Bismuth Subsalicylate, the most commonly encountered form of bismuth, is a mineral that is used in the treatment of upset stomach, diarrhea, or to prevent traveler's diarrhea. It is also used in the treatment of stomach ulcer and upset stomach associated with infection due to the bacteria Helicobacter pylori. The most common product containing Bismuth Subsalicylate is Pepto Bismol.
Adult dosages for various conditions:
Diarrhea: 525mg (30 milliliters regular liquid or 2 tablets) every 30 minutes to 1 hour, up to a maximum of 8 doses daily, by mouth. Maximum strength liquid: 30 milliliters (1050mg) every 1 hour, for a maximum of 4 doses daily, by mouth.
Upset Stomach, suspension (liquid): 30 milliliters, four times daily, by mouth, for 3 weeks.
Helicobacter Pylori: 265mg (2 tablets), four times daily, by mouth, along with antibiotic therapy.
Indigestion (upset stomach): 525mg (30 milliliters regular liquid or 2 tablets) every 30 minutes to 1 hour up to a maximum of 8 doses daily, by mouth.
Traveler's Diarrhea: 525mg (30 milliliters regular liquid or 2 tablets) every 30 minutes to 1 hour, up to a maximum of 8 doses daily, by mouth.
Traveler's Diarrhea prevention: 2 chewable tablets four times daily up to 3 weeks. Begin treatment one day before departure.
Stomach Ulcer: 600mg, three times daily, by mouth.
Diarrhea, Upset Stomach
3 to 6 years old, suspension (liquid): 5 milliliters (1/3 tablet) every 30 minutes to 1 hour up to a maximum of 8 doses daily, by mouth.
6 to 9 years old, suspension (liquid): 10 milliliters (2/3 tablet) every 30 minutes to 1 hour up to a maximum of 8 doses daily, by mouth.
9 to 12 years old, suspension (liquid): 15 milliliters (1 tablet) every 30 minutes to 1 hour up to a maximum of 8 doses daily, by mouth.
To store this medicine: Keep all medicine locked up and away from children. Store medicine away from heat and direct light. Do not store your medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down and not work the way it should work. Throw away medicine that is out of date or that you do not need. Never share your medicine with others.
Do not take Bismuth Subsalicylate without talking to your doctor first if you are taking:
Gout medicine (example: probenecid, sulfinpyrazone).
Diabetes medicine (examples: Glucophage(R) metformin, Diabeta(R) Glynase(R) glyburide, Glucotrol(R) glipizide).
Blood thinning medicine.
Before taking Bismuth Subsalicylate, tell your doctor if you are pregnant or breastfeeding.
The maximum daily dose is 4.2 grams.
Do not use in children and teenagers who have, or are recovering from, a cold or a flu.
Do not use if you have any allergies or sensitivity to salicylates or aspirin.
Do not use if you have diabetes, gout, or a bleeding disorder.
Stop taking your medicine right away and talk to your doctor if you have any of the following side effects. Your medicine may be causing these symptoms which may mean you are allergic to it.
Breathing problems or tightness in your throat or chest.
Skin hives, rash, or itchy or swollen skin.
Other Possible Side Effects: You may have the following side effects, but this medicine may also cause other side effects. Tell your doctor if you have side effects that you think are caused by this medicine.
May temporary darken tongue or feces.
May cause ringing in the ears.
Upset stomach, throwing up, and constipation (difficulty having bowel movements) have been reported.