Skip to main content

What the FDA labels say about taking them together

Quinidine and sodium bicarbonate

Quinidine's FDA label of February 1, 2018 names sodium bicarbonate in its drug interactions section; the sodium bicarbonate labels PlainMeds reads (3) do not name quinidine. The quinidine label: “Drugs that alkalinize the urine reduce renal elimination of quinidine.”

Check it at the source: the quinidine FDA label on DailyMed (effective February 1, 2018, Sun Pharmaceutical Industries, Inc.); the sodium bicarbonate FDA label on DailyMed (effective August 4, 2026).

What does the quinidine label say about sodium bicarbonate?

Quinidine label, drug interactions

Drugs that alkalinize the urine ( carbonic-anhydrase inhibitors, sodium bicarbonate, thiazide diuretics ) reduce renal elimination of quinidine.

Source: FDA drug label (Quinidine Gluconate), Sun Pharmaceutical Industries, Inc., effective February 1, 2018 (SPL set 5023f053-fcc4-4c2c-aa59-9ec198ad185e), via openFDA; the full label on DailyMed

What does the sodium bicarbonate label say about quinidine?

Sodium bicarbonate's label (effective August 4, 2026) and its 2 other brand-application labels do not name quinidine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Sodium Bicarbonate 5 gr), TWIN MED LLC, effective August 4, 2026 (SPL set e325d899-d9a6-5adb-e053-2995a90ac861), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

4Quinidine generic labelers
22Sodium bicarbonate generic labelers
QuinidineSodium bicarbonate
Labeled forAtrial fibrillationAcid reflux and ulcers, Diarrhea
Boxed warningYesNo
Pharmacy cost (NADAC)$4.92 per tablet 324 mg tablet$0.154 per mL 8.4% vial
Shortage nowNo current entryIn shortage

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?