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Which antacid is safe for kidneys?

Published in Kidney Health 2 mins read

Sodium bicarbonate is an antacid that can be safe and helpful for individuals with kidney disease, especially when they develop metabolic acidosis.

Understanding the Issue

Kidney disease, or chronic kidney disease (CKD), impairs the kidneys' ability to properly filter blood. This can lead to a buildup of acids in the body, a condition known as metabolic acidosis. Antacids can help neutralize excess acid, but not all are suitable for people with kidney problems.

Sodium Bicarbonate and Kidney Disease

  • Mechanism of Action: Sodium bicarbonate works by increasing the blood's bicarbonate levels, which helps to balance the pH and reduce acidity.
  • Benefit for CKD: In patients with CKD and metabolic acidosis, sodium bicarbonate can slow the progression of kidney disease.
  • Important Note: It's crucial to consult with a doctor before taking sodium bicarbonate, as the dosage needs to be carefully monitored and adjusted based on individual needs and kidney function.

Other Antacids and Kidney Concerns

Many over-the-counter antacids contain ingredients that can be problematic for people with kidney disease:

  • Magnesium-containing antacids: Magnesium can accumulate to toxic levels in individuals with impaired kidney function.
  • Aluminum-containing antacids: Aluminum can also build up in the body and cause bone and neurological problems.
  • Calcium-containing antacids: While calcium is important, excessive intake can lead to hypercalcemia, especially in those with kidney issues.

Recommendation

Always consult with a healthcare professional before taking any antacid if you have kidney disease. They can assess your specific situation and recommend the safest and most effective option for you. Sodium bicarbonate can be beneficial, but it requires careful monitoring and is not right for everyone.

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