Sodium bicarbonate and Triamterene interaction

Sodium bicarbonate and Triamterene: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Sodium bicarbonate label · effective 2026-07-09

Major

Sodium bicarbonate injection is contraindicated in patients who are losing chloride by vomiting or from continuous gastrointestinal suction and in patients receiving diuretics known to produce a hypochloremic alkalosis.

Contraindicationsby drug classView label on DailyMed

From the Triamterene (Dyrenium) label · effective 2024-12-05

Minor

For tachyarrhythmia, infuse 44 mEq of sodium bicarbonate or 10 mL of 10% calcium gluconate or calcium chloride over several minutes.

Warnings and precautionsnames Sodium bicarbonateView label on DailyMed
Minor

The effect of calcium and sodium bicarbonate is transient and repeated administration may be required.

Warnings and precautionsnames Sodium bicarbonateView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.