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Sodium Bicarbonate 84 mg/ml Oral Liquid

FDA-approved generic
Dose form
Oral Liquid
Active ingredients
Sodium Bicarbonate

The Sodium Bicarbonate 84 mg/ml Oral Liquid is a specially compounded medication designed for oral use. This formulation offers a precise concentration of sodium bicarbonate in a liquid form, ensuring accurate dosing and ease of administration. It is particularly beneficial for patients who experience difficulty swallowing pills, including those in pediatric and geriatric populations.

Sodium bicarbonate oral liquid is commonly used to treat a variety of disease states. It acts as a systemic alkalinizing agent, which can be helpful in conditions such as metabolic acidosis, including renal tubular acidosis. Additionally, it is used in the management of certain drug intoxications, like aspirin or tricyclic antidepressant overdose, by promoting the renal excretion of the drug. It may also be prescribed for the relief of heartburn, acid indigestion, and sour stomach when over-the-counter remedies are not suitable or require customization in strength.

This formulation is tailored to provide a patient-friendly option for those requiring sodium bicarbonate therapy, ensuring that the medication can be administered easily and effectively to those in need.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Sodium Bicarbonate
Oral Liquid
65d51406c4e4ff1743032e44

Formula Information

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Sodium Bicarbonate 84 mg/ml Oral Liquid is a specially prepared medication designed for oral use, offering a precise concentration of sodium bicarbonate in a liquid form. This medication is particularly beneficial for patients who have difficulty swallowing pills or tablets, such as children and the elderly, or for those who require immediate relief and faster onset of action. The liquid formulation ensures ease of administration and allows for flexible dosing, which can be adjusted according to the specific needs of the patient.

Sodium bicarbonate, commonly known as baking soda, is a systemic alkalinizing agent. It works by neutralizing stomach acid, which can provide relief from conditions such as acid indigestion, heartburn, and upset stomach. Additionally, sodium bicarbonate is used in the treatment of metabolic acidosis, a condition where the body produces too much acid or the kidneys are not removing enough acid from the body. It can also be used in certain cases of urinary tract infections to alkalinize the urine and speed up the removal of certain substances in the urine. Moreover, it is sometimes used in the management of aspirin overdoses or to reduce the toxicity of certain medications in the bloodstream.

For prescribers, it is important to consider the patient's overall health status, including their renal function and electrolyte balance, as sodium bicarbonate can affect these parameters. Prescribers should also be aware of potential interactions with other medications and the possibility of side effects such as edema, weight gain, or electrolyte imbalances. It is crucial to monitor patients for signs of metabolic alkalosis, especially with prolonged use or high doses of sodium bicarbonate. The liquid formulation allows for titration to the desired pH level, which must be carefully managed to avoid over-alkalinization.

Patients should be instructed on the proper dosing and administration of Sodium Bicarbonate 84 mg/ml Oral Liquid. They should be advised to measure the liquid carefully with a dosing syringe, spoon, or cup to ensure they are taking the correct amount as prescribed by their healthcare provider. Patients should also be educated on the importance of following their prescribed dosing schedule and not to take more than recommended, as excessive use can lead to serious side effects. It is also important for patients to report any unusual symptoms or side effects to their healthcare provider immediately.

If you have any questions or require further information about Sodium Bicarbonate 84 mg/ml Oral Liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the safe and appropriate use of this medication for both patients and prescribers.

Drug Interactions

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Sodium bicarbonate is an alkalizing agent that works by neutralizing stomach acid and is used to treat conditions such as acid indigestion, heartburn, and in some cases, metabolic acidosis. When considering the use of sodium bicarbonate 84 mg/ml oral liquid, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or the health of the patient.

One of the primary concerns with sodium bicarbonate is its interaction with drugs that require an acidic pH for absorption. Medications such as ketoconazole, itraconazole, atazanavir, and certain iron supplements may have reduced absorption when taken concurrently with sodium bicarbonate, potentially leading to decreased effectiveness. Patients should typically separate the administration of these medications from sodium bicarbonate by at least 2 hours.

Additionally, sodium bicarbonate can alter the excretion of certain drugs by changing the urinary pH. This can affect the elimination of drugs that are weak acids or bases. For example, it may increase the elimination of acidic drugs such as aspirin, leading to lower blood levels and potentially reduced efficacy. Conversely, it may decrease the elimination of basic drugs such as amphetamines or quinidine, potentially leading to increased blood levels and toxicity.

Patients on sodium-restricted diets or those with conditions such as hypertension, heart failure, or renal impairment should use sodium bicarbonate cautiously, as it may exacerbate these conditions due to its sodium content. Furthermore, chronic use or high doses of sodium bicarbonate can lead to systemic alkalosis, especially in patients with renal impairment, and may interact with calcium or potassium supplements, leading to electrolyte imbalances.

It is also important to note that sodium bicarbonate can interact with certain antacids, resulting in increased side effects or altered therapeutic effects. Patients should consult with a healthcare provider before combining sodium bicarbonate with other over-the-counter antacids or acid reducers.

For patients taking prescription medications, it is essential to consult with a healthcare provider or pharmacist to discuss potential interactions with sodium bicarbonate oral liquid. This is particularly important for medications with a narrow therapeutic index or those that are critical for the management of chronic conditions.

In summary, while sodium bicarbonate oral liquid is a useful medication for certain conditions, it is not without potential drug interactions. Patients and prescribers should be aware of these interactions and manage them appropriately to ensure safe and appropriate use of the medication. If you have any questions or require further information regarding drug interactions with sodium bicarbonate oral liquid, please reach out to us at Bayview Pharmacy for personalized advice and support.

How Does it Work

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Sodium bicarbonate, commonly known as baking soda, is an alkaline substance that has a variety of medical uses. When ingested, sodium bicarbonate reacts with the hydrochloric acid in the stomach to form sodium chloride (salt), water, and carbon dioxide gas. This reaction helps to neutralize the pH of the stomach contents, providing relief from conditions such as acid indigestion, heartburn, and peptic ulcer disease.

The efficacy of sodium bicarbonate as an antacid is due to its bicarbonate ion, which is a natural part of the body's buffering system. The bicarbonate works to maintain pH balance in the blood and other bodily fluids. When there is an excess of acid, as is the case with acidosis or during episodes of acid reflux, the bicarbonate ion can help to restore the natural pH balance, thereby alleviating symptoms associated with these conditions.

Additionally, sodium bicarbonate has been used in the treatment of metabolic acidosis, which can occur in renal disease, diabetic ketoacidosis, and other conditions where the body accumulates too much acid or does not have enough bicarbonate. By providing an exogenous source of bicarbonate, the oral liquid formulation helps to correct the acid-base imbalance in these patients.

It is important to note that while sodium bicarbonate can provide quick relief of acid-related symptoms, it should be used with caution. Overuse or improper use can lead to metabolic alkalosis, a condition where the body becomes too alkaline, and can also affect electrolyte balances. Therefore, it is crucial for patients and prescribers to follow dosing instructions carefully and consider any contraindications, such as patients with restricted sodium intake or those at risk for developing fluid overload.

For patients with difficulty swallowing pills or tablets, the oral liquid formulation of sodium bicarbonate offers a more manageable alternative. This is particularly beneficial for pediatric and geriatric patients, or for those with esophageal disorders. The liquid form allows for precise dosing and can be easier to administer than solid forms, ensuring that patients receive the correct amount of medication for their needs.

As compounding pharmacists at Bayview Pharmacy, we are committed to providing high-quality, customized medications to meet the unique needs of our patients. If you have any questions about this sodium bicarbonate oral liquid formulation or its appropriate use for specific disease states, please do not hesitate to reach out to us. We are here to ensure that you and your patients have the information and support needed to use this medication safely and effectively.

Other Uses

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While the primary indication for Sodium Bicarbonate 84 mg/ml Oral Liquid is to treat acidosis and to alkalinize urine, this formulation has various other uses due to the unique properties of sodium bicarbonate. Beyond its common role as an antacid to relieve heartburn, acid indigestion, and upset stomachs, this oral liquid can be a valuable therapeutic option for other conditions. It has been found to provide symptomatic relief in patients with hyperuricemia associated with gout by increasing the alkalinity of urine, thereby promoting the solubility and excretion of uric acid. Furthermore, in certain instances, sodium bicarbonate oral solution may be used off-label to enhance the action of some antibiotics by alkalinizing the urine, which can be beneficial in urinary tract infections.

Another therapeutic avenue for this solution is in the management of cystinuria, where it may help to prevent or reduce the formation of cystine kidney stones by increasing cystine solubility through urine alkalinization. It has also been considered as an adjunct therapy in certain metabolic conditions, such as in renal tubular acidosis, where it can help correct metabolic imbalances. Furthermore, it might be employed in cases of aspirin overdose or certain toxic ingestions, where it is essential to modify the pH of the body fluids to reduce the toxin's absorption or to promote its elimination.

While the versatility of sodium bicarbonate oral solution in different medical scenarios is notable, it is essential to remember that the appropriateness of this medication for a specific condition should be determined by a healthcare professional. Patients and prescribers should consider the potential for electrolyte imbalance, interactions with other medications, contraindications, and the overall health status of the patient before commencing treatment with sodium bicarbonate solution. For personalized advice or if you have any questions regarding the additional uses of Sodium Bicarbonate 84 mg/ml Oral Liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our knowledgeable team of compounding pharmacists is ready to provide the information and assistance you require to ensure safe and appropriate use of this medication.

Frequently Asked Questions

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What is Sodium Bicarbonate 84 mg/ml Oral Liquid used for?

Sodium Bicarbonate 84 mg/ml Oral Liquid is used to treat metabolic acidosis and certain drug intoxications, to neutralize stomach acid, and as a part of symptomatic treatment in various medical conditions such as acid indigestion or heartburn. It is also used in some cases to increase the pH of urine to reduce the risk of crystalluria.

How should Sodium Bicarbonate Oral Liquid be taken?

This oral liquid medication should be taken exactly as prescribed by your healthcare provider. The dosage will be based on your medical condition and response to treatment. It should be measured using an appropriate measuring device to ensure the correct dose is administered.

Can this oral liquid be mixed with other liquids or foods?

It may be possible to mix Sodium Bicarbonate Oral Liquid with certain foods or liquids to improve its palatability. However, you should consult your healthcare provider or pharmacist before mixing it to be sure it is safe and won't affect the medication's efficacy.

Is the Sodium Bicarbonate Oral Liquid suitable for children and infants?

Yes, the Sodium Bicarbonate Oral Liquid is suitable for pediatric use, including infants, as it provides an easily ingestible form of medication. The dosage must be adapted to the child's weight and specific medical needs. Always consult a pediatrician before administering this medication to children or infants.

What should I do if I miss a dose?

If you miss a dose of Sodium Bicarbonate Oral Liquid, take it as soon as you remember. However, if it is near the time of your next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.

What are the potential side effects of taking Sodium Bicarbonate Oral Liquid?

Possible side effects include bloating, gas, and stomach cramps. In some cases, more serious side effects like swelling of the hands/ankles/feet, unusual weight gain, or increased thirst/urination may occur. If you experience any severe side effects or signs of an allergic reaction, seek medical attention immediately.

How should this medication be stored?

Sodium Bicarbonate Oral Liquid should be stored at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets, and do not freeze the liquid unless required by the package insert.

Can I take Sodium Bicarbonate Oral Liquid if I am on other medications?

Some medications may interact with Sodium Bicarbonate Oral Liquid, affecting its efficacy or causing unwanted side effects. Inform your healthcare provider about all other medications and supplements you are taking before starting this medication.

Is Sodium Bicarbonate Oral Liquid safe for individuals with kidney problems?

Patients with kidney problems need to use caution when taking Sodium Bicarbonate Oral Liquid, as it may affect kidney function. Dosage adjustments and close monitoring may be necessary. Consult your healthcare provider for individual advice.

What is the proper dosing for Sodium Bicarbonate Oral Liquid?

The dosing for Sodium Bicarbonate Oral Liquid varies based on individual medical conditions, body weight, and specific treatment requirements. It is critical to follow the dosing instructions provided by your healthcare provider to ensure appropriate treatment.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Sodium Bicarbonate 84 mg/ml Oral Liquid
Oral Liquid
controlled

Take orally