Hyperuricemia take sodium bicarbonate need to take how long can not be generalized, the specific time according to the patient’s condition and urine pH value to decide, the general course of treatment for 2 to 3 months.
Alkalization of urine is the main method of preventing and dissolving uric acid kidney stones, and sodium bicarbonate is a commonly used drug for alkalizing urine. When the patient’s morning urine pH<6.0, it is recommended to start taking sodium bicarbonate, and the specific time of taking sodium bicarbonate depends on the degree of the patient’s condition and the level of urine pH; the course of treatment is generally 2 to 3 months.
Urine pH <6.0 is an important cause of the development of uric acid kidney stones. If a patient with hyperuricemia is taking a uric acid excretory drug such as benzbromarone, the combination of a low urine pH greatly increases the risk of uric acid kidney stones. It is recommended to alkalinize the urine and monitor the urine pH in the morning when the pH is <6.0, especially in patients on uric acid excretory drugs.
For patients with existing kidney stones, urine pH should be maintained at 6.1~7.0, because urinary pH>7 increases the solubility of uric acid, but also increases the incidence of calcium stones, therefore, the recommended optimal morning urinary pH for patients with hyperuricemia is 6.2~6.9, and the dose of medication and the duration of use should be based on the patient's condition, the level of urinary pH to determine.
Patients with hyperuricemia should use drugs such as sodium bicarbonate under the guidance of a specialist, and should be reviewed regularly to avoid self-medication.