Sella
Food supplement 500mg
Therapeutic indications
Sodium Bicarbonate Sella is used in the short-term treatment of gastric hyperacidity.
Dosage and method of use
Sodium Bicarbonate Sella is taken in the following doses:
- Adults: The usual dose in adults varies between 500 mg and 5 g per day.
- Adolescents (12-18 years): 1-2 tablets after meals and at bedtime.
The medicine is not indicated for children under 12 years of age.
Contraindications
- Hypersensitivity to the active substance or to any of the excipients
- Severe renal insufficiency
- Respiratory alkalosis
- Hypocalcemia, due to an increased risk of tetany;
- Diuretic-induced hypochloremia (see section 4.5);
- Excessive chloride loss, due to vomiting or continuous gastrointestinal suction, due to an increased risk of metabolic alkalosis
- Children under 12 years of age.
- Generally contraindicated in pregnancy
Special warnings
Particular caution is required when administering sodium bicarbonate in case of:
- history of congestive heart failure;
- renal impairment;
- hypertension;
- liver cirrhosis;
- concomitant use of corticosteroids (see section 4.5).
The tablets contain sodium, therefore this should be taken into consideration in cases where a particularly low-salt diet is recommended, for example in some cases of congestive heart failure, renal impairment, hypertension. Sodium bicarbonate should be used with caution in cases of anuria or oliguria, due to the increased risk of sodium retention. Furthermore, caution should be exercised in edematous conditions with sodium retention, such as liver cirrhosis, congestive heart failure, renal insufficiency, toxemia or pregnancy.
In patients with very low gastric acid levels, the effectiveness of sodium bicarbonate on stomach acidity may be reduced. Furthermore, in these subjects there is the possibility of increased absorption into the plasma with the possibility of unwanted systemic effects. In patients with potassium depletion, sodium bicarbonate should be administered with caution, and cardiac and electrolyte parameters should be monitored repeatedly.
In patients with gastric and small intestinal inflammation or renal insufficiency, sodium bicarbonate increases the risk of excess blood sodium levels. Sodium bicarbonate can cause changes in the pH of the stomach and urine, thus altering the absorption and elimination processes of many drugs.
Pregnancy and breastfeeding
No clinical data on exposed pregnancies are available for sodium bicarbonate. Animal studies do not indicate direct or indirect harmful effects with respect to pregnancy, embryonic/fetal development, parturition, or postnatal development. Caution should be exercised when prescribing this medicine to pregnant women. Furthermore, it should be noted that the sodium contained in this medicine may worsen the swelling of pregnancy. Therefore, for the treatment of heartburn, it is advisable to use alternative medicines that do not contain sodium.
The use of sodium bicarbonate is considered compatible with breastfeeding.
Expiry and storage
Check the expiry date indicated on the package. The expiry date indicated on the package refers to the product in its intact packaging, stored correctly.
Caution
Do not use the medicine after the expiry date indicated on the package.
Composition
Sodium Bicarbonate Sella contains:
Active ingredient: sodium bicarbonate 500 mg
Excipients: hydrogenated vegetable oil, polyvinylpyrrolidone, crospovidone
Product Code:FRCM046757
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