Category- Allopathy
Medicine Highlights
| Uses | 1. To control acidity 2. To control heartburn 3. To control indigestion |
| Common Side Effects | 1. Dry mouth; 2. Increased thirst 3. Urinating more than usual. 4. Headache (continuing) 5. Loss of appetite (continuing) 6. Nausea or vomiting 7. Slow breathing 8. Swelling of feet or lower legs 9. Unpleasant taste 10. Unusual tiredness or weakness |
| Additional Information | 1. Patients with heart problems and blood pressure changes are not recommended to take this medicine, as it causes changes in blood pressure and heart functioning. |
| Storage | 1. The medicine should be stored at room temperature. 2. Keep away from sunlight and moisture. 3. Keep away from the reach of children |
| How to Take This Medicine | To be taken orally with a sip of water |
Sodium Bicarbonate Uses
Sodium bicarbonate 500 mg is an oral medicine belonging to the category of antacid drugs and is used for the following indications:
- Acidity
- Heartburn
- Indigestion
Sodium Bicarbonate side effects
More Common
- Dry mouth
- Increased thirst
- Urinating more than usual.
- Headache (continuing)
- Loss of appetite (continuing)
- Nausea or vomiting
- Slow breathing
- Swelling of feet or lower legs
- Unpleasant taste
- Unusual tiredness or weakness
Less Common
- Severe stomach pain
- Swelling, rapid weight gain
- Shortness of breath
- Mood or mental changes
- Muscle pain or twitching
- Nervousness or restlessness
How Sodium Bicarbonate works
Sodium bicarbonate acts as a chemical buffer that neutralizes excess acid in the stomach and blood. In conditions like gastritis, heartburn, or metabolic acidosis (seen in kidney disease or diabetes), it releases bicarbonate ions that bind with hydrogen ions (acid), converting them into carbon dioxide and water, both easily removed by breathing or urination. This helps restore the body’s pH balance quickly and safely. For patients, think of it as your body’s natural firefighter calmly cooling the acid flames when things get too hot.
Safety Measures and Warning
Pregnancy
Sodium bicarbonate can relieve heartburn in pregnancy but should be used sparingly and only with medical advice. Its high sodium may worsen swelling or hypertension, and as an FDA Category C drug, safer alternatives are preferred. Always consult your doctor to protect mother and baby.
Breastfeeding
It’s unknown if sodium bicarbonate enters breast milk. If you are planning to breastfeed, consult your doctor about whether to continue the drug or breastfeeding.
Sodium Bicarbonate Interaction with Food Product
Alcohol and smoking can simultaneously affect drug action, leading to an increase in the effect of the drug on the brain, so they may cause severe drowsiness and sedation as they act on the brain directly.
Sodium Bicarbonate Interaction with Other Medicines
Avoid taking Sodium Bicarbonate 500 mg with the following medicines, as it may increase or decrease the desired effect, or in worse cases, it could be fatal:
Sodium Bicarbonate Chemical Structure
IUPAC (International Union of Pure and Applied Chemistry)/ Chemical name
Sodium Hydrogen carbonate

Intake routine/cycle
Daily dose
Take Sodium Bicarbonate exactly as your doctor recommends. The dose may change based on your condition and how well you respond. Do not take more than prescribed without consulting your doctor.
Missed Dose
If you forget to take your medicine, take the medication as soon as you remember. If it’s nearly time for your next dose, skip the missed one and continue with your regular schedule. Always consult the doctor before making any changes to your dosage.
Overdose
It is not recommended to take more than 25000 mg of sodium bicarbonate per day, as it may cause severe overdosing effects like high blood pressure, heart problems, drowsiness, sedation, and muscle problems. If you face any of the severe effects, take him to the doctor.
Storage
- Store the medicine at room temperature
- Keep away from sunlight and moisture
- Keep out of reach of children
Directions for use
- Take Sodium Bicarbonate exactly as prescribed by your doctor, at the same time each day.
- Do not stop taking Sodium Bicarbonate without your doctor’s approval, even if you feel better.
- If you forget to take Sodium Bicarbonate, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose.
Sodium Bicarbonate Summary
Sodium bicarbonate tablet is a medicine belonging to the category of antacids and used to relieve heartburn, indigestion, and acid buildup in the body. It works by neutralizing excess stomach acid and helping restore a healthy pH balance in blood and urine. This can also help remove certain toxins and prevent kidney stones. Common side effects may include bloating, nausea, increased thirst, or changes in salt levels. People with kidney problems, heart disease, high blood pressure or on low-sodium diets should avoid it unless prescribed. It may interfere with how some medicines work, like iron or antibiotics, and should not be taken with large amounts of dairy or acidic foods.
FAQ’s
What are the uses of Sodium Bicarbonate tablets?
Sodium carbonate tablets are medicine belonging to the category of antacids and used to relieve heartburn, indigestion, and acid buildup in the body. It works by neutralizing excess stomach acid and helping restore a healthy pH balance in blood and urine. This can also help remove certain toxins and prevent kidney stones.
What is the daily dosage of sodium bicarbonate?
It is recommended to take to 16 grams of sodium bicarbonate based on the disease characteristics, like metabolic acidosis in kidney-damaged patients.
What are the side effects of Sodium Bicarbonate?
Common side effects of sodium bicarbonate may include bloating, nausea, increased thirst, or changes in salt levels.
What is the mechanism of action of Sodium Bicarbonate?
Sodium bicarbonate works by stepping into your stomach like a calm firefighter. It soaks up the excess acid, cooling down that fiery burn after a spicy meal. This quick fix makes your chest feel less smoky and more relaxed.
Reference
- National Center for Biotechnology Information. PubChem Compound Summary for CID 516892, Sodium bicarbonate. Available from.
- Cleveland Clinic. Sodium Bicarbonate tablets [Internet]. Cleveland Clinic; [cited 2025 Jul 30]. Available from.
- Mayo Clinic. Sodium bicarbonate (oral route, intravenous route, subcutaneous route) [Internet]. Mayo Clinic; [cited 2025 Jul 30]. Available from.
- Johnston B, Maynard R. Sodium bicarbonate: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing [Internet]. WebMD; 2025 May 14 [cited 2025 Jul 30]. Available from.
- Cerner Multum. Sodium bicarbonate: Uses, side effects & warnings [Internet]. Drugs.com; 2024 Nov 28 [cited 2025 Jul 30]. Available from.

Siva Krishna Adithya Bhumireddy completed a Bachelor of Pharmacy from GIET School of Pharmacy, affiliated with Andhra University, and from his 3rd year of graduation, he was working as a freelance medical and publication writer. Having expertise in systematic reviews and clinical research. With his keen interest and skills in research and documentation practices, he also reviewed more than 150 manuscripts from international journals like Elsevier, Springer Nature, and Sage Journals, and all the manuscripts were indexed and appeared in PubMed, Scopus, and Web of Science databases, and he received honorary recognition letters and certificates from all of them. Siva Krishna Adithya also published a few systematic, narrative reviews and a few chapters of international expertise.