Product image of Natrium Bicarbonaat B. Braun Melsungen (Sodium Hydrogen Carbonate) supplied by GNH India

Natrium Bicarbonaat B. Braun Melsungen

Active Ingredient:
Sodium Hydrogen Carbonate
Origin:
EU

Natrium Bicarbonaat B. Braun Melsungen (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 India supplies Natrium Bicarbonaat B. Braun Melsungen as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

B.Braun Melsungen Ag

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Indications & Clinical Uses

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.

How It Works

  • Sodium bicarbonate dissociates to release bicarbonate ions, which combine with excess hydrogen ions to form carbonic acid, subsequently converted to water and carbon dioxide. This buffering action reduces hydrogen ion concentration, thereby raising blood pH and correcting metabolic acidosis. In hyperkalemia, the resulting intracellular shift of potassium occurs secondary to the alkalinizing effect, while urinary alkalinization increases the excretion of weak acids and certain medications.

Side Effects

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.

Precautions & Warnings

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.

Avoid Interactions

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.

Frequently Asked Questions

Natrium Bicarbonaat B. Braun Melsungen is indicated for the correction of metabolic acidosis, as an adjunct in cardiac arrest resuscitation, for the management of hyperkalemia by promoting intracellular potassium shift, and for alkalinization of urine to aid in the elimination of certain toxins or medications.

Sodium bicarbonate dissociates into sodium and bicarbonate ions after intravenous administration. The bicarbonate ions bind excess hydrogen ions, forming carbonic acid, which is rapidly converted to water and carbon dioxide. This buffering reduces hydrogen ion concentration, raising blood pH and restoring acid‑base balance.

The dose is individualized by the prescribing clinician based on the patient’s acid‑base status, serum electrolyte levels, underlying condition, and response to therapy. Dosage calculations consider factors such as body weight, severity of acidosis, and concurrent medical therapies.

Safety data for sodium bicarbonate injection in pregnancy and lactation are limited. It should only be used when clearly indicated and the potential benefits outweigh any possible risks. Clinicians should evaluate maternal and fetal conditions before prescribing.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if needed), and necessary import documentation.

Sodium bicarbonate is a rapid‑acting, directly administered source of bicarbonate ions, whereas other agents such as tromethamine (THAM) act indirectly or have different electrolyte profiles. Sodium bicarbonate is widely used because of its familiarity, cost‑effectiveness, and immediate buffering capacity, though alternative agents may be chosen in specific clinical scenarios.

The solution for injection should be stored at 2‑8 °C, kept refrigerated, protected from light, and must not be frozen or shaken. Maintaining the cold chain preserves stability and potency until the product is administered.

It is administered intravenously as a sterile solution. The infusion rate and volume are determined by the prescriber, often based on the severity of acidosis, target pH correction, and patient tolerance. Administration should follow aseptic technique and institutional protocols.

Serious risks include severe metabolic alkalosis, hypernatremia, cardiac arrhythmias due to rapid electrolyte shifts, pulmonary edema in patients with compromised cardiac function, and rare anaphylactoid reactions. Continuous monitoring of blood gases, electrolytes, and hemodynamic status is essential during therapy.

Patients with known hypersensitivity to sodium bicarbonate, uncontrolled severe hypernatremia, uncompensated metabolic alkalosis, or those in whom rapid fluid overload would be hazardous (e.g., severe heart failure) should not receive this product unless benefits clearly outweigh risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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