Indications & Uses
Waxnil 5% is indicated for:
Pharmacology
Sodium bicarbonate acts as a systemic alkalizer: it raises plasma bicarbonate levels, buffers excess hydrogen ions, and increases blood pH, helping to reverse the clinical signs of acidosis. As a urinary alkalizer, it boosts the excretion of free bicarbonate ions in the urine, raising urinary pH. In cases of severe diarrhea, where bicarbonate loss can be substantial, it also helps restore the resulting electrolyte imbalance.
Dosage Reference
Reference Information Only
Dosages shown are general references from official sources. Always consult your doctor or pharmacist for personalized dosing.
Adults:
Oral: The usual dose is 300 mg to 2 grams, taken 1 to 4 times daily.
Intravenous, for severe metabolic acidosis: In adults, it is given by slow injection as a hypertonic solution of up to 8.4% (1000 mmol/L), or by continuous infusion of a weaker solution, usually 1.26% (150 mmol/L). To correct acidosis during advanced cardiac life support procedures, 50 ml of an 8.4% solution may be given. In elderly patients, dosage adjustments may be required.
Side Effects
The common side effects of Sodium Bicarbonate are headache, nausea and irritability. Notify your doctor if you develop any of the following: muscle weakness, slow reflexes, confusion, swelling of the feet or ankles, black tar-like stools, or coffee-ground vomit.
Cautions & Contraindications
Warnings & Precautions
Caution is needed if the patient has pre-existing heart disease, kidney disease, liver disease, high blood pressure, or any allergies. Because this medicine contains salt (sodium), it should not be used by anyone on a salt-restricted diet.
Contraindications
This drug is contraindicated in patients with hypersensitivity, hypoventilatory states, excessive chloride loss from ongoing vomiting or GI suctioning, metabolic and/or respiratory alkalosis, hypocalcemia, and use with diuretics known to cause hypochloremic alkalosis.
Pregnancy & Breastfeeding
Use during pregnancy only if the potential benefit outweighs the potential risk to the developing baby. In pregnant women, animal studies have shown adverse effects on the kidneys, so this medicine is not recommended during the second and third trimesters. It may also make high blood pressure worse. This medication can pass into breast milk.
⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.
Overdose
If alkalosis develops, stop the bicarbonate and manage the patient according to how severe the alkalosis is. 0.9% sodium chloride injection may be given intravenously. Potassium chloride may also be needed if the patient has hypokalemia.
Severe alkalosis can bring hyperirritability or tetany, and calcium gluconate can control these symptoms. In severe alkalosis, an acidifying agent such as ammonium chloride may also be indicated.
⚠️ In an emergency call 999 or go to the nearest hospital emergency department.
Storage
Keep Sodium Bicarbonate at a temperature not above 30°C, and protect it from light and moisture. Keep the medicine out of reach of children.
Drug Interactions
Common questions about Waxnil 5% 50 mg/ml
What is Waxnil 5% 50 mg/ml Ear Drop?
Waxnil 5% 50 mg/ml Ear Drop is a medicine that contains Sodium Bicarbonate. It is made by Square Pharmaceuticals PLC, Gazipur. It belongs to the Intravenous fluid preparations group of medicines.
What is Waxnil 5% used for?
Waxnil 5% is used for: Diabetes Mellitus.
What are the side effects of Waxnil 5%?
The common side effects of Sodium Bicarbonate are headache, nausea and irritability. Notify your doctor if you develop any of the following: muscle weakness, slow reflexes, confusion, swelling of the feet or ankles, black tar-like stools, or coffee-ground vomit.
Can I take Waxnil 5% during pregnancy or while breastfeeding?
Use during pregnancy only if the potential benefit outweighs the potential risk to the developing baby. In pregnant women, animal studies have shown adverse effects on the kidneys, so this medicine is not recommended during the second and third trimesters. Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.
What happens if I take too much Waxnil 5%?
If alkalosis develops, stop the bicarbonate and manage the patient according to how severe the alkalosis is. 0.9% sodium chloride injection may be given intravenously. In an emergency call 999 or go to the nearest hospital emergency department.
How should I store Waxnil 5%?
Keep Sodium Bicarbonate at a temperature not above 30°C, and protect it from light and moisture. Keep the medicine out of reach of children.
Can I take other medicines with Waxnil 5%?
Some medicines can interact with Sodium Bicarbonate, for example: Cefpodoxime Proxetil, Multivitamin + Cod Liver Oil, Lithium Carbonate, Vitamin C [Ascorbic acid], Vitamin C + Vitamin E, Aspirin. Tell your doctor or pharmacist about every medicine you take.
Do I need a prescription for Waxnil 5%?
Waxnil 5% is a prescription (Rx) medicine. Take it as your doctor advises.