PHOSPHATE HEPTAHYDRATE/ [Sax, N.I. and R.J. Lewis, Sr. (eds.). Hawley's Condensed Chemical Dictionary. 11th ed. New York: Van Nostrand Reinhold Co., 1987. 1069]**PEER REVIEWED** COLORLESS, RHOMBIC OR MONOCLINIC, WHITE POWDER; 87.4 G SOL IN 100 CC WATER @ 80 DEG C; INDEX OF REFRACTION: 1.432, 1.436, 1.437; EFFLORESCENT. /DISODIUM PHOSPHATE DODECAHYDRATE/ [Weast, R.C. (ed.) Handbook of Chemistry and Physics. 69th ed. Boca Raton, FL: CRC Press Inc., 1988-1989.,p. B-132]**PEER REVIEWED** Loses 12H2O @ 100 deg C. /Disodium phosphate dodecahydrate/ [Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 1066]**PEER REVIEWED** RHOMBIC BISPHEROIDAL CRYSTALS; 100 G SOL IN 100 CC WATER @ 50 DEG C; 117 G SOL IN 100 CC WATER @ 80 DEG C; INDEX OF REFRACTION: 1.463. /DISODIUM PHOSPHATE DIHYDRATE/ [Weast, R.C. (ed.) Handbook of Chemistry and Physics. 69th ed. Boca Raton, FL: CRC Press Inc., 1988-1989.,p. B-132]**PEER REVIEWED** Loses H2O @ 92.5 deg C; Specific gravity: 2.066 @ 15 deg C. /Disodium phosphate dihydrate/ [Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 1066]**PEER REVIEWED** 100 g sol in 100 ml water @ 50 deg C; 117 g sol in 100 ml water @ 80 deg C. /Disodium phosphate dihydrate/ [Weast, R.C. (ed.) Handbook of Chemistry and Physics. 69th ed. Boca Raton, FL: CRC Press Inc., 1988-1989.,p. B-132]**PEER REVIEWED** 87.4 g sol in 100 ml water @ 34 deg C. /Disodium phosphate dodecahydrate/ [Weast, R.C. (ed.) Handbook of Chemistry and Physics. 69th ed. Boca Raton, FL: CRC Press Inc., 1988-1989.,p. B-132]**PEER REVIEWED** Hygroscopic. On exposure to air will absorb from 2 to 7 mols of water depending on the temperature and humidity. [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** Crystals or granular powder. Stable in the air. Specific gravity 1.7. Soluble in 4 parts water, more soluble in boiling water; practically insoluble in alcohol. The aqueous solution is alkaline, pH=9.5. /Heptahydrate/ [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** Translucent crystals or granules; readily loses 5 mols of water on exposure to air at ordinary temp. Melting point 34-35 deg C (when it contains the full 12 mols of H2O). Specific gravity 1.5. Soluble in 3 parts water; practically insoluble in alcohol. Aqueous solution is alkaline, pH=9.5. /Dodecahydrate/ [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** Chemical Safety & Handling: Skin, Eye and Respiratory Irritations: Dust: Irritating to eyes, nose and throat. If inhaled will cause coughing or difficult breathing. Solid: Irritating to skin and eyes. [U.S. Coast Guard, Department of Transportation. CHRIS - Hazardous Chemical Data. Volume II. Washington, D.C.: U.S. Government Printing Office, 1984-5.]**PEER REVIEWED** Fire Potential: NOT FLAMMABLE [U.S. Coast Guard, Department of Transportation. CHRIS - Hazardous Chemical Data. Volume II. Washington, D.C.: U.S. Government Printing Office, 1984-5.]**PEER REVIEWED** Firefighting Hazards: Behavior in fire: May melt with loss of steam. /Sodium Phosphates/ [U.S. Coast Guard, Department of Transportation. CHRIS - Hazardous Chemical Data. Volume II. Washington, D.C.: U.S. Government Printing Office, 1984-5.]**PEER REVIEWED** Hazardous Decomposition: When heated to decomposition it emits toxic fumes of phosphoxides and sodium oxide. [Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996. 2989]**PEER REVIEWED** WHEN HEATED TO DECOMP, CAN EMIT HIGHLY TOXIC FUMES OF PO(X). [Lewis, R.J. Sax's Dangerous Properties of Industrial Materials. 9th ed. Volumes 1-3. New York, NY: Van Nostrand Reinhold, 1996. 2989]**PEER REVIEWED** Protective Equipment & Clothing: Respiratory protection (supplied-air respirator with full facepiece or self-contained breathing apparatus) should be available where these compounds are manufactured or used and should be worn in case of emergency and overexposure. /Phosphorus compounds/ [International Labour Office. Encyclopedia of Occupational Health and Safety. Vols. I&II. Geneva, Switzerland: International Labour Office, 1983. 1684]**PEER REVIEWED** Preventive Measures: SRP: The scientific literature for the use of contact lenses in industry is conflicting. The benefit or detrimental effects of wearing contact lenses depend not only upon the substance, but also on factors including the form of the substance, characteristics and duration of the exposure, the uses of other eye protection equipment, and the hygiene of the lenses. However, there may be individual substances whose irritating or corrosive properties are such that the wearing of contact lenses would be harmful to the eye. In those specific cases, contact lenses should not be worn. In any event, the usual eye protection equipment should be worn even when contact lenses are in place. **PEER REVIEWED** Stability/Shelf Life: ON EXPOSURE TO AIR, IT ABSORBS 2-7 MOLES WATER DEPENDING ON HUMIDITY & TEMP. [Budavari, S. (ed.). The Merck Index - Encyclopedia of Chemicals, Drugs and Biologicals. Rahway, NJ: Merck and Co., Inc., 1989. 1239]**PEER REVIEWED** STABLE IN AIR. /DISODIUM PHOSPHATE HEPTAHYDRATE/ [Budavari, S. (ed.). The Merck Index - Encyclopedia of Chemicals, Drugs and Biologicals. Rahway, NJ: Merck and Co., Inc., 1989. 1239]**PEER REVIEWED** READILY LOSES 5 MOLS WATER ON EXPOSURE TO AIR @ ORDINARY TEMP. /DISODIUM PHOSPHATE DODECAHYDRATE/ [Budavari, S. (ed.). The Merck Index - Encyclopedia of Chemicals, Drugs and Biologicals. Rahway, NJ: Merck and Co., Inc., 1989. 1239]**PEER REVIEWED** Storage Conditions: KEEP WELL CLOSED & IN COOL PLACE. /DISODIUM PHOSPHATE DODECAHYDRATE/ [Budavari, S. (ed.). The Merck Index - Encyclopedia of Chemicals, Drugs and Biologicals. Rahway, NJ: Merck and Co., Inc., 1989. 1239]**PEER REVIEWED** Disposal Methods: SRP: At the time of review, criteria for land treatment or burial (sanitary landfill) disposal practices are subject to significant revision. Prior to implementing land disposal of waste residue (including waste sludge), consult with environmental regulatory agencies for guidance on acceptable disposal practices. **PEER REVIEWED** Occupational Exposure Standards: Manufacturing/Use Information: Major Uses: For Disodium phosphate (USEPA/OPP Pesticide Code: 076403) there are 0 labels match. /SRP: Not registered for current use in the U.S., but approved pesticide uses may change periodically and so federal, state and local authorities must be consulted for currently approved uses./ [U.S. Environmental Protection Agency/Office of Pesticide Program's Chemical Ingredients Database on Disodium phosphate (7558-79-4). Available from the Database Query page at http://www.cdpr.ca.gov/docs/epa/epamenu.htm as of October 24, 2002.]**QC REVIEWED** The active ingredient is no longer contained in any registered pesticide products ... "cancelled." [USEPA/OPP; Status of Pesticides in Registration, Reregistration and Special Review p.318 (Spring, 1998) EPA 738-R-98-002]**QC REVIEWED** Alone or combined with monosodium phosphate is used to make starch for instant puddings and pie fillings. [Toy ADF, Walsh EN; Phosphorus Chemistry in Everyday Living 2nd ed p.55 (1987)]**PEER REVIEWED** Emulsifier (processed cheese, quick-cook cereals, pharmaceuticals); metal phosphatising/electroplating reagent); pottery glazes/porcelain/enamels; scale inhibitor (boiling water treatment); textile/leather auxiliary. [Ashford, R.D. Ashford's Dictionary of Industrial Chemicals. London, England: Wavelength Publications Ltd., 1994. 363]**PEER REVIEWED** As sequestrant, emulsifier and buffer in foods. As mordant in dyeing; for weighting silk; in tanning; in manufacture of enamels, ceramics, detergents, boiler compounds; as fireproofing agent; in soldering and brazing instead of borax; as reagent and buffer in analytical chemistry. [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** THERAP CAT: Cathartic.; THERAP CAT (VET): Laxative. [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** Manufacturers: FBC Industries Inc., 500 E. Remington Rd, Suite 300, Schaumburg, IL 60173, (847) 8390880. Production site: Rochelle, IL 61068 /food grade/ [SRI. 1997 Directory of Chemical Producers -United States of America. Menlo Park, CA: SRI International 1997.. 894]**PEER REVIEWED** FMC Corporation, Chemical Products Group, Alkali Chemicals Division, Phosporus Chemicals Division, Hq, 200 East Randolph Drive, Chicago, IL 60601 (312) 861-6000. Production sites: Green River, WY 82935 Lawrence, KS 66044 [SRI. 1997 Directory of Chemical Producers -United States of America. Menlo Park, CA: SRI International 1997.. 894]**PEER REVIEWED** Heico Chemicals, Inc., Route 611, P.O. Box 160, Delaware Water Gap, PA 18327, (717) 420-3900 /reagent grade/ [SRI. 1997 Directory of Chemical Producers -United States of America. Menlo Park, CA: SRI International 1997.. 894]**PEER REVIEWED** Hydrite Chemical Co., Hq, Drawer No. 0948, Brookfield, WI 53008-0948, (414) 7921450. Production sites: Milwaukee, WI 53223; Terre Haute, IN 47802; Waterloo, IA 50703 [SRI. 1997 Directory of Chemical Producers -United States of America. Menlo Park, CA: SRI International 1997.. 895]**PEER REVIEWED** Mallinckrodt Baker, Inc., 222 Red School Lane, Phillipsburg, NJ 08865, (908) 85992151. Production sites: Phillipsburg, NJ 08865, St. Louis, MO 63147 [SRI. 1997 Directory of Chemical Producers -United States of America. Menlo Park, CA: SRI International 1997.. 895]**PEER REVIEWED** Rhone-Poulenc Inc., Chemical Sector, Hq, CN 5266, Princeton, NJ 08543-5266, (908) 297-1597. Production sites: Chicago, IL 60627; Chicago Heights, IL 60411; Morrisville PA 19067; Nashville, TN 37202 [SRI. 1997 Directory of Chemical Producers -United States of America. Menlo Park, CA: SRI International 1997.. 895]**PEER REVIEWED** Methods of Manufacturing: By precipitating calcium carbonate from a soln of dicalcium phosphate with soda ash. [Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 1066]**PEER REVIEWED** By treating phosphoric acid with a slight excess of soda ash, boiling the solution to drive off carbon dioxide and cooling to permit the dodecahydrate to crystallize. [Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 1066]**PEER REVIEWED** General Manufacturing Information: Incompatibilities: incompatible /with/ alkaloids, antipyrine, chloral hydrate, lead acetate, pyrogallol, resorcinol. [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** ADDITION OF DSP TO PICKLE /SOLN FOR CURED MEAT/ ... HAD NO EFFECT ON ... STAPHYLOCOCCI. [Furia, T.E. (ed.). CRC Handbook of Food Additives. 2nd ed. Cleveland: The Chemical Rubber Co., 1972. 714]**PEER REVIEWED** ... GELLING STRENGTH OF AGAR GEL WAS SIGNIFICANTLY INCREASED BY ADDITION OF 0.12-0.3% DSP. [Furia, T.E. (ed.). CRC Handbook of Food Additives. 2nd ed. Cleveland: The Chemical Rubber Co., 1972. 690]**PEER REVIEWED** ... INCREASES BINDING PROPERTIES OF FISH PROTEINS ... . [Furia, T.E. (ed.). CRC Handbook of Food Additives. 2nd ed. Cleveland: The Chemical Rubber Co., 1972. 726]**PEER REVIEWED** ADDITION OF DSP TO CLARIFIED SUGAR CANE JUICE AT LEVELS OF 0.010.05% REDUCED HYDROLYSIS OF THE SUGARS & THUS REDUCED CARAMELIZATION, WHICH LEADS TO DARK-COLORED RAW SUGAR. [Furia, T.E. (ed.). CRC Handbook of Food Additives. 2nd ed. Cleveland: The Chemical Rubber Co., 1972. 756]**PEER REVIEWED** ... FOUND TO BE EFFECTIVE AGAINST SALMONELLA TYPHOSA, ESCHERICHIA COLI & STAPHYLOCOCCUS AUREUS. /DISODIUM PHOSPHATE DIHYDRATE/ [Furia, T.E. (ed.). CRC Handbook of Food Additives. 2nd ed. Cleveland: The Chemical Rubber Co., 1972. 739]**PEER REVIEWED** Formulations/Preparations: SODIUM PHOSPHATE & SODIUM BIPHOSPHATE ENEMA USP ... DOSAGE FORMS-- ENEMA USP: 6% SODIUM PHOSPHATE & 16% SODIUM BIPHOSPHATE; SODIUM PHOSPHATE & SODIUM BIPHOSPHATE ORAL SOLN USP ... DOSAGE FORMS-- SOLN USP: 18% SODIUM PHOSPHATE & 48% SODIUM BIPHOSPHATE. [Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980. 745]**PEER REVIEWED** Sorensen's phosphate, Sorensen's sodium phosphate. /Disodium phosphate dihydrate/ [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** FLEET'S ENEMA: SOLN (SODIUM PHOSPHATE 6 G & SODIUM BIPHOSPHATE 16 G). FLEET'S PHOSPHO-SODA: (SODIUM PHOSPHATE 18 G & SODIUM BIPHOSPHATE 48 G). [Miller, R. R., and D. J. Greenblatt. Handbook of Drug Therapy. New York: Elsevier North Holland, 1979. 1056]**PEER REVIEWED** Grade: Commercial, NF /National formulary grade of chemical/ (sodium phosphate, dibasic anhydrous and heptahydrate), FCC /Food chemicals Codex/ (sodium phosphate, dibasic anhydrous or dihydrate) [Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 1066]**PEER REVIEWED** Available as anhydrous or dihydric salts. [Ashford, R.D. Ashford's Dictionary of Industrial Chemicals. London, England: Wavelength Publications Ltd., 1994. 363]**PEER REVIEWED** Consumption Patterns: 57-67% AS A FOOD ADDITIVE, MAINLY AS AN EMULSIFIER IN PROCESSED CHEESE; 24-29% AS AN INDUSTRIAL & INSTITUTIONAL DETERGENT BUILDER & IN WATER TREATMENT; 10-14% IN MISC APPLICATIONS (PHARMACEUTICALS, CATTLE FEED SUPPLEMENT, IN VARIOUS TEXTILE PROCESSES & FOR EXPORT) (1973) [SRI]**PEER REVIEWED** U. S. Production: (1972) 1.89X10+10 GRAMS [SRI]**PEER REVIEWED** (1975) 2.18X10+10 GRAMS [SRI]**PEER REVIEWED** (1984) 2.87X10+10 G [BUREAU OF THE CENSUS. CURRENT INDUSTRIAL REPORTS: INORGANIC CHEMICALS 1984 p.6]**PEER REVIEWED** U. S. Exports: (1984) 1.74X10+10 G /SODIUM PHOSPHATES, NSPF/ [BUREAU OF THE CENSUS. U.S. EXPORTS, SCHEDULE E, 1984 p.2-93]**PEER REVIEWED** Laboratory Methods: Special References: Special Reports: WHO; Diseases Caused by Phosphorus and Its Toxic Compounds; Early Detection of Occupational Diseases pg 53-62 (1986). Review of diseases and health related effects resulting from exposure to phosphorus or phosphorus cmpd. Synonyms and Identifiers: Synonyms: ACETEST **PEER REVIEWED** DIBASIC SODIUM PHOSPHATE **PEER REVIEWED** DISODIUM ACID ORTHOPHOSPHATE **PEER REVIEWED** DISODIUM ACID PHOSPHATE **PEER REVIEWED** DISODIUM HYDROGEN PHOSPHATE **PEER REVIEWED** DISODIUM HYDROPHOSPHATE **PEER REVIEWED** DISODIUM MONOHYDROGEN PHOSPHATE **PEER REVIEWED** DISODIUM ORTHOPHOSPHATE **PEER REVIEWED** DISODIUM PHOSPHORIC ACID **PEER REVIEWED** DSP **PEER REVIEWED** Pesticide Code: 076403 **QC REVIEWED** EXSICCATED SODIUM PHOSPHATE **PEER REVIEWED** FEMA NUMBER 2398. **PEER REVIEWED** NATRIUMPHOSPHAT (GERMAN) **PEER REVIEWED** PHOSPHATE OF SODA **PEER REVIEWED** PHOSPHORIC ACID, DISODIUM SALT **PEER REVIEWED** SECONDARY SODIUM PHOSPHATE **PEER REVIEWED** SODA PHOSPHATE **PEER REVIEWED** SODIUM MONOHYDROGEN PHOSPHATE **PEER REVIEWED** SODIUM MONOHYDROGEN PHOSPHATE (2:1:1) **PEER REVIEWED** SODIUM ORTHOPHOSPHATE, SECONDARY **PEER REVIEWED** SODIUM PHOSPHATE, DIBASIC **PEER REVIEWED** SODIUM PHOSPHATE (NA2HPO4) **PEER REVIEWED** Associated Chemicals: Disodium phosphate heptahydrate;7782-85-6 Disodium phosphate dodecahydrate;10039-32-4 Formulations/Preparations: SODIUM PHOSPHATE & SODIUM BIPHOSPHATE ENEMA USP ... DOSAGE FORMS-- ENEMA USP: 6% SODIUM PHOSPHATE & 16% SODIUM BIPHOSPHATE; SODIUM PHOSPHATE & SODIUM BIPHOSPHATE ORAL SOLN USP ... DOSAGE FORMS-- SOLN USP: 18% SODIUM PHOSPHATE & 48% SODIUM BIPHOSPHATE. [Osol, A. (ed.). Remington's Pharmaceutical Sciences. 16th ed. Easton, Pennsylvania: Mack Publishing Co., 1980. 745]**PEER REVIEWED** Sorensen's phosphate, Sorensen's sodium phosphate. /Disodium phosphate dihydrate/ [Budavari, S. (ed.). The Merck Index - An Encyclopedia of Chemicals, Drugs, and Biologicals. Whitehouse Station, NJ: Merck and Co., Inc., 1996. 1481]**PEER REVIEWED** FLEET'S ENEMA: SOLN (SODIUM PHOSPHATE 6 G & SODIUM BIPHOSPHATE 16 G). FLEET'S PHOSPHO-SODA: (SODIUM PHOSPHATE 18 G & SODIUM BIPHOSPHATE 48 G). [Miller, R. R., and D. J. Greenblatt. Handbook of Drug Therapy. New York: Elsevier North Holland, 1979. 1056]**PEER REVIEWED** Grade: Commercial, NF /National formulary grade of chemical/ (sodium phosphate, dibasic anhydrous and heptahydrate), FCC /Food chemicals Codex/ (sodium phosphate, dibasic anhydrous or dihydrate) [Lewis, R.J., Sr (Ed.). Hawley's Condensed Chemical Dictionary. 12th ed. New York, NY: Van Nostrand Rheinhold Co., 1993 1066]**PEER REVIEWED** Available as anhydrous or dihydric salts. [Ashford, R.D. Ashford's Dictionary of Industrial Chemicals. London, England: Wavelength Publications Ltd., 1994. 363]**PEER REVIEWED** Standard Transportation Number: 49 663 80; Sodium phosphate, dibasic Administrative Information: Hazardous Substances Databank Number: 376 Last Revision Date: 20030305 Last Review Date: Reviewed by SRP on 1/31/1999 Update History: Complete Update on 03/05/2003, 3 fields added/edited/deleted. Field Update on 11/08/2002, 1 field added/edited/deleted. Field Update on 08/08/2001, 1 field added/edited/deleted. Complete Update on 06/12/2000, 1 field added/edited/deleted. Complete Update on 03/13/2000, 2 fields added/edited/deleted. Complete Update on 02/02/2000, 1 field added/edited/deleted. Complete Update on 09/21/1999, 1 field added/edited/deleted. Complete Update on 08/26/1999, 1 field added/edited/deleted. Complete Update on 06/03/1999, 1 field added/edited/deleted. Complete Update on 04/28/1999, 38 fields added/edited/deleted. Complete Update on 06/02/1998, 1 field added/edited/deleted. Complete Update on 05/08/1997, 1 field added/edited/deleted. Complete Update on 04/01/1997, 1 field added/edited/deleted. Complete Update on 03/11/1997, 2 fields added/edited/deleted. Complete Update on 02/26/1997, 1 field added/edited/deleted. Complete Update on 10/12/1996, 1 field added/edited/deleted. Complete Update on 01/19/1996, 1 field added/edited/deleted. Complete Update on 12/21/1994, 1 field added/edited/deleted. Complete Update on 05/05/1994, 1 field added/edited/deleted. Complete Update on 03/25/1994, 1 field added/edited/deleted. Field update on 12/12/1992, 1 field added/edited/deleted. Field update on 09/10/1991, 1 field added/edited/deleted. Complete Update on 10/10/1990, 1 field added/edited/deleted. Field update on 12/29/1989, 1 field added/edited/deleted. Field update on 12/29/1989, 1 field added/edited/deleted. Complete Update on 10/14/1986