Sodium Bicarbonate + Citric Acid + Sodium Carbonate

Indications

This is indicated in:
  • Heartburn
  • Indigestion
  • Hyperacidity
  • Flatulence.

Composition

Each 5 gm sachet contains-
  • Sodium Bicarbonate BP 2.32 gm
  • Citric Acid BP 2.18 gm
  • Sodium Carbonate BP 0.50 gm

Pharmacology

This is a preparation of antacid that ensures the fastest relief from heartburn, indigestion, hyperacidity & flatulence. Since the antacid combination acts locally in the stomach and the components are all dissolved, a consideration of their systemic bioavailability and pharmacokinetic behavior is not necessary. Residual sodium and citrate ions available for absorption are safely handled by the body and excreted by normal metabolic routes.

This product is an antacid. These react in the glass of water to produce sodium citrate, which has antacid buffering properties, and carbon dioxide which facilitates eructation. A slight excess of sodium bicarbonate remains with a small, direct acid-neutralising contribution.

Dosage & Administration

Adults and children aged 12 years and over: 5 gm (one 5 ml spoonful of powder) or one sachet dissolved in a glass of water. Drink as symptoms occur.
A second dose may be taken after 2-3 hours.

Minimum dosing interval: 2 hours.

Maximum daily dose (MDD): 2 X relevant dosage (5 g).

Maximum duration of antacid use at MDD: 14 days.

Children under 12 years: Do not use.

The elderly can take the adult dose.

Interaction

The acid neutralising capacity of the product may alter the absorption profile of pH specific drugs given concomitantly.

Contraindications

Persons on a restricted sodium diet e.g. those suffering from hypertension or congestive heart failure, should not use this product unless directed by a physician. Patients with impaired hepatic and renal function. Sodium Carbonate + Sodium Bicarbonate + Citric Acid is contraindicated in patients with a prior hypersensitivity reaction to Sodium Carbonate + Sodium Bicarbonate + Citric Acid or any other ingredient of the preparation.

Pregnancy & Lactation

Caution should be exercised when recommending to pregnant women.

Precautions & Warnings

Persons on a restricted sodium diet e.g. those suffering from hypertension or congestive heart failure, should not use this product unless directed by a physician.

Storage Conditions

Store at below 30°C in a dry place protected from light. Keep out of reach of children.