Baking Soda Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Baking Soda against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.
Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy
Baking Soda is a dietary supplement by Earthborn Elements with 1 active ingredient. Its ingredients are commonly taken for heartburn and indigestion (antacid), athletic performance (exercise buffer), urine alkalinization.Based on those ingredients, 257 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Sodium Bicarbonate. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Baking Soda by Earthborn Elements
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AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Baking Soda by Earthborn Elements
Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.
What’s inside
Full disclosure
This product contains one active ingredient: sodium bicarbonate, commonly known as baking soda. It's also called an antacid when used to neutralize stomach acid.
The capsule itself is made from gelatin, an inactive ingredient that holds the powder. Sodium bicarbonate works by raising the pH (alkalinity) of your stomach and urine.
This is why it can help with heartburn in small amounts — but also why it can interact with medications that depend on urine pH to be cleared from your body.
Does it work?
Moderate evidence
Sodium bicarbonate is possibly effective for athletic performance and for treating drug-induced sodium channel blockade (a rare heart rhythm condition). The data also shows possibly effective evidence for gingivitis (gum inflammation).
However, the research does not support its use for cardiac arrest or ischemia-reperfusion injury (tissue damage from blood flow being restored after an interruption), where it's rated possibly ineffective. For other uses, the evidence in our data is not established.
How safe is it?
Well-documented data
Sodium bicarbonate is generally well tolerated in small, occasional amounts — like a single dose as an antacid. However, the safety notes emphasize that it's high in sodium and risky if overused or used long-term.
The most common side effects from oral use are mild gastrointestinal upset: bloating, nausea, vomiting, abdominal pain, diarrhea, and flatulence. These tend to worsen with larger doses.
Serious effects are rare but documented with excessive intake (tablespoons daily or up to one box weekly). These include metabolic alkalosis (a dangerous shift in blood chemistry) with symptoms like dizziness, headache, drowsiness, and in rare cases seizures or coma.
Because little specific safety data exists, use only short-term and talk with your healthcare provider first, especially if you have ongoing heartburn or a condition requiring long-term antacid use.
Meds to double-check
Moderate interaction found
Double-check this product before starting if you take corticosteroids, thiazide diuretics (water pills), asthma or breathing medications (beta-agonists), methylxanthines (like theophylline), stimulant laxatives, aspirin, pseudoephedrine (Sudafed), or chlorpropamide (an older diabetes drug). All carry Moderate risk of either low potassium or reduced medication effectiveness.
The biggest risk is with long-term or excessive doses — tablespoon amounts daily or up to one box weekly can cause serious problems.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence behind its ingredients' uses. Moderate medication interactions have been identified, and safety information is well characterized.
Baking soda capsules work best for occasional heartburn or as a short-term antacid — not for regular daily use. If you take corticosteroids, diuretics, asthma medications, diabetes drugs, or aspirin, check with your doctor or pharmacist before adding this product, since sodium bicarbonate can affect how those drugs work or raise the risk of low potassium.
The high sodium content and potential for serious effects with overuse mean this isn't a casual supplement — ask your healthcare provider whether it's right for you.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Feb 21, 2023.
This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed
General information
Key facts about Baking Soda, straight from the product label.
| Brand | Earthborn Elements |
|---|---|
| Net contents | 200 Capsule(s) |
| Market status | On market |
| Date entered into DSLD | Feb 21, 2023 |
| DSLD ID | 283927 |
| Product type | Non-nutrient/non-botanical |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Adult (18 - 50 Years) |
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.
Supplement Facts
The label details for Baking Soda by Earthborn Elements, sourced from the NIH Dietary Supplement Label Database.
Tap any ingredient to jump to its full detail below.
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions
Suggested Use: Take 2 capsules 2 to 3 times daily, or as recommended by your healthcare professional.
Precautions
If you are pregnant, nursing, or taking medication, consult your healthcare professional before taking this or any dietary supplement.
For adults only.
FDA Disclaimer Statement
These statements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure or prevent any disease or health condition.
FDA Statement of Identity
Dietary Supplement
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Baking Soda by Earthborn Elements label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.
View the full label (PDF)The Ingredients in Baking Soda by Earthborn Elements
This is the 1 active ingredient this product is made of. Select it to open its full monograph.
Serving size2 Capsule(s) Dosage formCapsule Servings per container100 Amounts shown are per serving.
Sodium Bicarbonate
Interacts with257 drugs
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, h...
Sodium Bicarbonate monograph & interactionsOther (inactive) ingredients: Gelatin. These complete the product’s ingredient list but are not active constituents.
Baking Soda by Earthborn Elements Drug Interactions
HelloPharmacist Interaction Report
Earthborn Elements Baking Soda contains sodium bicarbonate, which has documented interactions with a number of medication types.
The most serious concern is with corticosteroids — sodium bicarbonate can theoretically increase the risk of low potassium (hypokalemia) in people taking these drugs, which is a Moderate severity interaction.
Read the full breakdown — every affected drug type, severity by severity
Sodium bicarbonate also interacts with thiazide diuretics (water pills that raise blood pressure), methylxanthines (including caffeine and theophylline), stimulant laxatives, and beta-adrenergic agonists (asthma and breathing medications) — all carrying Moderate risk of low potassium. Additionally, it may reduce how well aspirin works and can increase levels of pseudoephedrine (Sudafed), both Moderate interactions.
Chlorpropamide, an older diabetes medication, may also be less effective when taken with sodium bicarbonate.
Altogether, these interactions span 257 individual medications. The risk is highest with excessive or long-term use — the data flags intake of "tablespoons" daily or up to one box of baking soda weekly as problematic doses.
If you take any of these medication types, check your exact drugs with the search tool on this page before starting baking soda.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Baking Soda?
Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.
Go to the checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Baking Soda interact with 257 drugs. Click any drug to see the details.
1 of the 1 ingredient in Baking Soda interact with drugs. Each result below shows which ingredient is responsible. Sodium Bicarbonate
Codeine Phosphate, PseudoephedrineKg Fed, Nucofed
How Codeine Phosphate, Pseudoephedrine interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonatePseudoephedrine (sudafed) Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase levels and adverse effects of pseudoephedrine.
Read the full Sodium Bicarbonate + Codeine Phosphate, Pseudoephedrine interactionCodeine Phosphate, Pseudoephedrine, TriprolidineCoActifed
How Codeine Phosphate, Pseudoephedrine, Triprolidine interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonatePseudoephedrine (sudafed) Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase levels and adverse effects of pseudoephedrine.
Read the full Sodium Bicarbonate + Codeine Phosphate, Pseudoephedrine, Triprolidine interactionCortisone AcetateCortisone Tablets, Cortone
How Cortisone Acetate interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateCorticosteroids Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking corticosteroids.
Read the full Sodium Bicarbonate + Cortisone Acetate interactionCryptenamine, MethyclothiazideDiutensen
How Cryptenamine, Methyclothiazide interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateThiazide Diuretics Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking thiazide diuretics.
Read the full Sodium Bicarbonate + Cryptenamine, Methyclothiazide interactionCyclothiazideAnhydron, Fluidil
How Cyclothiazide interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateThiazide Diuretics Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking thiazide diuretics.
Read the full Sodium Bicarbonate + Cyclothiazide interactionDanthron , DocusateCo-Danthrusate (UK)
How Danthron , Docusate interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateStimulant Laxatives Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking stimulant laxatives.
Read the full Sodium Bicarbonate + Danthron , Docusate interactionDehydrocholic AcidDecholin
How Dehydrocholic Acid interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateStimulant Laxatives Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking stimulant laxatives.
Read the full Sodium Bicarbonate + Dehydrocholic Acid interactionDehydrocholic Acid , DocusateBilax
How Dehydrocholic Acid , Docusate interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateStimulant Laxatives Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking stimulant laxatives.
Read the full Sodium Bicarbonate + Dehydrocholic Acid , Docusate interactionDeserpidine, HydrochlorothiazideOreticyl, Oreticyl Forte
How Deserpidine, Hydrochlorothiazide interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateThiazide Diuretics Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking thiazide diuretics.
Read the full Sodium Bicarbonate + Deserpidine, Hydrochlorothiazide interactionDeserpidine, MethyclothiazideEnduronyl, Enduronyl Forte
How Deserpidine, Methyclothiazide interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateThiazide Diuretics Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking thiazide diuretics.
Read the full Sodium Bicarbonate + Deserpidine, Methyclothiazide interactionDexamethasoneDecadron, Dexone, Dextenza, Dexycu, Hemady, Hexadrol +1 more
How Dexamethasone interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateCorticosteroids Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking corticosteroids.
Read the full Sodium Bicarbonate + Dexamethasone interactionDexbrompheniramine, PseudoephedrineDisophrol, Drexophed Sr, Drixoral, Pharmadrine
How Dexbrompheniramine, Pseudoephedrine interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonatePseudoephedrine (sudafed) Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase levels and adverse effects of pseudoephedrine.
Read the full Sodium Bicarbonate + Dexbrompheniramine, Pseudoephedrine interactionDextromethorphan, Guaifenesin, PseudoephedrineMaxifed DM, Med Rx DM, Medent DM, Panmist DM, Profen Forte DM, Profen II DM +4 more
How Dextromethorphan, Guaifenesin, Pseudoephedrine interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonatePseudoephedrine (sudafed) Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase levels and adverse effects of pseudoephedrine.
Read the full Sodium Bicarbonate + Dextromethorphan, Guaifenesin, Pseudoephedrine interactionDextromethorphan, PseudoephedrineSudafed Cold/Flu
How Dextromethorphan, Pseudoephedrine interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonatePseudoephedrine (sudafed) Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase levels and adverse effects of pseudoephedrine.
Read the full Sodium Bicarbonate + Dextromethorphan, Pseudoephedrine interactionDextromethorphan, Pseudoephedrine, TriprolidineActifed DM
How Dextromethorphan, Pseudoephedrine, Triprolidine interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonatePseudoephedrine (sudafed) Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase levels and adverse effects of pseudoephedrine.
Read the full Sodium Bicarbonate + Dextromethorphan, Pseudoephedrine, Triprolidine interactionDibasic Sodium Phosphate, Monobasic Potassium Phosphate, Monobasic Sodium Phosphate Monohydrate (prescription Drug)K-Phos Neutral
How Dibasic Sodium Phosphate, Monobasic Potassium Phosphate, Monobasic Sodium Phosphate Monohydrate (prescription Drug) interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateSodium-containing Drugs Moderate
Interaction Summary
Concomitant use of sodium-containing drugs with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia and long-term sodium-related adverse effects.
Read the full Sodium Bicarbonate + Dibasic Sodium Phosphate, Monobasic Potassium Phosphate, Monobasic Sodium Phosphate Monohydrate (prescription Drug) interactionDidanosineVidex, Videx EC
How Didanosine interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateSodium-containing Drugs Moderate
Interaction Summary
Concomitant use of sodium-containing drugs with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia and long-term sodium-related adverse effects.
Read the full Sodium Bicarbonate + Didanosine interactionDiphenhydramine, PseudoephedrineActifed Allergy
How Diphenhydramine, Pseudoephedrine interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonatePseudoephedrine (sudafed) Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase levels and adverse effects of pseudoephedrine.
Read the full Sodium Bicarbonate + Diphenhydramine, Pseudoephedrine interactionDocusate Calcium, PhenolphthaleinDoxidan (Canadian)
How Docusate Calcium, Phenolphthalein interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateStimulant Laxatives Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking stimulant laxatives.
Read the full Sodium Bicarbonate + Docusate Calcium, Phenolphthalein interactionDocusate Sodium, PhenolphthaleinCorrectol, Modane Plus
How Docusate Sodium, Phenolphthalein interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateStimulant Laxatives Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking stimulant laxatives.
Read the full Sodium Bicarbonate + Docusate Sodium, Phenolphthalein interactionDocusate Sodium, Sennosides (otc Drug)Senokot-S
How Docusate Sodium, Sennosides (otc Drug) interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateStimulant Laxatives Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking stimulant laxatives.
Read the full Sodium Bicarbonate + Docusate Sodium, Sennosides (otc Drug) interactionDoripenemDoribax
How Doripenem interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateAminoglycoside Antibiotics Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk for hypokalemia in patients receiving aminoglycosides.
Read the full Sodium Bicarbonate + Doripenem interactionDyphyllineDilor, Dilor-400, Dyflex, Lufyllin, Lufyllin-400, Neothylline
How Dyphylline interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateMethylxanthines Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking methylxanthines.
Read the full Sodium Bicarbonate + Dyphylline interactionDyphylline, Ephedrine, Guaifenesin, PhenobarbitalLufyllin-EPG
How Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateMethylxanthines Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking methylxanthines.
Read the full Sodium Bicarbonate + Dyphylline, Ephedrine, Guaifenesin, Phenobarbital interactionDyphylline, GuaifenesinDifil G, Dilex-G, Dilor-G, Dyflex G, Dyline GG, Dyphylline GG +3 more
How Dyphylline, Guaifenesin interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateMethylxanthines Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking methylxanthines.
Read the full Sodium Bicarbonate + Dyphylline, Guaifenesin interactionEnalapril Maleate, HydrochlorothiazideVaseretic
How Enalapril Maleate, Hydrochlorothiazide interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateThiazide Diuretics Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking thiazide diuretics.
Read the full Sodium Bicarbonate + Enalapril Maleate, Hydrochlorothiazide interactionEphedrine SulfateAkovaz, Emerphed
How Ephedrine Sulfate interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateBeta-adrenergic Agonists Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk for hypokalemia in patients taking beta-adrenergic agonists.
Read the full Sodium Bicarbonate + Ephedrine Sulfate interactionEphedrine Sulfate (prescription Drug)Corphedra
How Ephedrine Sulfate (prescription Drug) interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateBeta-adrenergic Agonists Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk for hypokalemia in patients taking beta-adrenergic agonists.
Read the full Sodium Bicarbonate + Ephedrine Sulfate (prescription Drug) interactionEphedrine Sulfate, Hydroxyzine, TheophyllineHydroxy Compound
How Ephedrine Sulfate, Hydroxyzine, Theophylline interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateMethylxanthines Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking methylxanthines.
Read the full Sodium Bicarbonate + Ephedrine Sulfate, Hydroxyzine, Theophylline interactionEphedrine, Guaifenesin, Phenobarbital, TheophyllineMudrane GG
How Ephedrine, Guaifenesin, Phenobarbital, Theophylline interacts with Baking Soda — through 1 ingredient. Tap an ingredient for the detail:
Sodium BicarbonateMethylxanthines Moderate
Interaction Summary
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking methylxanthines.
Read the full Sodium Bicarbonate + Ephedrine, Guaifenesin, Phenobarbital, Theophylline interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Baking Soda with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.
Sodium Bicarbonate
Aminoglycoside Antibiotics
Theoretically, sodium bicarbonate may increase the risk for hypokalemia in patients receiving aminoglycosides.
Orally, use of excessive sodium bicarbonate (such as the intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with cases of hypokalemia. Furthermore, when administered intravenously, the most common complication of sodium bicarbonate is hypokalemia. Nephrotoxicity caused by aminoglycosides may lead to increased urinary losses of various electrolytes, including potassium.
Amphotericin-B (Abelcet, Others)
Theoretically, sodium bicarbonate may increase the risk for hypokalemia in patients receiving amphotericin B.
Orally, use of excessive sodium bicarbonate (such as the intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with cases of hypokalemia. Furthermore, when administered intravenously, the most common complication of sodium bicarbonate is hypokalemia. Amphotericin B increases urinary potassium losses due to toxic effects on renal tubular epithelium. Hypokalemia can occur in up to 50% of patients.
Aspirin
Theoretically, sodium bicarbonate may reduce the levels and clinical effects of aspirin.
In humans, oral or intravenous administration of sodium bicarbonate increases salicylate elimination. Although the exact mechanism of this effect is not clear, some researchers hypothesize that sodium bicarbonate increases urinary pH, which increases salicylate ionization and subsequent excretion by the kidneys. In patients with urine pH of about 5.5, renal clearance of salicylate is approximately 55 mL/min. When urine pH is increased with oral sodium bicarbonate to about 7.5, renal clearance of salicylate increases to approximately 100 mL/min. Similarly, urine alkalinization with sodium bicarbonate increases the mean total body clearance of salicylate by approximately 60% compared with urine acidification.
Beta-Adrenergic Agonists
Theoretically, sodium bicarbonate may increase the risk for hypokalemia in patients taking beta-adrenergic agonists.
Orally, use of excessive sodium bicarbonate (such as the intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with cases of hypokalemia. Furthermore, the most common adverse effect of intravenous sodium bicarbonate is hypokalemia. Oral, parenteral, or inhaled beta-adrenergic agonists can reduce serum potassium levels, especially during acute use of high doses.
Cefpodoxime Proxetil (Vantin)
Theoretically, sodium bicarbonate might reduce the levels and clinical effects of cefpodoxime.
Cefpodoxime proxetil is an oral prodrug that is de-esterified in the intestine to the active drug cefpodoxime. Drugs or supplements that increase gastric pH can inhibit the activation of cefpodoxime proxetil and reduce the peak plasma concentrations of cefpodoxime. In humans, taking sodium bicarbonate 12.6 grams orally along with cefpodoxime proxetil 200 mg reduces peak plasma concentrations and area under the plasma concentration-time curve (AUC) of cefpodoxime by 35% to 50%.
Chlorpropamide (Diabinese)
Theoretically, sodium bicarbonate might reduce the levels and clinical effects of chlorpropamide.
The elimination of chlorpropamide by the kidneys depends strongly on urine pH. At a pH of 5, the renal clearance of chlorpropamide ranges from 0.5 to 3 mL/hr. At a pH of 8, renal clearance of chlorpropamide ranges from 500 to 1000 mL/hr. When taken in combination with oral sodium bicarbonate, the elimination half-life of chlorpropamide is shortened from 49.7 to 12.8 hours and urinary excretion of chlorpropamide is increased four-fold.
Cisplatin (Platinol-Aq)
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients receiving cisplatin.
Orally, use of excessive sodium bicarbonate (such as the intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with cases of hypokalemia. Furthermore, the most common complication of intravenous sodium bicarbonate is hypokalemia. Cisplatin can cause renal tubular damage, with increased losses of electrolytes including potassium.
Corticosteroids
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking corticosteroids.
Orally, use of excessive sodium bicarbonate (such as the intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with cases of hypokalemia. Furthermore, the most common intravenous complication of sodium bicarbonate is hypokalemia. Some glucocorticoids (corticosteroids) can also cause hypokalemia by causing sodium retention, resulting in compensatory renal potassium excretion. It is most common with hydrocortisone, cortisone, and fludrocortisone, followed by prednisone and prednisolone.
Loop Diuretics
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking loop diuretics.
Loop diuretics increase urinary potassium excretion. Orally, use of excessive sodium bicarbonate (such as the intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with cases of hypokalemia. Furthermore, the most common complication of intravenous sodium bicarbonate is hypokalemia.
Methylxanthines
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking methylxanthines.
Orally, use of excessive sodium bicarbonate (such as the intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with cases of hypokalemia. Furthermore, the most common complication of intravenous sodium bicarbonate is hypokalemia. Theophylline and related drugs can reduce serum potassium levels, possibly by increasing intracellular uptake of potassium. Hypokalemia is most likely to occur after acute overdose of these drugs. However, reduced potassium levels can occur with therapeutic doses, and the incidence and degree of hypokalemia increases with increasing serum theophylline levels.
Pseudoephedrine (Sudafed)
Theoretically, sodium bicarbonate may increase levels and adverse effects of pseudoephedrine.
In humans, intravenous or oral administration of sodium bicarbonate can increase urinary pH. Clinical evidence shows that urine alkalinization increases the serum elimination half-life of pseudoephedrine by approximately 10-fold. In one patient with persistently alkaline urine, treatment with pseudoephedrine resulted in hallucinations and personality changes.
Sodium-Containing Drugs
Concomitant use of sodium-containing drugs with additional sodium from dietary or supplemental sources may increase the risk of hypernatremia and long-term sodium-related adverse effects.
The Chronic Disease Risk Reduction (CDRR) intake level of 2.3 grams of sodium daily indicates the intake at which it is believed that chronic disease risk increases for the apparently healthy population. Some medications contain high quantities of sodium. When used in conjunction with sodium bicarbonate, the CDRR may be exceeded. Additionally, concomitant use may increase the risk for hypernatremia; this risk is highest in the elderly and people with other risk factors for electrolyte disturbances.
Stimulant Laxatives
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking stimulant laxatives.
Long-term use of stimulant laxatives, or acute use of high doses (e.g., in bowel-cleansing regimens), can result in potassium loss and hypokalemia. Orally, use of excessive sodium bicarbonate (such as intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with cases of hypokalemia. Furthermore, the most common complication of intravenous sodium bicarbonate is hypokalemia.
Thiazide Diuretics
Theoretically, sodium bicarbonate may increase the risk of hypokalemia in patients taking thiazide diuretics.
Thiazide diuretics increase urinary potassium excretion. Orally, use of excessive sodium bicarbonate (such as the intake of "tablespoons" of sodium bicarbonate daily or up to one box of baking soda weekly) has been associated with cases of hypokalemia. Furthermore, the most common complication of intravenous sodium bicarbonate is hypokalemia.
Brand information
Manufacturer and brand details for Baking Soda, from the product label.
Earthborn Elements
See all Earthborn Elements products- Name
- Earthborn Elements
- Street Address
- 9450 SW Gemini Dr., #49936
- City
- Beaverton
- State
- OR
- ZipCode
- 97008
- Web Address
- Earthbornelements.com
Baking Soda by Earthborn Elements: Common Questions
Does Baking Soda by Earthborn Elements interact with any medications?
How can one product interact with so many drugs?
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The Full Monographs Behind Baking Soda’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Baking Soda's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.
The 49 references behind this product’s interaction data
Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.
Sodium Bicarbonate 49 references
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- Garabedian-Ruffalo SM, Ruffalo RL. Drug and nutrient interactions. Am Fam Physician 1986;33:165-74.
- Robertson JI. Diuretics, potassium depletion and risk of arrhythmias. Eur Heart J 1984;5(Suppl A):25-8.
- Lipworth BJ, McDevitt DG. Beta-adrenoceptor responses to inhaled salbutamol in normal subjects. Eur J Clin Pharmacol 1989;36:239-45.. PubMed
- 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
- 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
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- Rahman ARA, McDevitt DG, Struthers AD, Lipworth BJ. The effects of enalapril and spironolactone on terbutaline-induced hypokalemia. Chest 1992;102:91-5..
- 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
- Haalboom JRE, Deenstra M, Struyvenberg A. Effect of fenoterol on plasma potassium and cardiac ectopic activity (letter). Lancet 1989;2:45. PubMed
- Raimondi GA, Rodriguez-Moncalvo JJ. Effects of beta-adrenergic agents on hypokalemia (letter). Chest 1987;91:288-9. PubMed
- Gelmont DM, Balmes JR, Yee A. Hypokalemia induced by inhaled bronchodilators. Chest 1988;94:763-6.. PubMed
- 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..
- Rohr AS, Spector SL, Rachelefsky GS, et al. Efficacy of parenteral albuterol in the treatment of asthma: Comparison of its metabolic side effects with subcutaneous epinephrine. Chest 1986;89:348-51.. PubMed
- Isaac G, Holland OB. Drug-induced hypokalamia: A cause for concern. Drugs & Aging 1992;2:35-41.
- Crane J, Burgess CD, Graham AN, Maling TJB. Hypokalemic and electrocardiographic effects of aminophylline and salbutamol in obstructive airways disease. NZ Med J 1987;100:309-11. DOI
- Zantvoort FA, Derkx FHM, Boomsma F, et al. Theophylline and serum electrolytes (letter). Ann Int Med 1986;104:134-5. PubMed
- Braat MCP, Jonkers RE, Bel EH, Van Boxtel CJ. Quantification of theophylline-induced eosinopenia and hypokalamia in healthy volunteers. Clin Pharmacokinet 1992;22:231-7..
- Flack JM, Ryder KW, Strickland D, Whang R. Metabolic correlates of theophylline therapy: a concentration-related phenomenon. Ann Pharmacother 1994;28:175-9.. PubMed
- Smith SR, Kendall MJ. Metabolic responses to beta-2 stimulants. J R Coll Phys Lond 1984;18:190-4.
- 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).
- Mohammadianpanah M, Omidvari S, Mosalaei A, Ahmadloo N. Cisplatin-induced hypokalemic paralysis. Clin Ther 2004;26:1320-3. PubMed
- Panichpisal K, Angulo-Pernett F, Selhi S, Nugent KM. Gitelman-like syndrome after cisplatin therapy: a case report and literature review. BMC Nephrol 2006;7:10. PubMed
- Bjornson DC, Stephenson SR. Cisplatin-induced massive renal tubular failure with wastage of serum electrolytes. Clin Pharm 1983;2;80-3.
- Clegg, A. J., Loveman, E., Gospodarevskaya, E., Harris, P., Bird, A., Bryant, J., Scott, D. A., Davidson, P., Little, P., and Coppin, R. The safety and effectiveness of different methods of earwax removal: a systematic review and economic evaluation. Heal PubMed
- 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
- Proudfoot, A. T., Krenzelok, E. P., and Vale, J. A. Position Paper on urine alkalinization. J Toxicol Clin Toxicol 2004;42(1):1-26. PubMed
- 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
- Barna, P. Sodium bicarbonate: burst stomachs and high sodium. J Clin Gastroenterol 1986;8(6):697-698.
- Mastrangelo, M. R. and Moore, E. W. Spontaneous rupture of the stomach in a healthy adult man after sodium bicarbonate ingestion. Ann Intern Med 1984;101(5):649-650. PubMed
- Hughes, G. S., Heald, D. L., Barker, K. B., Patel, R. K., Spillers, C. R., Watts, K. C., Batts, D. H., and Euler, A. R. The effects of gastric pH and food on the pharmacokinetics of a new oral cephalosporin, cefpodoxime proxetil. Clin Pharmacol Ther 1989; PubMed
- Neuvonen, P. J. and Karkkainen, S. Effects of charcoal, sodium bicarbonate, and ammonium chloride on chlorpropamide kinetics. Clin Pharmacol Ther 1983;33(3):386-393. PubMed
- Proudfoot AT, Krenzelok EP, Brent J, Vale JA. Does urine alkalinization increase salicylate elimination? If so, why? Toxicol Rev 2003;22(3):129-36. PubMed
- Neavyn MJ, Boyer EW, Bird SB, Babu KM. Sodium acetate as a replacement for sodium bicarbonate in medical toxicology: a review. J Med Toxicol 2013;9(3):250-4. PubMed
- Brater DC, Kaojarern S, Benet LZ, et al. Renal excretion of pseudoephedrine. Clin Pharmacol Ther 1980;28(5):690-4. PubMed
- Lemmon WT, Paschal GW Jr. Rupture of the stomach following ingestion of sodium bicarbonate. Ann Surg 1941;114(6):997-1003. PubMed
- Zer M, Chaimoff C, Dintsman M. Spontaneous rupture of the stomach following ingestion of sodium bicarbonate. Arch Surg 1970;101(4):532-3. PubMed
- Brismar B, Strandberg A, Wiklund B. Stomach rupture following ingestion of sodium bicarbonate. Acta Chir Scand Suppl 1986;530:97-9.
- Thomas SH, Stone CK. Acute toxicity from baking soda ingestion. Am J Emerg Med 1994;12(1):57-9. PubMed
- Food and Drug Administration Department of Health and Human Services. 21 CFR Part 331. Antacid Drug Products for Over-the-Counter Human Use; Amendment to Antacid Final Monograph; Proposed Rule. Federal Register. 1994;59(22):5060-5065.
- Gonzalez J, Hogg R. Metabolic alkalosis secondary to baking soda treatment of a diaper rash. Pediatrics. 1981;67:820-822. DOI
- Mahadevan U. Gastrointestinal medications in pregnancy. Best Pract Res Clin Gastroenterol. 2007;21(5):849-77. PubMed
- Stallings VA, Harrison M, Oria M; Committee to Review the Dietary Reference Intakes for Sodium and Potassium, Food and Nutrition Board, Health and Medicine Division, National Academies of Sciences, Engineering, and Medicine. Washington (DC): National Acad
- 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
- 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
- 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
- Hughes A, Brown A, Valento M. Hemorrhagic encephalopathy from acute baking soda ingestion. West J Emerg Med. 2016;17(5):619-22. PubMed
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC