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Bismuth Subsalicylate

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Why is this medication prescribed?

Adults and children 12 years of age and older can take bismuth subsalicylate to treat stomach distress, indigestion, and diarrhoea. Antidiarrheal agents, which include bismuth subsalicylate, are a group of drugs. It works by reducing the flow of fluids and electrolytes into the gut, reducing gastrointestinal irritation, and possibly even eradicating the organisms that might cause diarrhoea.

How should this medicine be used?

A liquid, pill, or chewable form of bismuth subsalicylate is available for oral administration with or without food. Ask your doctor or pharmacist to explain any instructions you do not understand, and carefully follow them. Exactly as prescribed, take bismuth subsalicylate. Never take it in quantities or intervals greater than those advised by the manufacturer or your physician.

Do not chew the tablets; instead, swallow them whole.

Before each usage, give the beverage a good shake to evenly distribute the medication.

Call your doctor right away if your symptoms worsen or if your diarrhoea persists for more than 48 hours after stopping this medicine.

What special precautions should I follow?

Before taking bismuth subsalicylate,

  • Inform your physician or pharmacist if you have any other medications, including aspirin, choline magnesium trisalicylate, choline salicylate (Arthropan), diflunisal (Dolobid), magnesium salicylate (Doan’s, etc.), and salsalate (Argesic, Disalcid, Salgesic), that you are allergic to salicylate pain relievers.
  • Inform your doctor and pharmacist about any vitamins, nutritional supplements, herbal items, and prescription and over-the-counter medicines you are now taking or intend to take. If you take: a daily aspirin; anticoagulants (‘blood thinners’) like warfarin (Coumadin); or medication for diabetes, arthritis, or gout, be careful to consult your doctor or pharmacist before using bismuth subsalicylate.
  • Tetracycline drugs including demeclocycline (Declomycin), doxycycline (Doryx, Vibramycin), minocycline (Dynacin, Minocin), and tetracycline (Sumycin) should be used at least one hour before or three hours after bismuth subsalicylate.
  • Before using this drug, let your doctor know if you have ever had an ulcer, bleeding issues, bloody or darkened faeces, or kidney illness. When using bismuth subsalicylate, consult your doctor if you have a fever or mucous in your stool. Before administering bismuth subsalicylate to a child or teen, notify the doctor if the kid exhibits any of the following symptoms: nausea, vomiting, sleepiness, disorientation, aggression, seizures, yellowing of the skin or eyes, weakness, or flu-like signs. Inform the child’s physician if they haven’t been drinking normally, if they’ve had a lot of vomiting or diarrhoea, or if they seem dehydrated.
  • If you are pregnant or breastfeeding, talk to your doctor before using this drug.

What special dietary instructions should I follow?

To make up for any fluids that you may have lost while experiencing diarrhoea, drink a lot of water or other beverages.

Keep eating normally unless your doctor instructs you otherwise.

What should I do if I forget a dose?

Typically, this drug is given as needed. Take the missed dose of bismuth subsalicylate as soon as you remember it if your doctor has prescribed it to you on a regular basis. If the next dose is soon due, skip the missed one and carry on with your regular dosing plan. To make up for a missing dose, do not take a second one.

What side effects can this medication cause?

Side effects from bismuth subsalicylate are possible.

Some adverse effects can be very harmful. Call your doctor right away and stop taking this medication if you have this sym

  • Your ears may be buzzing or ringing (s)

Other negative effects of bismuth subsalicylate are possible. If you experience any strange issues while taking this medicine, contact your doctor right away.

What should I know about storage and disposal of this medication?

Keep this medication tightly closed in the original container and out of the reach of children. Store it away from excessive heat and moisture at room temperature (not in the bathroom).

Unused prescriptions must be disposed of carefully to prevent pets, kids, and other people from ingesting them. You should not, however, dispose of this medication in the toilet. Instead, utilising a medicine take-back programme is the easiest approach to get rid of your medication. To find out about take-back programmes in your area, speak with your pharmacist or the garbage/recycling department in your city. If you do not have access to a take-back programme, see the FDA’s Safe Disposal of Medicines website at for additional information.

As many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and are simple for young children to open, it is crucial to keep all medications out of sight and out of reach of children. Always lock safety caps and promptly stash medication up and away from young children where it is out of their sight and reach to prevent poisoning.

In case of emergency/overdose

Call the poison control hotline at 1-800-222-1222 in the event of an overdose. Additionally, information can be found online at Call 911 right once if the person has collapsed, experienced a seizure, is having difficulty breathing, or cannot be roused.

What other information should I know?

All inquiries regarding bismuth subsalicylate should be directed to your pharmacist.

During the course of using bismuth subsalicylate, you can notice that your tongue or stool get darker. After you stop taking this medication, this discoloration is harmless and typically disappears within a few days.

You should keep a written record of every medication you take, including any over-the-counter (OTC) items, prescription drugs, and dietary supplements like vitamins and minerals. This list should be brought with you whenever you see a doctor or are admitted to the hospital. You should always have this information with you in case of emergencies.

Brand names

  • Bismusal®
  • Kaopectate®
  • Peptic Relief®
  • Pepto-Bismol®
  • Pink Bismuth®
  • Stomach Relief®
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