Pepto-Bismol (Bismuth Subsalicylate) – Side Effects, Interactions, Uses, Dosage, Warnings

Bismuth subsalicylate is used to treat diarrhea, nausea, heartburn, indigestion, gas, or upset stomach.

Bismuth subsalicylate may also be used for purposes not listed in this medication guide.

uses

What is Pepto-Bismol (Bismuth Subsalicylate) used for?

  • Diarrhea — Chronic
  • Dyspepsia
  • Helicobacter pylori Infection
  • Pseudomembranous Colitis
  • Salmonella Enteric Fever
  • Strongyloidiasis
  • Traveler's Diarrhea
  • Infectious Diarrhea/Enterocolitis/Gastroenteritis
  • Diarrhea

warnings

What is the most important information I should know about Pepto-Bismol (Bismuth Subsalicylate)?

You should not use bismuth subsalicylate if you are allergic to it, or if you have:

  • black or bloody stools;
  • a stomach ulcer;
  • bleeding problems; or
  • if you are allergic to salicylates such as aspirin, Doan's Extra Strength, Salflex, Tricosal, and others.

Do not give this medicine to a child or teenager with a fever, flu symptoms, or chickenpox. Salicylates can cause Reye's syndrome, a serious and sometimes fatal condition in children.

Ask a doctor or pharmacist if this medicine is safe to use if you have:

  • mucus in your stools; or
  • if you currently have a fever.

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

Do not give this medicine to a child younger than 12 years old without medical advice.

User Reviews & Rating

Overall rating for Pepto-Bismol (Bismuth Subsalicylate)

4.4
out of  5

(32 Pepto-Bismol (Bismuth Subsalicylate) Reviews)

Side Effects

4.2

Easy to Use

4.7

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4.3

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Side Effects

What are the side effects of Pepto-Bismol (Bismuth Subsalicylate)?

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop taking this medicine and call your doctor at once if you have:

  • changes in behavior with nausea and vomiting;
  • hearing loss or ringing in your ears;
  • diarrhea lasting longer than 2 days; or
  • worsened stomach symptoms.

Bismuth subsalicylate can cause you to have a black or darkened tongue. This is a harmless side effect.

Common side effects include:

  • constipation; or
  • dark colored stools.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Pregnancy & Breastfeeding

Can I take Pepto-Bismol (Bismuth Subsalicylate) if I’m pregnant or breastfeeding?

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

Interactions

What drugs and food should I avoid while taking Pepto-Bismol (Bismuth Subsalicylate)?

Ask a doctor or pharmacist before taking other antacids or diarrhea medicine, or taking medicine that may contain a salicylate (such as aspirin, salsalate, magnesium salicylate, choline salicylate, diflunisal, Ecotrin, Tricosal, Trilisate, and others).

Dosage Guidelines & Tips

How to take Pepto-Bismol (Bismuth Subsalicylate)?

Use Pepto-Bismol (Bismuth Subsalicylate) exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Use exactly as directed on the label, or as prescribed by your doctor.

Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

You must chew the chewable tablet before you swallow it.

Drink plenty of liquids while you are taking bismuth subsalicylate.

Do not take more than 8 doses in one day (24 hours).

Call your doctor if you still have diarrhea after 2 days of using this medicine.

This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using bismuth subsalicylate.

Store at room temperature away from moisture and heat. Do not freeze.

What should I do if I missed a dose of Pepto-Bismol (Bismuth Subsalicylate)?

Since bismuth subsalicylate is used when needed, you may not be on a dosing schedule. Skip any missed dose if it's almost time for your next dose. Do not use two doses at one time.

Do not take more than 8 doses per day.

Overdose Signs

What happens if I overdose on Pepto-Bismol (Bismuth Subsalicylate)?

Overdose symptoms may include weakness, depression, anxiety, feeling irritable, problems with balance or coordination, confusion, tremors, or jerky muscle movements.

If you think you or someone else may have overdosed on: Pepto-Bismol (Bismuth Subsalicylate),  call your doctor or the Poison Control center

(800) 222-1222

If someone collapses or isn't breathing after taking Pepto-Bismol (Bismuth Subsalicylate), call 911

911

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