People found to be sensitive to aspirin are recommended to avoid taking Pepto-Bismol or any other medications containing bismuth subsalicylate. This is because they can be intolerant to salicylate and potentially develop an allergic reaction to the drug. Women who are pregnant or breastfeeding, are recommended to talk to their doctor before deciding to take Pepto-Bismol.
The drug is generally not recommended for women during pregnancy. This may be due to the risk of absorbing salicylate, which can cross the placenta. It is not prescribed to pregnant women in their second and third trimesters as it is possibly linked to the increased risk of bleeding during delivery.
According to the Center for Disease Control and Prevention CDC and some research studies, it is recommended that women who are breastfeeding should not take the drug as it can potentially pass into breast milk. However, more research may be needed to assess the safety of using Pepto-Bismol during pregnancy or breastfeeding. Parents with children under the age of twelve are recommended to consult their doctor before deciding to use Pepto-Bismol for their child.
There is a form of the drug chewable tablets available for children in which the manufacturers have replaced bismuth salicylate with another active ingredient, calcium carbonate. It is recommended that children under the age of two years do not use the drug in any form, because of the risks of accumulating bismuth, magnesium, or aluminium.
Children or adolescents who have been recovering from viral infections such as chicken pox or the flu, are recommended to not use Pepto-Bismol. Written by Ranjani Sabarinathan, MSc. Budisak P, Abbas M. Bismuth Subsalicylate. In: StatPearls [Internet]. Ericsson CD. Int J Antimicrob Agents. Regular review: treatment of Helicobacter pylori infection.
Testerman TL, Morris J. Beyond the stomach: an updated view of Helicobacter pylori pathogenesis, diagnosis, and treatment. Diarrhea can cause uncomfortable irritation around your anus, but you may be able to soothe the pain for yourself or your baby with home remedies.
Health Conditions Discover Plan Connect. Pepto-Bismol: What to Know. Medically reviewed by Dena Westphalen, Pharm. What is Pepto-Bismol? How it works. Side effects. Drug interactions. Talk with your doctor. Read this next. Pepto and Your After-Alcohol Stomach. Imodium A-D vs. Medically reviewed by Zara Risoldi Cochrane, Pharm. The 5 Most Effective Diarrhea Remedies.
Medically reviewed by Alan Carter, Pharm. This is harmless. This happens when bismuth the active ingredient in this medicine comes into contact with small amounts of sulphur in your saliva and digestive system. They combine to form bismuth sulfide, a black substance. This side effect usually goes away when you stop taking the medicine. If your tongue or your poo is still black after 3 days, or after you've stopped taking Pepto-Bismol, speak to your doctor or a pharmacist.
Tell your doctor or a pharmacist if you have any other side effects that bother you or do not go away. In rare cases, it's possible to have a serious allergic reaction anaphylaxis to Pepto-Bismol. You could be having a serious allergic reaction and may need immediate treatment in hospital. These are not all the side effects of Pepto-Bismol.
For a full list see the leaflet inside your medicines packet. You can report any suspected side effect to the UK safety scheme. It's best to try to treat your indigestion without taking a medicine. It can help to:. If this advice does not work, speak to your doctor or a pharmacist. They will be able to recommend the most suitable medicine for you and your baby.
Pepto-Bismol contains salicylates also found in aspirin and can interfere with certain other medicines. To make sure Pepto-Bismol is safe for you, tell your doctor or a pharmacist if you are taking:. If you're taking tetracycline antibiotics, you need to leave a 2-hour gap before taking Pepto-Bismol. It's safe to take paracetamol at the same time as Pepto-Bismol. Do not take other painkillers, like ibuprofen or aspirin , with Pepto-Bismol without talking to your doctor or pharmacist first.
This could make your symptoms worse. There's very little information about taking herbal remedies and supplements with Pepto-Bismol. For safety, tell your doctor or pharmacist if you're taking any other medicines, including herbal remedies, vitamins or supplements. The medicine forms a protective coating over the lower part of your food pipe oesophagus , and partly coats your stomach.
This helps protect them from stomach acid. It also has weak antacid properties that may help reduce excess stomach acid. This will ease feelings of pain and discomfort. Do not take Pepto-Bismol for more than 2 days as this will increase your risk of getting side effects. If your symptoms are no better or are getting worse after 2 days, contact your doctor. However if your symptoms are serious, it's important to speak to a doctor right away.
There are a number of different medicines for indigestion and heartburn. Other serious side effects of Tums include symptoms of high calcium levels hypercalcemia , such as weakness, bone pain, and fatigue.
This may not be a complete list of adverse effects that can occur. Please refer to your doctor or healthcare provider to learn more. Pepto-Bismol can interact with many of the same medications that aspirin interacts with. Bismuth subsalicylate can interact with warfarin and increase the risk of bleeding. When taken with anti-gout agents like probenecid, bismuth subsalicylate can decrease anti-gout effects.
Pepto-Bismol can also decrease the absorption and effectiveness of tetracycline and quinolone antibiotics. Tums can decrease the effects of tetracycline and quinolone antibiotics.
Calcium cations can also bind with antifungals, like itraconazole, and decrease their absorption and effectiveness. Certain antibiotics, antifungal agents, and iron supplements should be avoided at least two hours before or after taking calcium carbonate.
Those who are sensitive to aspirin products should avoid taking Pepto-Bismol and other salicylate drugs. Otherwise, hypersensitivity reactions, such as rashes, are a potential adverse effect. Pepto-Bismol should be avoided in children younger than 12 years old.
Signs and symptoms of neurotoxicity may include tremors, confusion, or seizures. Since Tums contains calcium carbonate, it should be avoided or monitored with other calcium-containing products. In severe cases, too much calcium can damage the kidneys, weaken bones, and affect the functions of the brain and heart. Consult your healthcare provider for other precautions to be aware of while taking Pepto-Bismol or Tums.
Pepto-Bismol is an over-the-counter drug that contains bismuth subsalicylate. Bismuth subsalicylate is also approved to treat H. Pepto-Bismol is available in an oral suspension, oral tablet, and oral chewable tablet. Tums is the brand for calcium carbonate.
It is used to treat occasional heartburn and indigestion. Tums is available in regular-strength and extra-strength chewable tablets. Pepto-Bismol and Tums are not the same.
They contain different active ingredients and come in different formulations.
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