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sodium bicarbonate (generic name)

(SOE dee um; bye KAR bon ate): An urinary pH modifier - It is used to treat acid indigestion and heartburn caused by too much acid in the stomach

sodium bicarbonate

What is this medicine?
SODIUM BICARBONATE (SOE dee um; bye KAR bon ate) is an antacid. It is used to treat acid indigestion and heartburn caused by too much acid in the stomach.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
What is the price of this medication and similar alternatives?

This pricing information is subject to change at the sole discretion of DS Pharmacy. This pricing information was updated 10/2009. For the most current and up-to-date pricing information, please visit www.drugstore.com. Actual costs to patients will vary depending on the use of specific retail or mail-order locations and health insurance copays.

Sodium Bicarbonate 650MG Tablets URL1000/$20 or 2000/$29
Zegerid 20-1680MG Packet SANTARUS30/$177.79 or 90/$513.16
Zegerid 40-1100MG Capsules SANTARUS30/$173.9 or 90/$483.67
Zegerid 40-1680MG Packet SANTARUS30/$188.56 or 90/$522.59
What side effects may I notice from receiving this medicine?
Side effects that you should report to your doctor or health care professional as soon as possible:
  • allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
  • confusion
  • dizziness
  • muscle pain
  • nausea, vomiting
  • seizures
  • swelling of the feet and legs
  • unusually weak or tired

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

  • bloating and stomach gas
  • increased thirst
  • stomach cramps

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How should I use this medicine?
Take this medicine by mouth. Dissolve it in a glass of water before taking. Do not take tablets whole. Follow the directions on the package label. Take your medicine at regular intervals. Do not take it more often than directed.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Patients over 60 years old may have a stronger reaction and need a smaller dose.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What may interact with this medicine?
Do not take this medicine with any of the following medications:
  • ammonium chloride

This medicine may also interact with the following medications:

  • antibiotics like ciprofloxacin, doxycycline, tetracycline
  • aspirin and aspirin-like medicines
  • delavirdine
  • ephedra, Ma Huang
  • itraconazole, ketoconazole
  • lithium
  • methenamine
  • norfloxacin
  • quinidine
  • quinine
  • stimulants like amphetamine, dexmethylphenidate, and others
  • tolmetin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

Who should NOT use this medication?

  • Metabolic or respiratory alkalosis.
  • Hypocalcemia in which alkalosis may induce tetany.
  • Excessive chloride loss from vomiting or continuous GI suctioning.
  • Risk of developing diuretic-induced hypochloremic alkalosis.
  • Oral administration as an antidote in the treatment of acute ingestion of strong mineral acids, since formation of carbon dioxide gas during neutralization may cause gastric distention and possible rupture.

What should I watch for while using this medicine?
Tell your doctor or healthcare professional if your symptoms do not start to get better or if they get worse. Do not take this medicine for more than 2 weeks unless your doctor directs you to. See your doctor if your symptoms return. You may have a serious medical condition.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
  • Cushing's syndrome
  • heart problems
  • kidney disease
  • low levels of calcium or potassium in the blood
  • low salt or sodium diet
  • stomach ulcer
  • an unusual or allergic reaction to sodium bicarbonate, other medicines, foods, dyes, or preservatives
  • pregnant or trying to get pregnant
  • breast-feeding
Can I stop taking the medication if I feel better?
As a general rule, you should always take your medications exactly as prescribed and do not change the dosage or stop taking the medication without first discussing it with your healthcare provider.
I am on so many medications; do I have to take them all?
This is called polypharmacy—many different medications being used at the same time by one person. Sometimes, being on multiple medications is acceptable and appropriate but at other times it may be problematic. If you are receiving your medications from multiple physicians you need to ensure that they all know what medications you are taking. The best way to do this is to make a list of all the medications you are currently using, including all nutritional supplements, homeopathic remedies, vitamins and over-the-counter drugs (if possible, also include all the diseases you have been diagnosed with). Give a copy to every doctor who takes care of you so they have it on file, this way they can avoid duplicating medications and perhaps even try to consolidate some. After every doctor's visit remember to update the list accordingly. Also, as much as you possibly can, try to use the same pharmacy to fill all your prescriptions, this way any potential drug interactions can be caught and averted.
Where can I get more information?
More Information

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