Product image of Natriumbicarbonate Braun (Sodium Hydrogen Carbonate) supplied by GNH India

Natriumbicarbonate Braun

Active Ingredient:
Sodium Hydrogen Carbonate
Origin:
EU

Natriumbicarbonate Braun (Sodium Hydrogen Carbonate)

Sodium bicarbonate, the active ingredient in Natriumbicarbonate Braun, is an Alkali/Buffer presented as an injectable solution for intravenous use. It is employed to correct metabolic acidosis, manage acid‑base disorders, alkalinize urine, and serve as a buffering agent in intravenous infusions.
GNH India supplies Natriumbicarbonate Braun 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

Natriumbicarbonate Braun is used in clinical situations that require correction of acid‑base imbalance or urinary alkalinization.

  • Metabolic acidosis: restores systemic pH by providing bicarbonate ions.
  • Acid‑base disorders: buffers excess hydrogen ions to normalize blood pH.
  • Alkalinization of urine: raises urinary pH to facilitate certain drug excretion or prevent crystal formation.
  • Buffering agent in IV infusions: stabilizes pH of co‑administered solutions.

How It Works

  • Sodium bicarbonate dissociates in plasma to release bicarbonate ions, which combine with hydrogen ions to form carbonic acid. This reaction reduces free hydrogen ion concentration, thereby raising blood pH and correcting metabolic acidosis. The increased bicarbonate also serves as a buffer in intravenous solutions, helping maintain acid‑base homeostasis during therapy.

Side Effects

Adverse reactions may occur with intravenous sodium bicarbonate administration.

Common Side Effects

  • Mild hypernatremia: elevated serum sodium levels.
  • Transient metabolic alkalosis: temporary rise in blood pH.
  • Local vein irritation: discomfort or phlebitis at the infusion site.
  • Nausea: occasional gastrointestinal upset.
  • Headache: mild cranial discomfort.

Serious or Rare Side Effects

  • Severe metabolic alkalosis: can lead to respiratory depression.
  • Pulmonary edema: fluid accumulation in the lungs.
  • Cardiac arrhythmias: irregular heart rhythms due to electrolyte shifts.
  • Severe hypernatremia: may cause neurological symptoms.
  • Anaphylactoid reaction: rare hypersensitivity response.

Precautions & Warnings

Careful monitoring and patient assessment are essential when using Natriumbicarbonate Braun.

  • Monitor electrolytes: regularly check serum sodium, potassium, and bicarbonate levels.
  • Assess acid‑base status: obtain arterial blood gases before and during therapy.
  • Use caution in heart failure: avoid rapid infusion that may worsen fluid overload.
  • Adjust for renal impairment: dose may need modification in reduced kidney function.
  • Avoid rapid bolus: administer over recommended time to prevent sudden pH shifts.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Sodium bicarbonate can affect the pharmacokinetics or safety of several drugs.

Major Interactions (Avoid)

  • Calcium chloride or gluconate: risk of precipitation in solution.
  • Aminoglycosides: increased nephrotoxicity when co‑administered.
  • Loop diuretics: may exacerbate potassium loss.

Moderate Interactions (Monitor Closely)

  • ACE inhibitors: heightened risk of metabolic alkalosis.
  • NSAIDs: may alter renal handling of bicarbonate.
  • Insulin: can cause shifts in potassium levels when combined with bicarbonate therapy.

Frequently Asked Questions

Natriumbicarbonate Braun is an intravenous sodium bicarbonate solution used to correct metabolic acidosis, manage various acid‑base disorders, alkalinize urine, and act as a buffering agent in other intravenous infusions. It is typically prescribed in hospital settings for patients who require rapid restoration of systemic pH balance.

Sodium bicarbonate dissociates into sodium and bicarbonate ions after infusion. The bicarbonate ions combine with excess hydrogen ions in the blood to form carbonic acid, which quickly converts to water and carbon dioxide. This reaction reduces hydrogen ion concentration, raising blood pH and correcting the acidotic state.

The prescribed dose of Natriumbicarbonate Braun is individualized by the treating physician based on the patient’s current acid‑base status, serum electrolyte levels, body weight, and underlying clinical condition. Dosing calculations typically use arterial blood gas results and target pH values to guide the amount of bicarbonate required.

Safety data for Natriumbicarbonate Braun in pregnancy and lactation are limited, and the product’s pregnancy category is not established. Use is generally reserved for situations where the potential benefit outweighs any possible risk to the fetus or infant, and only under close medical supervision.

To order Natriumbicarbonate Braun, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details (including cold‑chain if needed), and required import documentation.

Natriumbicarbonate Braun provides direct bicarbonate ions, offering rapid correction of acidosis compared with agents such as tromethamine or carbicarb, which require metabolic conversion. Its intravenous formulation allows precise dosing and immediate effect, whereas oral agents have slower onset and variable absorption.

Store Natriumbicarbonate Braun at 2‑8 °C in a refrigerator. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking the solution. Do not use if the product appears discolored or contains particles.

Natriumbicarbonate Braun is administered intravenously, usually via a controlled infusion pump or slow manual injection. The infusion rate and total volume are determined by the prescriber based on the patient’s acid‑base measurements and clinical response, with continuous monitoring of vital signs and laboratory parameters.

Serious risks include severe metabolic alkalosis, which can depress respiration, pulmonary edema from fluid overload, cardiac arrhythmias due to electrolyte disturbances, and rare anaphylactoid reactions. Prompt recognition of symptoms such as dyspnea, chest pain, or sudden changes in mental status is essential.

Patients with known hypersensitivity to sodium bicarbonate, uncontrolled severe hypertension, uncompensated heart failure, or those at high risk for rapid fluid overload should generally avoid Natriumbicarbonate Braun. Additionally, individuals with severe renal impairment may require dose adjustment or alternative therapy.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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