Europe — EMA
Natrium Bicarbonaat B. Braun Melsungen (Sodium Hydrogen Carbonate)
GNH USA supplies Natrium Bicarbonaat B. Braun Melsungen (Sodium bicarbonate), a electrolyte, alkalinizing agent for metabolic acidosis, cardiac arrest
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What is Sodium Hydrogen Carbonate?
Sodium bicarbonate, the active ingredient in Natrium Bicarbonaat B. Braun Melsungen, is an electrolyte, alkalinizing agent presented as a solution for injection for intravenous use. It is employed to correct metabolic acidosis, support resuscitation in cardiac arrest, manage hyperkalemia, and alkalinize urine in appropriate clinical settings.
GNH USA supplies Natrium Bicarbonaat B. Braun Melsungen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.
What is Sodium Hydrogen Carbonate used for?
Natrium Bicarbonaat B. Braun Melsungen is used to address disturbances in acid‑base balance and related electrolyte conditions.
- Metabolic acidosis: restores systemic pH by providing bicarbonate ions. - Cardiac arrest (resuscitation): assists in correcting acidosis during emergency treatment. - Hyperkalemia: promotes intracellular shift of potassium, helping lower serum potassium levels. - Urine alkalinization: raises urinary pH to facilitate excretion of certain toxins.
What are the side effects of Sodium Hydrogen Carbonate?
Adverse reactions may occur with intravenous sodium bicarbonate administration.
Common Side Effects: - Local irritation at the injection site. - Mild metabolic alkalosis. - Transient increase in blood sodium levels. - Hypocalcemia due to calcium binding. - Fluid overload in susceptible patients.
Serious or Rare Side Effects: - Severe metabolic alkalosis leading to respiratory depression. - Hypernatremia with neurologic manifestations. - Cardiac arrhythmias secondary to electrolyte shifts. - Pulmonary edema in patients with compromised cardiac function. - Anaphylactoid reactions, though extremely uncommon.
What precautions apply to Sodium Hydrogen Carbonate?
Sodium bicarbonate injection requires careful clinical assessment before use.
- Renal impairment: monitor serum electrolytes and acid‑base status closely. - Heart failure or fluid overload risk: assess volume status prior to administration. - Severe hypocalcemia: avoid rapid infusion that may exacerbate calcium depletion. - Concomitant alkalinizing agents: adjust dosing to prevent over‑correction of pH. - Pregnancy and lactation: use only if clearly needed, as safety data are limited. - Store at 2-8°C: keep refrigerated, protect from light, do not freeze.
What does Sodium Hydrogen Carbonate interact with?
Sodium bicarbonate can alter the pharmacokinetics or pharmacodynamics of several drugs.
Major Interactions (Avoid): - Calcium channel blockers: may increase risk of hypercalcemia. - Certain antibiotics (e.g., quinolones, tetracyclines): reduced absorption due to increased gastric pH.
Moderate Interactions (Monitor Closely): - Digoxin: altered serum potassium may affect drug toxicity. - Loop diuretics: enhanced potassium loss when combined with bicarbonate therapy. - Antacids: additive alkalinizing effect may lead to metabolic alkalosis. - Insulin: potentiated hypokalemia when used together.



