Disclaimer

sodium bicarbonate - oral (cont.)

PRECAUTIONS: Before taking sodium bicarbonate, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.This product should not be used if you have certain medical conditions. Before using this product, consult your doctor or pharmacist if you have: a certain breathing problem (pulmonary edema), congestive heart failure, severe kidney disease (e.g., inability to make urine), severe liver disease (e.g., ascites, cirrhosis), high sodium levels, swollen ankles/legs/feet due to retaining water (peripheral edema).If you have any of the following health problems, consult your doctor or pharmacist before using this product: low calcium levels, high blood pressure, heart problems (e.g., irregular heartbeat), kidney disease.Because this medication contains salt (sodium), do not use if you are on a salt-restricted diet.During pregnancy, this medication should be used only when clearly needed. This medication may worsen high blood pressure during pregnancy (toxemia of pregnancy). Discuss the risks and benefits with your doctor.This medication may pass into breast milk. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: If you are taking this product under your doctor's direction, your doctor or pharmacist may already be aware of possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.Before using this product, tell your doctor or pharmacist if you use any of the following products: aspirin and other salicylates (e.g., salsalate), barbiturates (e.g., phenobarbital), calcium supplements, corticosteroids (e.g., prednisone), medications with a special coating to protect the stomach (enteric coating), lithium, quinidine, stimulants/decongestants (e.g., amphetamine, pseudoephedrine), "water pills" (thiazide diuretics such as hydrochlorothiazide).This medication can decrease the effectiveness of certain drugs that require stomach acid to work, including: ampicillin, amprenavir, atazanavir, certain azole antifungals (e.g., ketoconazole, itraconazole), iron supplements, sucralfate.Before using this medication, consult your doctor or pharmacist on how to manage this possible interaction.If your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Ask your doctor or pharmacist for more details.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.



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