• Keep this leaflet. You may need to read it again.
• If you have any further questions, ask your doctor or pharmacist.
• This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
• If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

1. What Sodium Bicarbonate oral solution is and what it is used for
2. What you need to know before you take Sodium Bicarbonate oral solution
3. How to take Sodium Bicarbonate oral solution
4. Possible side effects
5. How to store Sodium Bicarbonate oral solution
6. Contents of the pack and other information

• If you are allergic to sodium bicarbonate or any of the other ingredients of this medicine (listed in section 6)
• If you have a condition where the body fluids and tissues are unusually alkaline (metabolic or respiratory alkalosis)
• If you have low levels of calcium in the blood
• If you have reduced stomach acid.

Talk to your doctor or pharmacist before taking Sodium Bicarbonate oral solution if you:

• have scarring of the liver caused by long-term liver damage (cirrhosis)
• are on a low sodium (salt) diet
• have heart failure, liver problems, kidney problems or high blood pressure
• have high blood pressure during pregnancy
• have a condition in which there is excessive secretion of aldosterone or other conditions associated with sodium retention
• are elderly (aged from 65 years)
• are aged under 18 years.

Please talk to your doctor if your symptoms remain the same after taking this medicine. This medicine may mask the symptoms of other illnesses such as stomach cancer or stomach ulcers.

Do not give this medicine to children under the age of 18 years because the efficacy of sodium bicarbonate has not been established.

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicies.

• antibiotics or antifungals (to treat an infection) e.g. rifampicin, ketoconazole, tetracyclines
• phenothiazines (to treat anxiety or depression)
• corticosteroids (to treat swelling or inflammation or for allergic reactions)
• lithium (for mental illness)
• aspirin
• methotrexate (for certain types of tumours, psoriasis or rheumatoid arthritis)
• quinidine (to treat heart rhythm disorders)
• ephedrine (to treat breathing problems)
• phenytoin (for epilepsy)
• chloroquine (to prevent or treat malaria)
• penicillamine (for rheumatism)
• dipyridamole (to prevent blood clots associated with heart problems).

You can take Sodium Bicarbonate oral solution before or after food as directed by your doctor or pharmacist.

Sodium Bicarbonate oral solution should not be taken during pregnancy and breast-feeding unless advised by a doctor to do so.

Sodium Bicarbonate oral solution does not affect the ability to drive or operate machinery. Talk to your doctor or pharmacist if you are not sure whether it is safe for you to drive while taking this medicine.

Dyspepsia: The usual dose is between 12-60 mL (approximately 1-5 g) every 4-6 hours.

Acidosis: Your doctor will calculate the recommended dose for you.

If you are elderly, you should consult your doctor before taking this medicine, and must be particularly careful to follow your doctor's instructions.

Not recommended for use in children under 18 years of age.

1. When you use the medicine for the first time, place the adaptor in the neck of the bottle.
2. Push the syringe firmly into the adaptor in the neck of the bottle.
3. To fill the syringe, turn the bottle upside down. Whilst holding the syringe in place, gently pull the plunger down drawing the medicine to the correct mark on the syringe. Your doctor will tell you the right dose to take.
4. Turn the bottle the right way up, remove the syringe from the bottle plug by gently twisting the syringe.
5. Place the end of the syringe into your mouth and gently press the plunger down to slowly and gently release the medicine.
6. Repeat steps 2-5 as necessary to take the full dose.
7. After use replace the bottle cap. Wash the syringe in warm water and allow to dry. Store out of reach of children.

• If you take more Sodium Bicarbonate oral solution than your doctor has prescribed, or you think a child has accidently swallowed any, contact the nearest hospital casualty department or doctor for advice.
• Take this leaflet with you.

If you forget a dose, take the next dose as soon as you remember.

Do not take a double dose.

• an increase in pH of the blood (alkalosis), symptoms may include tiredness/weariness, vomiting, thirst and restlessness. (Possibly due to prolonged use, which is not advised)
• fluid retention or fluid on the lungs
• worsening of an already low level of potassium in your blood (hypokalaemia)
• loss of appetite
• mood or mental changes
• nervousness or restlessness
• headache
• high blood pressure
• slow breathing or difficulty breathing
• swelling and/or fluid in the lungs (pulmonary oedema)
• stomach pain or sudden severe stomach pain that gets steadily worse (spontaneous stomach rupture)
• flatulence
• nausea or vomiting
• unpleasant taste
• swelling of feet or lower legs
• frequent urge to urinate
• extreme irritability
• unusual tiredness or weakness
• muscle spasms or cramps.

If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme Website at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.

By reporting side effects you can help provide more information on the safety of this medicine.

• Each 1 ml of solution contains 84 mg of the active substance, sodium bicarbonate (equivalent to 1 mmol/ml sodium bicarbonate).
• The other ingredient is purified water.

Sodium Bicarbonate oral solution is a clear, colourless solution, free of visible particles.

Sodium Bicarbonate oral solution is packed in 100 ml amber polyethylene terephthalate (PET) bottles.

The pack comes with a 20 ml polypropylene (PP) and high density polyethylene (HDPE) oral syringe, with 1 ml graduation marks and a LDPE adaptor.

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