☆salicylate, TCAs
Salicylate is lipophilic and readily passes into the tissues. Therefore, sodium bicarbonate helps treat salicylate toxicity in two ways.
①bicarbonate binds to free hydrogen ions, facilitating the conversion of lipophilic salicylic acid to lipophobic salicylate ion which are trapped within the bloodstream
②bicarbonate alkanizes the urine, increasing lipophobic salicylate which ☆reduces renal tubular reabsorption
pharmacology
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