• Sodium Hydrogen Carbonate is indicated for the treatment of conditions characterized by excess stomach acid, such as acid indigestion, heartburn, and sour stomach.
• It may also be used to alleviate symptoms associated with peptic ulcers, gastritis, and esophagitis.
• It is also used as an urine alkalizer and in metabolic acidosis.

Acidity

Indigestion

Metabolic Acidosis

Urinary Alkalinization

• Oral: The usual dose is 300 mg to 2 grams, 1 to 4 times daily.
• Intravenous (Severe metabolic acidosis):
  • Adult: By slow injection of a hypertonic solution of up to 8.4% (1000 mmol/L), or by continuous infusion of a weaker solution, usually 1.26% (150 mmol/L). For correction of acidosis during advanced cardiac life support procedures, 50 ml of an 8.4% solution may be given.

Elderly: Dosage adjustments may be required.

Adverse reactions associated with Sodium Hydrogen Carbonate are generally rare and usually occur with high doses or prolonged use. The following adverse reactions have been reported:

• Abdominal discomfort or bloating
• Belching or gas
• Nausea or vomiting
• Thirst or dry mouth
• Headache
• Alkalosis (elevated blood pH) with prolonged or excessive use

Abdominal Pain

Bloating

Nausea

Headache

• Sodium Hydrogen Carbonate should be used with caution in individuals with underlying medical conditions, such as kidney disease, heart failure, liver cirrhosis, or high blood pressure.
• Prolonged or excessive use of Sodium Hydrogen Carbonate can lead to metabolic alkalosis, which may manifest as symptoms such as confusion, muscle twitching, or irregular heartbeat. In such cases, medical attention should be sought.
• Patients with a history of sodium-restricted diets should be cautious when using Sodium Hydrogen Carbonate, as it contains sodium.
• Sodium Hydrogen Carbonate may interact with certain medications, such as aspirin or diuretics. Patients should consult with a healthcare professional if they are taking other medications.