Drug & supplement interaction

Sodium Bicarbonate + Ibuprofen

Ibuprofen brand names: Motrin, Children's Motrin, Advil, Children's Advil, Fenbid Forte Gel, and others.

No Known Interaction
The bottom line No known interaction

We found no known interaction between Sodium Bicarbonate and Ibuprofen in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Sodium Bicarbonate and Ibuprofen

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Ibuprofen and Sodium Bicarbonate in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Sodium Bicarbonate safety at a glance

Sodium Bicarbonate overall Use caution Generally safe in small, occasional amounts but high in sodium and risky if overused or used long-term.
Pregnancy Possibly Unsafe When used orally or intravenously during pregnancy. There is concern that sodium bicarbonate may increase the risk of metabolic alkalosis or fluid retention whe... Read the full pregnancy detail
Breastfeeding Possibly Unsafe When used orally or intravenously during pregnancy. There is concern that sodium bicarbonate may increase the risk of metabolic alkalosis or fluid retention whe... Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Ibuprofen and Sodium Bicarbonate? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
How we checked

Why No Interaction Is Listed for Ibuprofen

Interactions in our licensed database are recorded against drug classes, not just single drug names. Ibuprofen is filed under 10 classifications — including nonsteroidal anti-inflammatory drugs (nsaids), cytochrome p450 2c9 (cyp2c9) substrates, anticoagulant/antiplatelet drugs. Sodium Bicarbonate has documented interactions with 14 drug classes — the most serious being aminoglycoside antibiotics (moderate), amphotericin-b (abelcet, others) (moderate) and aspirin (moderate) — and none of Ibuprofen’s classifications are among them.

Classification data comes from our licensed Natural Medicines dataset. A medication can belong to classes beyond those recorded there, so this describes how the check was run — it is not a safety guarantee.

Keep it in perspective

Sodium Bicarbonate Does Interact With Other Medications

Sodium Bicarbonate has 257 moderate known drug interactions in our database — Ibuprofen isn’t one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Sodium Bicarbonate

Covers the 2,830 medications we’ve checked against Sodium Bicarbonate. Pick one to open its full report.

What to actually watch for

No Interaction Found — But Data Suggests Sodium Bicarbonate and Ibuprofen May Share Several of the Same Side Effects

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Bloating or gas / Vomiting / Nausea reported in 6.5% of FDA reports for Ibuprofen Additional detail

    Sodium Bicarbonate

    “Orally, sodium bicarbonate is generally well tolerated when used in over-the-counter antacid products. However, it is possibly unsafe when used in excessive amounts. Intravenously, sodium bicarbonate is generally well tolerated when used appropriately with proper medical supervision.”

    Sodium Bicarbonate · Natural Medicines adverse-effect record, reported in diarrhea.

    “Orally, sodium bicarbonate may cause mild adverse effects including gastrointestinal disturbance such as bloating, nausea, vomiting, and abdominal pain. The severity of these effects appears to increase with dose.”

    Sodium Bicarbonate · Natural Medicines adverse-effect record, reported in diarrhea.

    6 sources cited
    1. 25706. Carr, A. J., Hopkins, W. G., and Gore, C. J. Effects of acute alkalosis and acidosis on performance: a meta-analysis. Sports Med 2011;41(10):801-814. PubMed
    2. 106250. Grgic J, Pedisic Z, Saunders B, et al. International society of sports nutrition position stand: sodium bicarbonate and exercise performance. J Int Soc Sports Nutr 2021;18(1):61. PubMed
    3. 104850. Gurton WH, Gough LA, Sparks SA, Faghy MA, Reed KE. Sodium bicarbonate ingestion improves time-to-exhaustion cycling performance and alters estimated energy system contribution: A dose-response investigation. Front Nutr. 2020 Sep 8;7:154. PubMed
    4. 29962. Thomas SH, Stone CK. Acute toxicity from baking soda ingestion. Am J Emerg Med 1994;12(1):57-9. PubMed
    5. 104853. Hilton NP, Leach NK, Craig MM, Sparks SA, McNaughton LR. Enteric-coated sodium bicarbonate attenuates gastrointestinal side-effects. Int J Sport Nutr Exerc Metab. 2019 Nov 21:1-7. PubMed
    6. 25735. Barna, P. Sodium bicarbonate: burst stomachs and high sodium. J Clin Gastroenterol 1986;8(6):697-698.

    Ibuprofen

    Listed in the ADVERSE REACTIONS section of the FDA label for Ibuprofen, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

  • Dizziness / Headache reported in 5.8% of FDA reports for Ibuprofen Additional detail

    Sodium Bicarbonate

    “Orally, concomitant use of excessive sodium bicarbonate (intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with at least two cases of hypercalcemia-induced metabolic alkalosis, characterized by dizziness, headache, and loss of consciousness with shivering. Rare symptoms include drowsiness, lethargy, seizures, and coma.”

    Sodium Bicarbonate · Natural Medicines adverse-effect record, reported in cluster headache.

    3 sources cited
    1. 25733. Fitzgibbons, L. J. and Snoey, E. R. Severe metabolic alkalosis due to baking soda ingestion: case reports of two patients with unsuspected antacid overdose. J Emerg Med 1999;17(1):57-61. PubMed
    2. 106255. Hughes A, Brown A, Valento M. Hemorrhagic encephalopathy from acute baking soda ingestion. West J Emerg Med. 2016;17(5):619-22. PubMed
    3. 13309. Food and Drug Administration. A Catalog of FDA Approved Drug Products. Available at: http://www.accessdata.fda.gov/scripts/cder/drugsatfda/ (Accessed 28 June 2005).

    Ibuprofen

    Listed in the ADVERSE REACTIONS section of the FDA label for Ibuprofen, and in voluntary FDA adverse-event reports. Read the label on DailyMed ›

Reported for Sodium Bicarbonate but not commonly for Ibuprofen: stomach upset, fainting, stomach pain and low potassium.

Effects for Ibuprofen come from the ADVERSE REACTIONS section of its FDA label; effects for Sodium Bicarbonate come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 283,500 voluntary FDA FAERS reports for Ibuprofen that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Sodium Bicarbonate in Pregnancy & Breastfeeding

Pregnancy And Lactation Possibly Unsafe

When used orally or intravenously during pregnancy. There is concern that sodium bicarbonate may increase the risk of metabolic alkalosis or fluid retention when used orally during pregnancy. There is insufficient reliable information available about the safety of oral or intravenous sodium bicarbonate when used in medicinal amounts during lactation.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

From our Q&A

Questions About Sodium Bicarbonate or Ibuprofen

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Sodium Bicarbonate or Ibuprofen, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Ibuprofen

This page covers Sodium Bicarbonate only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Ibuprofen page lists 286 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Asarabacca (major), Beer (major), Danshen (major) and Piracetam (major).

By severity: 7 major · 243 moderate · 36 minor.

From our pharmacist’s overview on the Ibuprofen page

“Most people treat ibuprofen (Advil, Motrin) as an everyday pain reliever, which is exactly why this list of 286 interacting supplements deserves real attention rather than a shrug. The dominant pattern by far is bleeding: 202 of these ingredients can add to the bleeding and stomach irritation ibuprofen already causes, and the seven maj…”

Reviewed by 2 · Jul 18, 2026

Open the Ibuprofen interaction page

One more smart check

Taking Sodium Bicarbonate as Part of a Dietary Supplement Product? Check It for Interactions

We hold 176 real supplement products containing Sodium Bicarbonate, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Sodium Bicarbonate. Even though Sodium Bicarbonate itself has no known interaction with Ibuprofen, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Sodium Bicarbonate and Ibuprofen Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Sodium Bicarbonate
Top 25%

#340 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Ibuprofen
Top 1%

#19 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Sodium Bicarbonate reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Sodium Bicarbonate and Ibuprofen records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Sodium Bicarbonate

What is Sodium Bicarbonate?

  • Heartburn and indigestion (antacid)
  • Athletic performance (exercise buffer)
  • Urine alkalinization
  • Soothing skin irritation or itching (topical baths)
  • Mouth rinse and oral care

Sodium bicarbonate (baking soda) is a simple compound most often used as a fast-acting antacid and, in sports, as a buffer that may help with short, high-intensity exercise. It is generally safe in small, occasional doses, but it is high in sodium and can cause serious problems if overused, so people with heart, kidney, or blood pressure issues should be careful and check with a pharmacist or doctor.

Not applicable (a manufactured chemical compound, NaHCO3) · Powder (baking soda), tablets, effervescent powders, oral solution, and intravenous solution (medical use)

An interaction check asks whether these two react with each other — it does not ask whether Sodium Bicarbonate is a good idea for someone in your situation. Here is what our Sodium Bicarbonate record says about it on its own.

Sodium Bicarbonate: dosing

There is no single "correct" dose for supplement use, and the right amount depends on why it is being used. Over-the-counter antacid products list specific directions on the label, and you should follow those exactly rather than guessing with kitchen baking soda.For antacid use, it is meant for occasional, short-term relief — not daily use. For exercise or medical purposes, doses are higher and should only be used under the guidance of a healthcare professional, because the risk of side effects rises with the dose.

From our Sodium Bicarbonate monograph — the full record covers uses, side effects and every documented interaction.

Read the full Sodium Bicarbonate monograph & all interactions
Medication

About Ibuprofen

What Is Ibuprofen Used For?

Brand names: Motrin, Children's Motrin, Advil, Children's Advil, Fenbid Forte Gel, Ibugel Forte, Arthrofen, Ebufac, Rimafen, Calprofen, Fenpaed, Galprofen, Nurofen for Children, Orbifen for Children, Brufen, Brufen Retard, Fenbid, Tab-Profen, Ibuprofen, Calodor

Oral ibuprofen products (tablets, coated tablets, and liquid-filled capsules) are used to temporarily relieve minor aches and pains from headache, backache, toothache, muscular aches, menstrual cramps, minor arthritis pain, and the common cold, and to temporarily reduce fever. The oral prescription tablet (Ibu) is also indicated for the signs and symptoms of rheumatoid arthritis and osteoarthritis, mild to moderate pain, and primary dysmenorrhea (painful periods).

Caldolor, an intravenous (IV) form, is approved for adults and children 3 months and older to manage mild to moderate pain, to manage moderate to severe pain alongside opioid pain medicines, and to reduce fever. A separate intravenous solution, Ibuprofen Lysine, is used specifically in premature infants to close a patent ductus arteriosus (PDA) — an abnormal blood vessel connection near the heart — when standard medical management has not worked.

Most-Reported Side Effects for Ibuprofen

From FAERS, the FDA’s public side-effect reporting system (283,500 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Fatigue 18,755 reports
Nausea 18,290 reports
Headache 16,566 reports
Arthralgia 13,469 reports
Dyspnea 13,139 reports
See full Ibuprofen drug information
Keep checking

Other Drugs & Sodium Bicarbonate

Browse every other medication we’ve checked against Sodium Bicarbonate — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
257Moderate
0Minor
2,572No known interaction
Moderate

257 interactions

Showing 60 of 257 moderate interactions — see all 257 on the Sodium Bicarbonate page.

No interaction 2,572 drugs checked — show the list
Evidence & sources

Sodium Bicarbonate References

The 49 references that drive our Sodium Bicarbonate monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Ellenhorn MJ, et al. Ellenhorn's Medical Toxicology: Diagnoses and Treatment of Human Poisoning. 2nd ed. Baltimore, MD: Williams & Wilkins, 1997.
  2. Ritsema GH, Ellers G. Potassium supplements prevent serious hypokalemia in colon cleansing. Clin Radiol 1994;49;874-6.
  3. Murry JJ, Healy MD. Drug-mineral interactions: a new responsibility for the hospital dietician. J Am Diet Assoc 1991;91:66-73.
  4. Garabedian-Ruffalo SM, Ruffalo RL. Drug and nutrient interactions. Am Fam Physician 1986;33:165-74.
  5. Robertson JI. Diuretics, potassium depletion and risk of arrhythmias. Eur Heart J 1984;5(Suppl A):25-8.
  6. Lipworth BJ, McDevitt DG. Beta-adrenoceptor responses to inhaled salbutamol in normal subjects. Eur J Clin Pharmacol 1989;36:239-45.. PubMed
  7. Deenstra M, Haalboom JRE, Struyvenberg A. Decrease of plasma potassium due to inhalation of beta-2-agonists: absence of an additional effect of intravenous theophylline. Eur J Clin Invest 1988;18:162-5.. PubMed
  8. Braden GL, von Oeyen PT, Germain MJ, et al. Ritodrine- and terbutaline-induced hypokalemia in preterm labor: mechanisms and consequences. Kidney Int 1997;51:1867-75.. PubMed
  9. Shrestha M, Bidadi K, Gourlay S, Hayes J. Continuous vs intermittent albuterol, as high and low doses, in the treatment of severe acute asthma in adults. Chest 1996;110:42-7..
  10. Rahman ARA, McDevitt DG, Struthers AD, Lipworth BJ. The effects of enalapril and spironolactone on terbutaline-induced hypokalemia. Chest 1992;102:91-5..
  11. Clifton GD, Hunt BA, Patel RC, Burki NK. Effects of sequential doses of parenteral terbutaline on plasma levels of potassium and related cardiopulmonary responses. Am Rev Respir Dis 1990;141:575-9.. PubMed
  12. Haalboom JRE, Deenstra M, Struyvenberg A. Effect of fenoterol on plasma potassium and cardiac ectopic activity (letter). Lancet 1989;2:45. PubMed
  13. Raimondi GA, Rodriguez-Moncalvo JJ. Effects of beta-adrenergic agents on hypokalemia (letter). Chest 1987;91:288-9. PubMed
  14. Gelmont DM, Balmes JR, Yee A. Hypokalemia induced by inhaled bronchodilators. Chest 1988;94:763-6.. PubMed
  15. Kung M, White JR, Burki NK. The effect of subcutaneously administered terbutaline on serum potassium in asymptomatic adult asthmatics. Am Rev Respir Dis 1984;129:329-32..

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Sodium Bicarbonate and Ibuprofen Together: Common Questions

Is it safe to take Sodium Bicarbonate with Ibuprofen?
We do not list a known interaction between Sodium Bicarbonate and Ibuprofen. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Sodium Bicarbonate and Ibuprofen have any of the same side effects?
Yes — our sources link each of them separately to 5 of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
How was the Sodium Bicarbonate and Ibuprofen combination checked?
Interactions in our licensed database are recorded against drug classes. Ibuprofen is filed under 10 classifications, and Sodium Bicarbonate has documented interactions with 14 drug classes — none of Ibuprofen's classifications are among them. A medication can belong to classes beyond those recorded in our dataset, so this describes how the check was run rather than guaranteeing safety.
Does Sodium Bicarbonate interact with any other medications?
Yes. Sodium Bicarbonate has 257 documented drug interactions in our database — Ibuprofen is simply not one of them. If you take anything else, it is worth checking each one; they are all listed on this page.
Does Ibuprofen interact with any supplements?
Yes. Ibuprofen has documented interactions with 286 supplements in our database — Sodium Bicarbonate is not one of them. The Ibuprofen interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Still Have a Question About Ibuprofen and Sodium Bicarbonate?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.