Orthoplex Gastric BufferMay be of assistance in conditions associated with: ExcipientsMalic acid, potassium bicarbonate, sodium bicarbonate, silicon dioxide, xylitol. Synergistic Formulae Cautions and ContraindicationsPotassium should be given with caution in patients taking ACE inhibitors and beta adrenergic blockers as increased blood levels of potassium may result. Hypochlorhydria Do not take with meals Dosage 1 level 5mL metric spoonful in water one hour after meals, or as prescribed. Each 4 g (5mL metric spoonful) contains:
Acid -Base Buffer Systems 1. The bicarbonate buffer system In the bicarbonate buffer system, the bicarbonate ion (HCO3-) acts as a weak base and can remove excess H+, and carbonic acid (H2CO3) acts as a weak acid and can provide H+ if there is a shortage. Subsequently, H2CO3 dissociates into water and carbon dioxide in the lungs and the CO2 is exhaled. The phosphate buffer system works via the same mechanism as the bicarbonate system with the dihydrogen phosphate ion (H2PO4-) acting as a weak acid and the monohydrogen phosphate ion (HPO42-) acting as a weak base. Because the concentration of phosphates is highest in intracellular fluid, the phosphate buffer system is an important regulator of pH in the cytosol. It also acts to a small degree in extracellular fluids and acts to buffer acids in urine. Athletic Endurance During high-intensity exercise, muscle hypoxia causes the production of lactic acid via anaerobic respiration. A build-up of lactic acid inside the muscle cells is one of the factors responsible for fatigue. Reducing the build-up of acid should reduce fatigue and allow the athlete to go faster or further. The body's defences against an increase in acidity are the bicarbonate, phosphate, and protein "buffers", which help to neutralize the acid produced by intense exercise. Attempts to enhance performance by increasing the effectiveness of the buffers have focused mainly on bicarbonate. Taking a sufficient quantity of sodium bicarbonate before a high-intensity event should make the muscles and blood less acidic during the event and should enhance physical performance. Digestive dysfunction Bicarbonate losses occur with the loss of bicarbonate-rich body fluids or when there is an excess of chloride ions. Intestinal secretions have a high bicarbonate concentration. Consequently, excessive losses of bicarbonate occur with severe diarrhoea. In diarrhoea of microbial origin, bicarbonate is secreted into the bowel to neutralize the metabolic acids that are produced by the microorganisms causing the diarrhoea.
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