Sodium biocarbonate

Acetazolamide inhibits the enzyme carbonic anhydrase, and interferes with the ability of the renal tubules to produce and secrete hydrogen ions. And, the diuretic action is due to the decreased sodium biocarbonate absorption in proximal tubules and diminished hydrogensodium exchange in the distal tubules. 

Acetazolamide is an aromatic sulfonamide used as a carbonic anhydrase inhibitor. It facilitates production of alkahne urine with an elevated biocarbonate, sodium, and potassium ion concentrations. By inhibiting carbonic anhydrase, the drug suppresses reabsorption of sodium ions in exchange for hydrogen ions, increases reflux of bicarbonate and sodium ions and reduces reflux of chloride ions. During this process, chloride ions are kept in the kidneys to cover of insufficiency of bicarbonate ions, and for keeping an ion balance. Electrolytic contents of fluid secreted by the kidneys in patients taking carbonic anhydrase inhibitors are characterized by elevated levels of sodium, potassium, and bicarbonate ions and a moderate increase in water level. Urine becomes basic, and the concentration of bicarbonate in the plasma is reduced. 

Carbonic anhydrase influences the tubular reabsorption of sodium in proximal tubule where biocarbonate absorption occurs and in the distal tubule where sodium is exchanged for potassium or hydrogen ion and bicarbonate is formed as the accompanying anion. The hydration of carbon dioxide takes place under the influence of enzyme carbonic anhydrase which forms carbonic acid which dissociates and breaks into hydrogen and carbonate ions. 

Citric acid is used in soft drinks, candies, wines, desserts, jellies, jams, as an antioxidant in frozen fruits and vegetables, and as an emulsifier in cheese. As the most versatile food acidulant, citric acid accounts for about 70 percent of the total food acidulant market. It provides effervescence by combining the citric acid with a biocarbonate/carbonate source to form carbon dioxide. Citric acid and its salts are also used in blood anticoagulants to chelate calcium, block blood clotting, and buffer the blood. Citric acid is contained in various cosmetic products such as hair shampoos, rinses, lotions, creams, and toothpastes. More recently, citric acid has been used for metal cleaning, substituted for phosphate in detergents, for secondary oil recovery, and as a buffer/absorber in stack gas desulfurization. The use of sodium citrate in heavy-duty liquid laundry detergent formulations has resulted in a rapid increase in the use of citric acid. 

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