This combination is indicated for:

• Heartburn
• Indigestion
• Hyperacidity
• Flatulence

Each 5 gm sachet contains:

• Sodium Bicarbonate BP 2.32 gm
• Citric Acid (Anhydrous) BP 2.18 gm
• Sodium Carbonate (Anhydrous) BP 0.50 gm

This is an antacid preparation that provides rapid relief from heartburn, indigestion, hyperacidity, and flatulence.

Since the components act locally in the stomach and are fully dissolved, systemic absorption and pharmacokinetic behavior are not significant considerations. Residual sodium and citrate ions are safely absorbed and eliminated through normal metabolic pathways. When dissolved in water, the ingredients react to form sodium citrate, which provides buffering (antacid) action, and carbon dioxide gas, which helps relieve gas through eructation (belching). A small amount of sodium bicarbonate remains, contributing additional acid-neutralizing effect.

Adults and children aged 12 years and over: 5 gm (one 5 ml spoonful of powder) or one sachet dissolved in a glass of water. Drink as symptoms occur.
A second dose may be taken after 2-3 hours.

Minimum dosing interval: 2 hours.

Maximum daily dose (MDD): 2 X relevant dosage (5 g).

Maximum duration of antacid use at MDD: 14 days.

Children under 12 years: Do not use.

The elderly can take the adult dose.

The acid-neutralizing effect of this product may alter the absorption pattern of pH-dependent medicines taken at the same time.

Patients on a sodium-restricted diet, such as those with hypertension or congestive heart failure, should not use this product unless advised by a physician. It is also contraindicated in patients with impaired liver or kidney function. This combination is contraindicated in patients with known hypersensitivity to Sodium Bicarbonate, Sodium Carbonate, Citric Acid, or any other ingredient of the formulation.

Caution should be exercised when using this product in pregnant women.

Patients on a sodium-restricted diet, such as those with hypertension or congestive heart failure, should not use this product unless directed by a physician.

Antacids

Store below 30°C in a dry place, protected from light. Keep out of reach of children.