Overdosage with this medicine may give rise to the symptoms of hypernatraemia, which may include drowsiness and irritability, pyrexia, tachypnoea and hyperpnoea. In more severe instances of acute sodium overload signs of dehydration and convulsions may occur.
Treatment of hypernatraemia includes repair of any dehydration present and the gradual reduction of plasma sodium. The alkalosis, if present, will respond usually to the treatment of hypernatraemia. At all times, intensive monitoring of electrolytes and patient's circulation and central nervous system is essential.
24 months unopened
12 weeks after opening
Hypersensitivity to sodium bicarbonate, or any of the ingredients.
Metabolic or respiratory alkalosis
Hypocalcaemia
Hypochlorhydria
Patients on low sodium diets
Congestive heart failure
Oedema/fluid retention
Hypertension/eclampsia
Impaired renal function
Cirrhosis of the liver
Aldosteronism
Babies under one month of age or over one year of age.
None stated
Maltitol liquid
Glycerol
Sodium citrate
Domiphen bromide
Apple flavour 5112O1E
Purified water
Carbon dioxide
Liquid
Immune system disorders: Rarely hypersensitivity reactions including skin rash
Gastrointestinal disorders: Stomach cramps, belching, flatulence, vomiting
General disorders and administration site conditions: Malaise
Metabolism and nutrition disorders: Excessive use may lead to hypernatraemia and hyperosmolality, hypokalaemia and metabolic acidosis, especially in patients with impaired renal function
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.
Not applicable.
For the relief of wind and griping pains.
Sodium Bicarbonate has antacid properties.
Sodium bicarbonate causes neutralisation of gastric acid with the production of carbon dioxide. Any bicarbonate not involved in that reaction is absorbed and in the absence of a deficit of bicarbonate in the plasma, bicarbonate ions are excreted in the urine that is rendered alkaline and there is an accompanying diuresis.
February 2014
Children's Gripe Mixture or Gripe Mixture or Infant Sugar Free Gripe Mixture or Children's 1 Month Plus Gripe Mixture or Boots Gripe Mixture 1 Month Plus
Do not store above 25°C.
A clear polythene terephthalate bottle with a polypropylene child resistant closure fitted with an expanded polyethylene liner.
Pack size: 150ml
PL 00014/5236R
| Active ingredient | % Quantity | 
| Sodium Bicarbonate EP | 1.0 w/v | 
Do not exceed the recommended dose as excess use may lead to alkalosis.
This medicine should be given to the child to swallow before or after feeds. Inclusion of this medicine in feeds or bottles has not been studied and should be avoided.
Keep all medicines out of the reach of children.
No adverse effects known
For oral administration.
Babies up to 1 month: Not Recommended.
Infants 1 - 6 months: 5ml.
Infants 6 months - 1 Year: 10ml.
The above doses may be repeated before or after each feed up to six times in 24 hours if needed.
Not recommended for children over 1 year.
None
| Date of First Authorisation: | 24 October 1990 | 
| Date of Last Renewal: | 20 February 1996 |