SODIUM BICARBONATE INJECTION BP MINIJET 4.2%W/V

Active substance: SODIUM BICARBONATE

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Patient Information Leaflet: Sodium Bicarbonate Injection BP Minijet,
4.2 % w/v & 8.4 % w/v Solution for Injection Sodium Bicarbonate

Sodium Bicarbonate Injection BP
Minijet, 4.2% w/v & 8.4% w/v
Solution for Injection
Sodium Bicarbonate
Read all of this leaflet carefully before you
are given this medicine.
• Keep this leaflet. You may need to read it
again
• If you have any further questions, ask
your doctor or nurse
• This medicine has been prescribed for
you. Do not pass it on to others. It may
harm them, even if their symptoms are
the same as yours
• In this leaflet, Sodium Bicarbonate
Injection BP Minijet, Solution for
Injection will be called Sodium
Bicarbonate Injection.
In this leaflet:
1. What Sodium Bicarbonate Injection is for
2. Before you are given Sodium Bicarbonate
Injection
3. How Sodium Bicarbonate Injection will
be given to you
4. Possible side effects
5. How to store Sodium Bicarbonate
Injection
6. Further information.

1. What Sodium Bicarbonate Injection
is for
Sodium bicarbonate is a simple chemical
which is used in medicine when your blood
contains too much acid.
Sodium bicarbonate is used to reduce the
amount of acid in the body after a heart
attack in patients who have the following
conditions: too much acid in their body or
too much potassium in their blood. It can
also be used to treat patients who have
taken too much tricyclic antidepressant
medicine. Sodium Bicarbonate will only be
used after other resuscitation methods have
been attempted.

2. Before you are given Sodium
Bicarbonate Injection
Do not use Sodium Bicarbonate Injection if:
• You are allergic to sodium bicarbonate
• You have kidney failure
• You have heart failure
• You have high blood pressure
• You have low blood calcium, potassium
or chloride
• You have high blood sodium or pH
• You have had kidney stones
• You suffer from fluid retention
• You suffer from breathing problems
(hypoventilation)

If any of these applies to you talk to your
doctor or nurse.

benefit of treatment outweighs the risk to
the developing or new born baby.

Tell your doctor if you are taking any of
the following medicines:
• Corticosteroids or Corticotrophin
• Medicines of an acidic nature (e.g.
tetracycline, doxycycline or
methenamine)
• Heart tablets (e.g. quinidine , flecainide)
• Stimulants (e.g. amphetamines)
• Decongestants (e.g. ephedrine or
pseudoephedrine)
• Water tablets (e.g. bumetamide,
ethacrynic acid, frusemide or thiazides)
• Aspirin (Acetylsalicylic acid)
• Medicines used to treat diabetes mellitus
(e.g. chlorpropamide)
• Medicines used to treat mood disorders
(e.g. lithium)
• Medicines used to treat high blood
pressure (e.g mecamylamine)
• Medicines used to treat Alzheimers
disease (e.g. memantine)
• potassium supplements
• Any other medicine, including medicines
obtained without a prescription.
Pregnancy and breast-feeding
Tell your doctor if you are pregnant, trying
to become pregnant or breastfeeding.
Sodium Bicarbonate Injection will only be
given to you if your doctor considers the

Important information about one of the
ingredients
The 8.4% Sodium Bicarbonate Injection
contains 22.9 mg of sodium per ml. The
4.2% Sodium Bicarbonate Injection
contains 11.5 mg of sodium per ml. To be
taken into consideration by patients on a
controlled sodium diet.

3. How Sodium Bicarbonate Injection
will be given to you
Important:
Sodium Bicarbonate Injection will be given
to you by a doctor or nurse. Your doctor
will choose the dose that is right for you
• Sodium Bicarbonate is injected into a
vein.
• How much you are given depends on
how much you need to counteract the
acid build-up in your blood.
Adults and the elderly
• The usual starting dose is 1mmol for
every kg you weigh
• Followed by 0.5 mmol/kg given at
10minute intervals
Children
• The usual dose is 1 mmol for every kg
you weigh given by slow IV injection.

If you think you have been given more
Sodium Bicarbonate Injection than you
should
As this medicine will be given to you by a
doctor or nurse, it is unlikely that you will
be given too little or too much. However, if
you think you have been given too much of
this medicine, please tell your doctor.
Signs of too much sodium bicarbonate
include hyperventilation (over breathing),
very sensitive to slight stimuli, twitching and
high potassium levels in your blood which
may cause you to feel dizzy or tired.
If you have any further questions about the
use of this medicine, ask your doctor or
nurse.

4. Possible side effects
Like all medicines Sodium Bicarbonate
Injection can cause side effects, although not
everybody gets them.
Side effects include:
• Low levels of potassium causing twitching,
muscle weakness, ‘pins and needles’ in the
hands or feet, irritability or abnormal
heart rhythm
• Low levels of blood sugar causing feeling
hungry, thirsty, nervous, confused,
extreme irritation, increased urination,
shakiness or sweating
• Involuntary contraction of your muscles.

• Swelling due to a build-up of fluid under
the skin
• New born babies may have bleeding
inside the skull
• Sodium bicarbonate may leak out of the
veins into the surrounding tissue. This
may cause pain, redness or irritation to
the skin
• If the medicine is not correctly injected it
could cause the skin to die around the
injection site.
Reporting of side effects:
If you get any side effects, talk to your
doctor or nurse. This includes any possible
side effects not listed in this leaflet.
Also you can help to make sure that
medicines remain as safe as possible by
reporting any unwanted side effects via the
internet at www.mhra.gov.uk/yellowcard.
Alternatively you can call Freephone 0808
100 3352 (available from 10 a.m. to 2 p.m.
Mondays to Fridays) or fill in a paper form
available from your local pharmacy.

5. How to store Sodium Bicarbonate
Injection
Keep out of the reach and sight of children.
Do not use this medicine after the expiry
date on the carton and vial label. The expiry
date refers to the last day of that month.

Store below 25°C. Do not refrigerate.
For single use only. The product should be
used immediately after opening. Discard any
unused portion.
Your doctor or nurse will make sure your
medicine is correctly stored and disposed of.

6. Further information
What Sodium Bicarbonate Injection contains
The active substance is sodium bicarbonate.
There are two strengths of sodium
bicarbonate:
• The 4.2% strength contains 42 mg in
each ml of solution.
• The 8.4% strength contains 84 mg in
each ml of solution.
The only other ingredient is: ‘water for
injections’.
What Sodium Bicarbonate Injection looks
like
Sodium Bicarbonate Injection is a clear,
colourless sterile solution in a clear glass
vial. The 4.2 % w/v solution comes in 10ml
vials. The 8.4 % w/v solution comes in 10ml
or 50ml vials. Not all pack sizes may be
marketed.
The container is specially designed for use
with the IMS Minijet injector.

Marketing Authorisation Holder
International Medication Systems (UK)
Limited, 208 Bath Road, Slough, Berkshire,
SL1 3WE, UK.
Manufacturer
UCB Pharma Limited, 208 Bath Road,
Slough, Berkshire, SL1 3WE, UK.
This leaflet was last updated March 2013

If this leaflet is difficult to see
or read or you would like it
in a different format, please
contact: International
Medication Systems (UK)
Limited, 208 Bath Road,
Slough, Berkshire, SL1 3WE,
UK.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.

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