Drug & supplement interaction

Citric Acid + Remifentanil

Remifentanil brand name: Ultiva.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Citric Acid and Remifentanil in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Citric Acid and Remifentanil

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Remifentanil and Citric Acid in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Citric Acid at all — not against Remifentanil, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Citric Acid safety at a glance

Citric Acid overall Generally safe Generally recognized as safe in the small amounts found in foods and most supplements.
Pregnancy Likely Safe When citric acid is used orally in the amounts commonly found in foods. There is insufficient reliable information available about the safety of citric acid whe... Read the full pregnancy detail
Breastfeeding Likely Safe When citric acid is used orally in the amounts commonly found in foods. There is insufficient reliable information available about the safety of citric acid whe... Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Remifentanil and Citric Acid? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Citric Acid Itself Has Been Linked To

This is not an interaction — nothing below involves Remifentanil. It is the side-effect record for Citric Acid on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Citric Acid, this list is the first place to look. One entry is worth acting on rather than waiting out — marked below.

  • Bleeding or bruising Worth acting on Additional detail

    “Topically, citric acid seems to be well tolerated when used as part of formulations containing the alpha hydroxy acids glycolic acid and lactic acid in concentrations at or below 10% and applied to the face. In general, products should be tested on a small area of skin before applying it to a larger area.

    Alpha hydroxy acids like citric acid can increase sensitivity to the sun and ultraviolet (UV) light.”

    Citric Acid · Natural Medicines adverse-effect record, reported in burns.

    6 sources cited
    1. 106612. US Food and Drug Administration (FDA). Cosmetic Ingredients: Alpha Hydroxy Acids. August 2020. Available at: https://www.fda.gov/cosmetics/cosmetic-ingredients/alpha-hydroxy-acids. Accessed on October 19, 2021.
    2. 6080. Kurtzweil P. Alpha-hydroxy acids for skin care: Smooth sailing or rough seas? FDA 1999. Available at: /www.fda.gov/fdac/features/1998/298_ahas.html (Accessed 18 August 2000). DOI
    3. 10101. Erbagci Z, Akcali C. Biweekly serial glycolic acid peels vs. long-term daily use of topical low-strength glycolic acid in the treatment of atrophic acne scars. Int J Dermatol 2000;39:789-94.. PubMed
    4. 92209. Baumann LS, Oresajo C, Yatskayer M, Dahl A, Figueras K. Comparison of clindamycin 1% and benzoyl peroxide 5% gel to a novel composition containing salicylic acid, capryloyl salicylic acid, HEPES, glycolic acid, citric acid, and dioic acid in the treatment
    5. 92210. Emtestam L, Svensson Å, Rensfeldt K. Treatment of seborrhoeic dermatitis of the scalp with a topical solution of urea, lactic acid, and propylene glycol (K301): results of two double-blind, randomised, placebo-controlled studies. Mycoses. 2012 Sep;55(5):3 PubMed
    6. 92214. Kaminaka C, Uede M, Matsunaka H, Furukawa F, Yamomoto Y. Clinical evaluation of glycolic acid chemical peeling in patients with acne vulgaris: a randomized, double-blind, placebo-controlled, split-face comparative study. Dermatol Surg. 2014 Mar;40(3):314- PubMed
  • Sun sensitivity Additional detail

    Recorded for Citric Acid in the same Natural Medicines adverse-effect record shown under Bleeding or bruising above.

  • Numbness or tingling / Itching / Swelling Additional detail

    Recorded for Citric Acid in the same Natural Medicines adverse-effect record shown under Bleeding or bruising above.

  • A skin rash Additional detail

    Recorded for Citric Acid in the same Natural Medicines adverse-effect record shown under Bleeding or bruising above.

Everything above comes from the Natural Medicines adverse-effect record for Citric Acid — expand a row for the licensed statement it rests on. We read the ADVERSE REACTIONS section of Remifentanil’s FDA label too, and the two lists don’t meaningfully overlap — which is why no Remifentanil column appears here.

Special populations

Citric Acid in Pregnancy & Breastfeeding

Pregnancy And Lactation Likely Safe

When citric acid is used orally in the amounts commonly found in foods. There is insufficient reliable information available about the safety of citric acid when used orally in larger amounts during pregnancy or lactation; avoid amounts greater than those found in foods.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With Remifentanil

This page covers Citric Acid only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Remifentanil page lists 100 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Kava (major).

By severity: 7 major · 78 moderate · 15 minor.

From our pharmacist’s overview on the Remifentanil page

“Remifentanil (Ultiva) is a powerful, ultra-fast-acting opioid infused during surgery and procedures, so anything that deepens sedation or slows breathing alongside it is a genuine hazard, and this list warrants real vigilance. Of the 100 supplements and herbs with an interaction on file, 78 add to that same sedative load on the brain,…”

Reviewed by 2 · Jul 18, 2026

Open the Remifentanil interaction page

One more smart check

Taking Citric Acid as Part of a Dietary Supplement Product? Check It for Interactions

We hold 331 real supplement products containing Citric Acid, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Citric Acid. Even though Citric Acid itself has no known interaction with Remifentanil, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Citric Acid and Remifentanil Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Citric Acid
Top 25%

#274 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Remifentanil
Top half

#1,194 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Citric Acid reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Citric Acid and Remifentanil records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Citric Acid

What is Citric Acid?

  • Food and drink flavoring or sourness
  • Preservative and acidity adjuster
  • Kidney stone prevention (as citrate salts)
  • Cleaning and descaling (non-medical)
  • Effervescent supplement and antacid blends

Citric acid is a natural acid found in citrus fruits and is widely used as a safe food additive, flavoring, and preservative. In medicine, citrate forms (like potassium or sodium citrate) are used to help prevent certain kidney stones and to make urine less acidic. For most people the small amounts in foods and supplements are safe, but concentrated products can irritate the mouth, stomach, and skin.

Naturally found in citrus fruits; commercially made by fermentation · Powder, crystals, liquid, effervescent tablets, and as an ingredient in foods, drinks, and supplements

An interaction check asks whether these two react with each other — it does not ask whether Citric Acid is a good idea for someone in your situation. Here is what our Citric Acid record says about it on its own.

Citric Acid: dosing

There is no standard supplement dose of plain citric acid, because it is mainly used as a food ingredient rather than a treatment. Amounts used in foods and drinks are small and considered safe.For medicinal citrate products (such as potassium citrate or sodium citrate used for kidney stones or urine alkalinization), dosing is individualized and should be set by a doctor, often based on lab tests.

From our Citric Acid monograph — the full record covers uses, side effects and every documented interaction.

Read the full Citric Acid monograph & all interactions
Keep checking

Other Drugs & Citric Acid

Browse every other medication we’ve checked against Citric Acid — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Citric Acid against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Citric Acid list.

See the full Citric Acid interactions page
See every supplement checked against Remifentanil, ranked by severity
Evidence & sources

Citric Acid References

The 10 references that drive our Citric Acid monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Kurtzweil P. Alpha-hydroxy acids for skin care: Smooth sailing or rough seas? FDA 1999. Available at: /www.fda.gov/fdac/features/1998/298_ahas.html (Accessed 18 August 2000). DOI
  2. Erbagci Z, Akcali C. Biweekly serial glycolic acid peels vs. long-term daily use of topical low-strength glycolic acid in the treatment of atrophic acne scars. Int J Dermatol 2000;39:789-94.. PubMed
  3. Ghadishah D, Gorchynski J. Airway compromise after routine alpha-hydroxy facial peel administration. J Emerg Med 2002;22:353-5.. PubMed
  4. Baumann LS, Oresajo C, Yatskayer M, Dahl A, Figueras K. Comparison of clindamycin 1% and benzoyl peroxide 5% gel to a novel composition containing salicylic acid, capryloyl salicylic acid, HEPES, glycolic acid, citric acid, and dioic acid in the treatment
  5. Emtestam L, Svensson Å, Rensfeldt K. Treatment of seborrhoeic dermatitis of the scalp with a topical solution of urea, lactic acid, and propylene glycol (K301): results of two double-blind, randomised, placebo-controlled studies. Mycoses. 2012 Sep;55(5):3 PubMed
  6. Kaminaka C, Uede M, Matsunaka H, Furukawa F, Yamomoto Y. Clinical evaluation of glycolic acid chemical peeling in patients with acne vulgaris: a randomized, double-blind, placebo-controlled, split-face comparative study. Dermatol Surg. 2014 Mar;40(3):314- PubMed
  7. Köse O, Özmen I, Arca E. An open, comparative study of 10% potassium hydroxide solution versus salicylic and lactic acid combination in the treatment of molluscum contagiosum in children. J Dermatolog Treat. 2013 Aug;24(4):300-4. PubMed
  8. Vachiramon V, Sahawatwong S, Sirithanabadeekul P. Treatment of melasma in men with low-fluence Q-switched neodymium-doped yttrium-aluminum-garnet laser versus combined laser and glycolic acid peeling. Dermatol Surg. 2015 Apr;41(4):457-65. PubMed
  9. US Food and Drug Administration (FDA). Cosmetic Ingredients: Alpha Hydroxy Acids. August 2020. Available at: https://www.fda.gov/cosmetics/cosmetic-ingredients/alpha-hydroxy-acids. Accessed on October 19, 2021.
  10. Ormerod AD, van Voorst Vader PC, Majewski S, Vanscheidt W, Benjamin N, van der Meijden W. Evaluation of the efficacy, safety, and tolerability of 3 dose regimens of topical sodium nitrite with citric acid in patients with anogenital warts: A randomized cl DOI

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Citric Acid and Remifentanil Together: Common Questions

Is it safe to take Citric Acid with Remifentanil?
We do not list a known interaction between Citric Acid and Remifentanil. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Remifentanil interact with any supplements?
Yes. Remifentanil has documented interactions with 100 supplements in our database — Citric Acid is not one of them. The Remifentanil interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Citric Acid monograph Uses, safety profile, and every drug interaction in one place Remifentanil supplement interactions Every supplement checked against Remifentanil, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 10 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Remifentanil and Citric Acid?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.