nabico3-ds tablet - Sodium Bicarbonate (1000mg) medicine

Adosice-DS Tablet: Complete Medicine Guide

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🏭 Anthem Biopharma 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for short-term relief of heartburn and acid indigestion; limited for other uses.
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Confusion or extreme drowsiness
  • Muscle twitching or cramps
  • Irregular or fast heartbeat
  • Severe nausea and vomiting
  • Sudden swelling of face, lips, or throat
  • Difficulty breathing
  • Blood in vomit or stool
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is nabico3-ds tablet used for?

This medicine contains Sodium Bicarbonate 1000 mg, an antacid that neutralizes stomach acid and makes blood and urine less acidic. It is used for quick relief from heartburn, acid indigestion, and certain acid-related conditions. It should be taken with water and not more than four times a day for self-treatment.

  • Generic Name: Sodium Bicarbonate (1000mg)
  • Manufacturer: Anthem Biopharma
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 nabico3-ds tablet के बारे में (Hindi Summary)

उपयोग: यह दवा सोडियम बाइकार्बोनेट 1000 मिलीग्राम की एक टैबलेट है, जो पेट में बनने वाले अतिरिक्त एसिड को बेअसर करती है। इसका उपयोग सीने में जलन, एसिडिटी, खट्टी डकार और पेट की जलन में राहत के लिए किया जाता है। यह शरीर और पेशाब को क्षारीय बनाने में भी मदद करती है, जिससे कुछ विशेष स्थितियों में लाभ होता है। इस दवा को डॉक्टर की सलाह के अनुसार ही लें और अपने आप मात्रा न बढ़ाएं।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में डकार, पेट में गैस, जी मिचलाना और पेट में हल्की असुविधा शामिल हैं। कभी-कभी प्यास लगना, बार-बार पेशाब आना या सिरदर्द हो सकता है। ज्यादा मात्रा में या लंबे समय तक लेने पर शरीर में सोडियम और एसिड-बेस का संतुलन बिगड़ सकता है, जिससे भ्रम, मांसपेशियों में ऐंठन, अनियमित धड़कन और सूजन जैसी गंभीर समस्याएं हो सकती हैं। ऐसे लक्षण दिखने पर तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को हमेशा डॉक्टर के बताए अनुसार ही लें। एक बार में एक गिलास पानी के साथ लें। अगर आपको हाई ब्लड प्रेशर, दिल की बीमारी, किडनी की बीमारी है या आप नमक कम खाने की सलाह पर हैं, तो डॉक्टर को पहले बताएं। अन्य दवाओं के साथ इस दवा को लेने से पहले या बाद में कम से कम 2 घंटे का अंतर रखें। बिना डॉक्टर की सलाह के 2 हफ्ते से ज्यादा इसका इस्तेमाल न करें। गर्भवती और स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 nabico3-ds tablet Uses & Benefits

[{"condition":"Heartburn and acid indigestion","description":"This medicine neutralizes excess stomach acid and provides rapid, short-term relief from heartburn, sour stomach, and indigestion.","evidence":"Well-established"},{"condition":"Metabolic acidosis","description":"This medicine is used to raise blood bicarbonate levels and correct acidosis in certain clinical settings, under medical supervision.","evidence":"Well-established"},{"condition":"Urinary alkalinization","description":"This medicine makes urine less acidic, which can help in conditions such as uric acid stones or to improve the effectiveness of certain medicines.","evidence":"Well-established"},{"condition":"Mild urinary tract discomfort","description":"By making urine less acidic, this medicine may reduce burning and irritation in some urinary tract infections, though it does not treat the infection itself.","evidence":"Limited"}]

Off-label uses: [{"condition":"Exercise-induced acidosis","description":"Sometimes used by athletes to buffer acid during high-intensity exercise, but evidence is mixed and safety is not fully established.","evidence":"Limited"},{"condition":"Mouth odor from acid reflux","description":"Occasionally used to neutralize acid in the mouth and throat, but this is not a standard treatment.","evidence":"Limited"}]

Primary treatment for: Heartburn and acid indigestion

Also treats: Metabolic acidosis, Urinary alkalinization, Uric acid stones, Mild urinary tract discomfort

📋 Drug Information

Generic Name(s)Sodium Bicarbonate (1000mg)
Brand Namenabico3-ds tablet
ManufacturerAnthem Biopharma
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassAntacids
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C. Keep in a dry place, away from direct sunlight and moisture. Do not refrigerate unless specified on the label.
Shelf Life24 months from the date of manufacture, or as printed on the pack.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with a full glass of water to help it dissolve and work faster.
2
Do not take more than 4 tablets in 24 hours for self-treatment of heartburn.
3
Separate this medicine from other medicines by at least 2 hours to avoid absorption problems.
4
If you have high blood pressure or heart failure, ask your doctor before using this medicine because of its high sodium content.
5
Avoid taking this medicine with large amounts of dairy products to prevent milk-alkali syndrome.
6
Do not use this medicine for more than 2 weeks for indigestion without medical advice.
7
Report any muscle twitching, confusion, or irregular heartbeat to your doctor immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Heartburn
This medicine is commonly used for quick relief of heartburn.
Likely Use
✅
Acid indigestion
This medicine neutralizes excess stomach acid.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
❌
Headache
This medicine is not a pain reliever.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionSodium bicarbonate is rapidly absorbed from the gastrointestinal tract after oral administration. It reacts with gastric acid before absorption, and the remaining bicarbonate is absorbed in the small intestine. Absorption is generally quick, but the exact rate can vary with stomach contents and dose.
DistributionBicarbonate is distributed throughout the extracellular fluid and is also present inside cells. It crosses the placenta and is distributed into breast milk. It does not bind significantly to plasma proteins.
Protein BindingNot established from the available information.
MetabolismSodium bicarbonate is not metabolized by the liver. It participates in normal acid-base balance and is eliminated as bicarbonate or carbon dioxide.
Half-LifeNot established from the available information.
ExcretionBicarbonate is excreted primarily by the kidneys. Some is also lost through the lungs as carbon dioxide and in sweat. Renal excretion increases when blood bicarbonate levels are high.
BioavailabilityNot established from the available information.
Onset of ActionRelief from heartburn and indigestion usually begins within minutes after taking this medicine by mouth.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe effect on stomach acid lasts for a short time, usually less than one hour. The systemic alkalinizing effect may last longer depending on the dose and kidney function.

How It Works

This medicine works by directly neutralizing hydrochloric acid in the stomach, forming sodium chloride, water, and carbon dioxide. This chemical reaction reduces stomach acidity and relieves heartburn and indigestion. When absorbed into the bloodstream, sodium bicarbonate acts as an alkali and increases blood bicarbonate levels, helping to correct metabolic acidosis. It also raises urinary pH by increasing the excretion of bicarbonate, which makes urine less acidic. These actions help in conditions where excess acid needs to be neutralized or where urine needs to be alkalinized.

Mechanism Steps

1
Gastric acid neutralization: Sodium bicarbonate reacts with hydrochloric acid in the stomach to form sodium chloride, water, and carbon dioxide, which reduces stomach acidity.
2
Systemic alkalinization: After absorption, sodium bicarbonate increases blood bicarbonate levels and raises blood pH, helping to correct metabolic acidosis.
3
Urinary alkalinization: The kidneys excrete bicarbonate, which raises urine pH and makes urine less acidic, aiding in certain stone and drug conditions.
4
Sodium load: Each dose provides a significant amount of sodium, which can affect blood pressure, fluid balance, and heart function in sensitive individuals.

💡 How to Take nabico3-ds tablet

Strength: Immediate-release oral tablet containing Sodium Bicarbonate 1000 mg.

1Take this medicine by mouth with a full glass of water.
2Swallow the tablet whole; do not crush or chew unless advised by your doctor.
3Take it after meals to reduce stomach upset and prolong effect.
4Do not take more than the recommended dose in 24 hours.
5Separate from other medicines by at least 2 hours to avoid interactions.
6If you are on a low-sodium diet, consult your doctor before taking this medicine.

Dosage Information

Adult DosageThe usual adult dose of this medicine for heartburn and indigestion is 1000 mg to 2000 mg (1 to 2 tablets) taken with a full glass of water, not more than four times in 24 hours. For metabolic acidosis or urinary alkalinization, the dose is individualized by a clinician based on blood tests and the condition being treated. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose without medical advice.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the sodium load and electrolyte changes caused by this medicine. Use with caution and monitor kidney function, blood pressure, and electrolytes. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in kidney disease. Dose reduction or avoidance may be needed. Monitor kidney function and electrolytes closely. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo specific dose adjustment is established for liver disease. Use with caution and monitor acid-base balance. Dose must be individualized by a qualified clinician.
Maximum Daily DoseThe maximum daily dose for self-treatment of indigestion is generally 8000 mg (8 tablets of 1000 mg) in 24 hours, but this should not be exceeded without medical advice. For other indications, the maximum dose is determined by a clinician.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Water
Take with a full glass
Helps the tablet dissolve and work faster.
Meals
Take after meals
Reduces stomach upset and prolongs the effect.
Dairy products
Avoid taking together
May increase risk of milk-alkali syndrome.
High-sodium foods
Limit intake
This medicine already provides a large sodium load.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of nabico3-ds tablet

✅ Common Side Effects

Belching (Common (5-10%))
This is due to carbon dioxide gas produced in the stomach. It usually resolves on its own and is not harmful.
Bloating (Common (5-10%))
Take the medicine with water and avoid large doses. If bloating persists, consult your doctor.
Nausea (Common (5-10%))
Take with a full glass of water. If nausea continues, speak to your doctor.
Stomach discomfort (Common (5-10%))
Take after meals to reduce irritation. If pain is severe, seek medical advice.

🚨 Serious Side Effects

Metabolic alkalosis (Rare (<0.1%))
Seek immediate medical attention if you experience confusion, muscle twitching, irregular heartbeat, or persistent vomiting.
Hypernatremia (high sodium) (Rare (<0.1%))
Get medical help if you have severe thirst, swelling, confusion, or seizures.
Heart failure worsening (Rare (<0.1%))
Call your doctor right away if you notice sudden weight gain, swelling in legs, or shortness of breath.
Kidney stones (Rare (<0.1%))
Report flank pain, blood in urine, or painful urination to your doctor.

⚠️ Rare Side Effects

Severe allergic reaction
Stop the medicine and seek emergency care if you have rash, swelling of face or throat, or difficulty breathing.
Seizures
This can occur with severe electrolyte imbalance. Seek emergency medical help immediately.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Diuretics Major
Corticosteroids Major
Aspirin Moderate
Lithium Moderate
Metformin Moderate
Iron supplements Minor
Tetracycline Minor
Ketoconazole Minor
Amphetamine Moderate
Pseudoephedrine Minor

🚨 Major Interactions

  • Antacids containing calcium or magnesium
  • Diuretics (thiazide, loop)
  • Corticosteroids

⚡ Moderate Interactions

  • Aspirin
  • Lithium
  • Metformin

🍷 Alcohol Interaction

Alcohol can increase stomach acid and irritate the stomach lining, which may worsen heartburn and reduce the benefit of this medicine. Alcohol also adds to fluid and sodium imbalance. It is best to avoid alcohol while taking this medicine, especially if you have high blood pressure or heart problems.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Metabolic alkalosis","Hypernatremia (high blood sodium)","Severe kidney impairment","Congestive heart failure","Severe liver disease","Hypocalcemia (low blood calcium)","Known hypersensitivity to sodium bicarbonate"]

⚠️ Warnings & Precautions

["Do not use for more than 2 weeks for indigestion without medical advice.","Avoid in patients on a low-sodium diet unless prescribed.","May cause milk-alkali syndrome if taken with large amounts of calcium.","Can interfere with the absorption of many medicines; separate doses by 2 hours.","Use with caution in the elderly and in those with kidney or heart disease.","Do not use to treat peptic ulcer without medical supervision.","Keep out of reach of children."]

🤱 Lactation Safety

Sodium bicarbonate is distributed into breast milk. Occasional use is likely safe, but regular or high-dose use should be avoided unless prescribed by a doctor. Consult your healthcare provider before use while breastfeeding.

💊 Overdose Management

Overdose of this medicine can cause severe metabolic alkalosis, hypernatremia, and dehydration. Symptoms include nausea, vomiting, confusion, muscle twitching, and irregular heartbeat. If overdose is suspected, seek emergency medical care immediately. Treatment is supportive and may include intravenous fluids, electrolyte correction, and monitoring in a hospital setting. Do not try to treat yourself at home.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Always take this medicine exactly as directed by your doctor. Do not increase the dose or take it more often than prescribed, because too much sodium bicarbonate can disturb your body's acid-base balance and sodium levels. Take this medicine with a full glass of water to help it work and to reduce stomach irritation. If you have high blood pressure, heart disease, kidney disease, or are on a low-salt diet, tell your doctor before using this medicine. Avoid taking this medicine within one to two hours of other medicines, because it can change how they are absorbed. Do not use this medicine for more than two weeks for indigestion unless your doctor advises otherwise. Keep all follow-up appointments so your doctor can check your blood electrolyte levels and kidney function if you use this medicine regularly. Pregnant and breastfeeding women should consult a doctor before use. Keep this medicine out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the sodium load and electrolyte changes caused by this medicine. They should use it with caution, especially if they have heart or kidney disease. Monitoring of electrolytes, kidney function, and blood pressure is advised.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before using this medicine. Occasional use for heartburn may be acceptable, but regular use should be avoided unless prescribed. Discuss safer alternatives with your healthcare provider.

🏥 Post-Surgery Considerations

After surgery, use this medicine only if prescribed by your surgeon. It can affect acid-base balance and interact with other medicines. Inform your surgical team if you are taking this medicine.

🦷 Dental Procedures

This medicine does not usually affect dental procedures. However, inform your dentist if you are taking it regularly, as it may affect your electrolyte balance and interact with other medicines.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce pressure on the stomach.
🥗
Avoid trigger foods such as spicy, oily, and acidic foods.
😴
Eat smaller, more frequent meals instead of large heavy meals.
💧
Do not lie down immediately after eating; wait at least 2 hours.
🧘
Elevate the head of your bed if you have night-time heartburn.
🌞
Limit alcohol and caffeine intake.
🚭
Quit smoking if you smoke.

🏋️ Exercise Considerations

Moderate exercise is generally safe while taking this medicine. However, if you have heart or kidney disease, consult your doctor before starting a new exercise routine. Avoid vigorous exercise immediately after meals to prevent reflux.

🥗 Diet Recommendations

Eat a balanced diet rich in fruits and vegetables.
Limit high-sodium and processed foods.
Avoid spicy and oily foods that trigger heartburn.
Stay well hydrated with water.
Include fiber-rich foods to support digestion.

💼 Impact on Daily Work & Life

This medicine does not usually affect your ability to drive or operate machinery. However, if you experience dizziness, confusion, or muscle twitching, avoid driving and seek medical advice. It should not interfere with your daily work activities when taken as directed.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 2 weeks, if they worsen, or if you experience any serious side effects such as confusion, muscle twitching, irregular heartbeat, or swelling. Do not stop prescribed treatment for metabolic acidosis without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine can lead to metabolic alkalosis, high sodium levels, kidney stones, and worsening of heart or kidney disease. It can also interfere with the absorption of other medicines. Regular monitoring of electrolytes, kidney function, and blood pressure is recommended if long-term use is necessary. It should not be used for prolonged periods without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary changes

Avoiding trigger foods and eating smaller meals can reduce heartburn episodes.

Evidence: Well-established
Lifestyle modifications

Weight loss, elevating the head of the bed, and quitting smoking can help.

Evidence: Well-established
Other antacids

Calcium carbonate or magnesium hydroxide may be alternatives for occasional heartburn.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. You can receive vaccines as scheduled while taking this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription or doctor&#039;s note, especially for international travel. Store it in a cool, dry place away from direct sunlight. If you are crossing time zones, continue taking it as needed for symptoms, but do not exceed the maximum daily dose. Check customs rules for carrying medicines in your destination country.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 50-year-old man with frequent heartburn after spicy meals
He was prescribed this medicine to take after meals when heartburn occurred. He found that taking it with a full glass of water gave quick relief, but he also learned not to take it more than four times a day. He now avoids trigger foods and uses the medicine only when needed.
💡 Lesson: This medicine provides fast relief when taken as directed, but it should not replace dietary changes or be overused.
👤 A 65-year-old woman with mild kidney disease and acidity
She was advised to use this medicine only occasionally because of her kidney condition. Her doctor monitored her electrolytes and kidney function. She was told to avoid regular use and to report any swelling or confusion immediately.
💡 Lesson: People with kidney disease need careful monitoring and should use this medicine only under medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts relieving heartburn within minutes after taking it with water.

Q: Can I take it every day?

A: It should not be used daily for more than 2 weeks without medical advice because of the risk of electrolyte imbalance.

Q: Is it safe with other medicines?

A: It can interact with many medicines. Separate it from other medicines by at least 2 hours and consult your doctor.

Q: What should I do if I take too much?

A: Seek emergency medical help immediately. Overdose can cause serious electrolyte and acid-base problems.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for nabico3-ds tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure all stomach problems.
    Fact: This medicine only neutralizes acid and does not treat infections, ulcers, or other causes of stomach pain.
  • Myth: More tablets mean faster relief.
    Fact: Taking more than the recommended dose can cause serious electrolyte imbalance and is dangerous.
  • Myth: It is safe to take with all other medicines.
    Fact: This medicine can interact with many drugs and should be separated from them by at least 2 hours.

🔄 Alternative Options

Generic Alternatives

  • Sodium Bicarbonate 1000 mg tablet

Brand Alternatives

  • Adosice-DS Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Sodium Bicarbonate","class":"Systemic antacid","onset":"Rapid","duration":"Short","main_use":"Heartburn, metabolic acidosis"},{"medicine":"Calcium carbonate","class":"Antacid","onset":"Rapid","duration":"Short","main_use":"Heartburn, calcium supplement"},{"medicine":"Magnesium hydroxide","class":"Antacid, laxative","onset":"Rapid","duration":"Short","main_use":"Heartburn, constipation"}]

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