Sodium benzoate
Sodium benzoate is a nitrogen-scavenging agent used in the management of hyperammonaemia associated with urea cycle disorders, and it is also widely used as a preservative excipient.
We found no UK product information (SmPC) for this medicine or presentation on the eMC or MHRA Products (checked October 2026). It may be unlicensed in the UK, imported, a medical device, or no longer marketed. ClinCalc Pro shows only doses it can trace to official product information, so none is shown — follow your specialist service or local guideline.
Clinical monograph
How it works
It conjugates with glycine to form hippurate, which is excreted renally, providing an alternative route for nitrogen elimination and thereby lowering plasma ammonia.
Prescribing in practice
- Therapeutic use in urea cycle disorders requires specialist metabolic supervision, as inadequate ammonia control can cause irreversible neurological damage.
- Use cautiously in patients with cardiac or renal impairment because of its sodium content.
- As an excipient, sodium benzoate may cause or aggravate jaundice in neonates and is relevant in young infants.
Monitoring
In metabolic use, monitor plasma ammonia, amino acids and clinical neurological status closely under specialist guidance.
Counselling the patient
- This medicine helps remove excess ammonia from the body.
- Attend all monitoring appointments as advised by the metabolic team.
- Seek urgent advice if there is drowsiness, vomiting or confusion.
Evidence & guidelines
Nitrogen-scavenging therapy is established in the specialist management of urea cycle disorders to control hyperammonaemia.
Reference: SmPC; Drug verified in RxNorm (NLM); confirm dosing against the manufacturer SPC (eMC). Verify against your local formulary and current prescribing references before prescribing. Monograph status: clinician-reviewed (2026-07-04).
Related
Curated clinical cross-links plus same-class fallbacks.
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- Hyponatraemia Cause Algorithm · Electrolyte Disorders
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- West Haven Criteria for Hepatic Encephalopathy Staging · Liver Disease
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- Free Water Deficit in Hypernatraemia · Fluid / Electrolytes
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- Unintentional Weight Loss Workup · NICE NG12; BSG
- Chronic Fatigue Workup · NICE NG206; BMJ Best Practice
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- Pre-op Medical Clearance · NICE NG45; ESC 2022
- Secondary Hypertension Workup · NICE NG136; ESH 2023