৳ 7/unit
Pack: ৳ 7
৳ 7/unit
Pack: ৳ 7
At a glance
Sodium Bicarbonate is an antacid and alkalizer used for heartburn, indigestion, gas, and metabolic acidosis. It neutralizes stomach acid and increases blood and urine pH.
Indications
- Acidosis management in cardiac arrest
- Urine alkalinization
- Metabolic acidosis (severe renal disease, uncontrolled diabetes, circulatory insufficiency from shock/dehydration, severe primary lactic acidosis)
- Indigestion, heartburn, gas
Pharmacology
Sodium Bicarbonate increases plasma bicarbonate, buffers excess hydrogen ions, and raises blood pH to reverse acidosis. As a urinary alkalizer, it increases free bicarbonate ion excretion in urine to raise urinary pH. It replenishes electrolyte balance in severe diarrhea with significant bicarbonate loss.
Dosage
Adult Dose (Oral):
- 300 mg to 2 g, 1-4 times daily
Intravenous (Severe metabolic acidosis):
- Adults: Slow injection of 8.4% hypertonic solution or continuous infusion of 1.26% solution; 50 ml of 8.4% solution in cardiac life support
Side effects
Common Side Effects:
- Stomach cramps
- Flatulence
- Headache, nausea, irritability
Serious (Inform doctor):
- Muscle weakness, slow reflexes, confusion
- Swelling of feet or ankles
- Black tar-like stools, coffee-ground vomit
Use in pregnancy
Use in Pregnancy: May be unsafe; animal studies show adverse renal effects; not recommended in second and third trimesters; consult your doctor.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Precautions & warnings
- Caution in pre-existing heart, kidney, liver disease, hypertension
- Caution on salt-restricted diets (sodium content)
- Avoid use in second and third trimesters of pregnancy
Overdose effects
If alkalosis occurs, stop bicarbonate; administer 0.9% sodium chloride IV; potassium chloride if hypokalemic; severe alkalosis may require calcium gluconate or ammonium chloride.
Storage conditions
Store below 30°C, protected from light and moisture; keep out of reach of children.