Do not take sodium bicarbonate or any antacids without first talking to your doctor if you have:
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an intestinal problem or appendicitis;
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heart problems;
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high blood pressure;
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swelling of the arms or legs;
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kidney disease;
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liver disease; or
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problems urinating;
Talk to your doctor before taking sodium bicarbonate if you are pregnant.
Talk to your doctor before taking sodium bicarbonate if you are breast-feeding.
Take sodium bicarbonate exactly as directed by your doctor or follow the directions on the package. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.
Take the sodium bicarbonate tablets with a full glass of water.
Store sodium bicarbonate at room temperature away from moisture and heat.
Take the missed dose as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medicine unless your doctor directs otherwise.
Stop taking sodium bicarbonate and seek emergency medical attention if you experience a rare allergic reaction (difficulty breathing; closing of the throat; swelling of the lips, tongue, or face; or hives).
Stop taking sodium bicarbonate and notify your doctor if you experience
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nausea or vomiting;
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headache;
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sever mood changes;
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muscle pain;
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swelling of feet, ankles or legs
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decreased appetite;
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unusual tiredness;
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constipation;
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dry mouth or increased thirst; or
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increased urination.
Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.
Do not take sodium bicarbonate or any antacids without first talking to your doctor if you take any other medications.
Sodium bicarbonate contains a large amount of sodium. If you are on a sodium restricted diet or have high blood pressure talk to your health care professional before taking sodium bicarbonate.
If you take other medicines, do not take sodium bicarbonate without first talking to your doctor.
Before taking sodium bicarbonate, tell your doctor if you are taking
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mecamylamine (Inversine);
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methenamine (Mandelamine);
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ketoconazole (Nizoral);
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antacids;
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a tetracycline antibiotic such as tetracycline (Sumycin, Achromycin V, and others), demeclocycline (Declomycin), doxycycline (Vibramycin, Monodox, Doxy, and others), minocycline (Minocin, Dynacin, and others), or oxytetracycline (Terramycin, and others).
You may not be able to take sodium bicarbonate, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.
Drugs other than those listed here may also interact with sodium bicarbonate. Talk to your doctor or pharmacist before taking any other prescription or over-the-counter medicines, including vitamins, minerals, and herbal products.
Seek emergency medical attention if an overdose is suspected.
