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Drug Info > P > Pepto-Bismol
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DIN (Drug Identification Number)


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ABCDEFGHIJKLMNOPQRSTUVWXYZ

Brand Name

Pepto-Bismol

Common Name
bismuth subsalicylate


In this drug factsheet:



DIN (Drug Identification Number)

02177994 PEPTO BISMOL 262MG CAPLET
02097079 PEPTO BISMOL LIQUID 17.6MG/ML
02229668 PEPTO-BISMOL EXTRA STRENGTH LIQUID 35.2 MG/ML
02325896 PEPTO-BISMOL WITH INSTACOOL, 262MG CHEWABLE TABLET

How does this medication work? What will it do for me?

Bismuth subsalicylate belongs to a class of medications called antacids and adsorbents. It is used to help relieve heartburn, indigestion, upset stomach, nausea, and diarrhea. How bismuth subsalicylate works is not completely understood, but it is thought to work by coating the stomach and intestines (protecting them from stomach acid), by reducing inflammation in the stomach, and by killing certain bacteria.

Bismuth subsalicylate has also been used to prevent travelers' diarrhea and along with antibiotics to treat ulcers believed to be caused by the bacteria H. pylori. In both cases, other treatments are generally more effective.

Your doctor may have suggested this medication for conditions other than those listed in these drug information articles. As well, some forms of this medication may not be used for all of the conditions discussed here. If you have not discussed this with your doctor or are not sure why you are taking this medication, speak to your doctor. Do not stop taking this medication without consulting your doctor.

Do not give this medication to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take this medication if their doctor or pharmacist has not recommended it.

How should I use this medication?

Caplets: The usual recommended dose for adults is 525 mg (2 caplets) every 30 minutes as needed, up to a maximum of 16 caplets in 24 hours. For children 10 to 12 years of age, the usual dose is 262 mg (1 caplet) every 30 minutes as needed, up to a maximum of 8 caplets in 24 hours. Children 2 to 9 years of age should use the liquid form of this medication.

Liquid: The usual dose for adults is 2 tablespoons (30 mL). For children 10 to 12 years of age, the usual dose is 1 tablespoon (15 mL). For children 5 to 9 years of age, the usual dose is 1½ teaspoons (7.5 mL). For children 2 to 4 years of age, the recommended dose is 1 teaspoon (5 mL). The recommended dose can be given every 30 minutes to a maximum of 8 doses in 24 hours for the regular-strength liquid, and 4 doses in 24 hours for the extra-strength liquid.

Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the ones listed here, do not change the way that you are taking the medication without consulting your doctor.

Shake the liquid well before use. To measure the dose correctly, use a medication measuring cup or oral syringe. Household teaspoons and tablespoons do not provide accurate dosing.

It is important to take this medication exactly as recommended by your doctor or pharmacist. This medication is often taken on an "as needed" schedule, however your doctor or pharmacist may recommend that you take it regularly. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.

Store this medication at room temperature, protect it from light and moisture, and keep it out of the reach of children.

Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.





What form(s) does this medication come in?

Chewable Tablets
Each peppermint-flavoured chewable tablet contains bismuth subsalicylate 262 mg. Nonmedicinal ingredients: calcium carbonate, magnesium stearate, mannitol, peppermint flavour, PVP, Red 27 Lake, sodium saccharin, and talc.

Caplets
Each caplet contains bismuth subsalicylate 262 mg. Nonmedicinal ingredients: calcium carbonate, magnesium stearate, mannitol, microcrystalline cellulose, polysorbate 80, PVP, Red 27 Lake, silica, and sodium carboxymethyl starch.

Liquid

Original
Each mL contains bismuth subsalicylate 17.6 mg. Nonmedicinal ingredients: benzoic acid, D&C Red No. 22, D&C Red No. 28, flavour, magnesium aluminum silicate, methylcellulose, sodium saccharin, salicylic acid, sodium salicylate, sorbic acid, and water.

Cherry-Flavoured
Each mL contains bismuth subsalicylate 17.6 mg. Nonmedicinal ingredients: benzoic acid, D&C Red No. 22, D&C Red No. 28, flavour, magnesium aluminum silicate, methylcellulose, sodium saccharin, salicylic acid, sodium salicylate, sorbic acid, sucralose, and water.

Liquid Extra Strength

Original
Each mL contains bismuth subsalicylate 35.2 mg. Nonmedicinal ingredients: benzoic acid, D&C Red No. 22, D&C Red No. 28, flavour, magnesium aluminum silicate, methylcellulose, sodium saccharin, salicylic acid, sodium salicylate, sorbic acid, and water.

Cherry-Flavoured
Each mL contains bismuth subsalicylate 35.2 mg. Nonmedicinal ingredients: benzoic acid, D&C Red No. 22, D&C Red No. 28, flavour, magnesium aluminum silicate, methylcellulose, sodium saccharin, salicylic acid, sodium salicylate, sorbic acid, sucralose, and water.

Who should NOT take this medication?

Do not use this medication if you:

  • are allergic to bismuth subsalicylate or any ingredients of the medication
  • are allergic to other salicylate products (e.g., ASA)
  • have a bleeding problem
  • have a stomach or intestinal ulcer
  • have bloody or black stools

Do not give this medication to children or adolescents with flu-like symptoms or chickenpox.



 

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