Nephrotrans gastro-resistant capsules, 5x100 pieces

Areas of application

This medicine contains the active ingredient sodium hydrogen carbonate in the form of enteric-coated soft capsules to be taken orally.It belongs to the group of antacids and is used to treat metabolic acidosis of the blood (metabolic acidosis).It is also used as maintenance therapy to prevent the recurrence of metabolic acidosis in chronic renal failure.

No prescription is required for this product.

Active ingredients and ingredients

Each soft capsule contains 500 mg sodium bicarbonate.The following ingredients are also included: 136.83 mg sodium ion, 363.17 mg hydrogen carbonate ion, 3-sn-phosphatidylcholine (from soybeans), iron(II,III) oxide, Eudragit L 100-55, gelatin, glycerol 85%, glycerol monostearate, hypromellose, macrogol, sodium dodecyl sulfate, polysorbate 80, 8 mgPropylene glycol, refined rapeseed oil, hydrochloric acid 25%, partially hydrogenated soybean oil, 15 mg hydrogenated soybean oil, 50 mg partially dehydrated sorbitol solution, talc, titanium dioxide, yellow wax and purified water.

The total amount of sodium ion is 137 mg per capsule, which corresponds to 6.5 mmol.

Contraindications

The medicine must not be taken if you are allergic to sodium bicarbonate or any of the other ingredients.It is also not permitted to be taken if the alkali level in the blood is too high (metabolic alkalosis), the potassium level is too low (hypokalemia), the sodium level is too high (hypernatremia) or in children under 14 years of age.

Dosage

Always take the medicine exactly as described or as directed by your doctor or pharmacist.The usual recommended dose is 3 to 5 g of sodium bicarbonate per day, which is equivalent to 6 to 10 soft capsules.The dosage may be adjusted depending on blood levels and severity of acidosis.If the blood pH is below 7.2, an infusion is more suitable.

There are no data on use in adolescents.To avoid high levels of sodium or low acidity in the blood, do not take the medicine for a long time without medical supervision.

In the event of an overdose, symptoms such as dizziness, muscle weakness, fatigue, bluish discoloration of the skin or mucous membranes, shallow breathing and cramp-like muscle twitching may occur.In severe cases, apathy, confusion, intestinal obstruction and circulatory collapse may follow.The treatment consists of balancing the fluid and electrolyte balance.

Do not take a double dose if you forget to take a dose.Tell your doctor if you stop taking it or have any further questions.

Intake

The soft capsules should be taken whole with a little liquid.Do not chew or open the capsules as this destroys the gastric juice resistance.

Patient information

Talk to your doctor or pharmacist before taking the medicine.The effect should be monitored regularly, especially the electrolyte levels in the blood plasma.Particular caution is required if you have shallow breathing, low calcium levels or high salt levels in the blood.

Each soft capsule contains 137 mg of sodium, which is 7% of the recommended maximum daily sodium intake.The maximum daily dose of 10 capsules contains 1.37 g of sodium, which is 70% of the recommended maximum daily sodium intake.Talk to your doctor if you need three or more capsules over a long period of time, especially if you are on a low-salt diet.

The safety and effectiveness of the drug in children and adolescents have not been studied.The medicine has no influence on the ability to drive or use machines.

Pregnancy

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.There are no studies on taking this medicine during pregnancy and breastfeeding.Although there are no objections to taking sodium bicarbonate if indicated, it should only be taken during pregnancy and breastfeeding after consulting your doctor.

Notes

For information about risks and side effects, read the package leaflet and ask your doctor or pharmacy.