Sodium bicarbonate-oral

Known side effects include:

• belching,
• flatulence (gas),
• stomach pain, and
• edema (water retention).

Effervescent granules for oral solution: 460 mg. Oral tablet: 325 and 650 mg

Store at room temperature 59 C - 86 C (15 F – 30 F).

Oral sodium bicarbonate provides rapid relief (within 15 minutes) of heartburn symptoms and should only be used to provide temporary relief of occasional episodes of stomach acid problems. Oral administration of sodium bicarbonate results in the neutralization of hydrochloric acid in the stomach (raises blood and urinary pH) and the formation of sodium chloride, carbon dioxide, and water.

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Nausea, bloating, or gas may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly.

If your doctor has directed you to use this medication, remember that he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: swelling hands/ankles/feet, unusual weight gain.

When taken with sodium bicarbonate, large doses of calcium from your diet, medications, or supplements can rarely cause a serious problem called milk-alkali syndrome. Ask your doctor or pharmacist about using calcium products safely while you are using this medication. Tell your doctor right away if you have any serious side effects, including: dizziness, muscle aches/spasms, mental/mood changes (such as confusion, irritability, memory problems), vomiting, weakness, signs of kidney problems (such as change in the amount of urine).

Get medical help right away if you have any very serious side effects, including: chest pain, seizures.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Before taking sodium bicarbonate, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney problems, heart failure, low calcium levels, swollen ankles/legs/feet due to retaining water (peripheral edema).

Because this medication contains salt (sodium), do not use it if you are on a salt-restricted diet.

During pregnancy, this medication should be used only when clearly needed. This medication may worsen high blood pressure during pregnancy. Discuss the risks and benefits with your doctor.

This medication may pass into breast milk. Consult your doctor before breast-feeding.

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: muscle spasms, seizures.

Notes

Lab and/or medical tests (such as calcium/potassium/sodium levels, bicarbonate levels) should be done if you are taking large doses or taking this medication for more than 2 weeks. Keep all medical and lab appointments. Consult your doctor for more details.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip themissed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.Information last revised October 2016. Copyright(c) 2016 First Databank, Inc.