What is Pepto Bismol and how does it work. What are the common uses of Pepto Bismol. How effective is Pepto Bismol for treating various digestive symptoms. What are the potential side effects of using Pepto Bismol. How should Pepto Bismol be taken for optimal results. Are there any precautions or interactions to be aware of when using Pepto Bismol. What are the alternatives to Pepto Bismol for digestive relief.

Understanding Pepto Bismol: Composition and Mechanism of Action

Pepto Bismol is a widely recognized over-the-counter medication used to treat various digestive issues. Its active ingredient, bismuth subsalicylate, belongs to a class of medications known as antacids and adsorbents. This compound works through multiple mechanisms to provide relief from common gastrointestinal symptoms.

How does Pepto Bismol work? The exact mechanism is not fully understood, but research suggests it operates in several ways:

• Coating the stomach and intestines to protect them from stomach acid
• Reducing inflammation in the stomach
• Killing certain bacteria that may cause digestive issues
• Decreasing fluid secretion in the intestines

These combined actions make Pepto Bismol effective in treating a range of digestive problems, from mild indigestion to more severe diarrhea.

Common Uses of Pepto Bismol: From Heartburn to Traveler’s Diarrhea

Pepto Bismol is a versatile medication used to address various gastrointestinal issues. Its most common applications include:

1. Heartburn relief
2. Indigestion treatment
3. Upset stomach alleviation
4. Nausea reduction
5. Diarrhea control

Can Pepto Bismol prevent traveler’s diarrhea? Studies have shown that Pepto Bismol can be effective in preventing traveler’s diarrhea when taken prophylactically. However, it’s essential to consult with a healthcare provider before using it for this purpose, as other preventive measures may be more appropriate depending on your destination and individual health status.

Pepto Bismol for H. pylori Treatment

In addition to its more common uses, Pepto Bismol has been utilized in combination with antibiotics to treat ulcers caused by Helicobacter pylori bacteria. While this approach has shown some efficacy, it’s important to note that other treatments are generally preferred and more commonly prescribed by healthcare professionals for H. pylori eradication.

Effectiveness of Pepto Bismol in Treating Digestive Symptoms

Pepto Bismol has demonstrated effectiveness in treating various digestive symptoms. Its multi-faceted approach to gastrointestinal issues makes it a popular choice for many individuals seeking relief from common digestive problems.

Is Pepto Bismol effective for all types of diarrhea? While Pepto Bismol can be effective for many cases of diarrhea, including traveler’s diarrhea and diarrhea caused by certain bacteria, it may not be suitable for all types. For instance, it should not be used in cases of bloody diarrhea or diarrhea accompanied by high fever, as these symptoms may indicate a more serious condition requiring medical attention.

For heartburn and indigestion, Pepto Bismol provides relief by coating the esophagus and stomach, neutralizing excess acid, and reducing inflammation. This multi-pronged approach can offer quick and effective relief for many individuals experiencing these common digestive discomforts.

Proper Usage and Dosage Guidelines for Pepto Bismol

To ensure optimal results and minimize the risk of side effects, it’s crucial to follow the recommended dosage guidelines for Pepto Bismol. The appropriate dosage may vary depending on the specific formulation (liquid, chewable tablets, or caplets) and the condition being treated.

How should Pepto Bismol be taken for maximum effectiveness? For best results:

• Shake the liquid form well before use
• Use the provided measuring cup or dosing syringe for accurate dosing
• Chew tablets thoroughly before swallowing
• Take the medication with or without food
• Do not exceed the recommended dosage unless directed by a healthcare provider

It’s important to note that Pepto Bismol should not be used for more than two days without consulting a healthcare professional, as prolonged use may mask more serious underlying conditions.

Potential Side Effects and Precautions When Using Pepto Bismol

While Pepto Bismol is generally well-tolerated, like all medications, it can cause side effects in some individuals. Common side effects may include:

• Temporary darkening of the tongue or stools
• Constipation
• Nausea
• Stomach cramps

In rare cases, more serious side effects may occur, such as allergic reactions or ringing in the ears. If you experience any severe or persistent side effects, discontinue use and seek medical attention immediately.

Are there any precautions to be aware of when using Pepto Bismol? Several important precautions should be considered:

1. Pepto Bismol should not be given to children or teenagers with flu-like symptoms or chickenpox due to the risk of Reye’s syndrome
2. Individuals with aspirin allergies should avoid Pepto Bismol, as it contains a salicylate compound
3. Those with bleeding disorders or taking blood-thinning medications should consult a healthcare provider before using Pepto Bismol
4. Pregnant or breastfeeding women should seek medical advice before using this medication

Drug Interactions and Contraindications with Pepto Bismol

Pepto Bismol can interact with various medications, potentially affecting their efficacy or increasing the risk of side effects. Some notable interactions include:

• Anticoagulants (blood thinners)
• Aspirin and other salicylates
• Tetracycline antibiotics
• Diabetes medications
• Gout medications

Does Pepto Bismol interact with all antibiotics? While Pepto Bismol is known to interact with tetracycline antibiotics, it may not significantly interact with all types of antibiotics. However, it’s always best to consult with a healthcare provider or pharmacist before combining Pepto Bismol with any prescription medications, including antibiotics.

Additionally, Pepto Bismol is contraindicated in certain conditions, such as:

1. Bleeding disorders
2. Bloody or black stools
3. Known allergy to aspirin or other salicylates
4. Reye’s syndrome

Alternatives to Pepto Bismol for Digestive Relief

While Pepto Bismol is a popular choice for digestive relief, several alternatives are available, depending on the specific symptoms and individual needs. Some common alternatives include:

• Antacids (e.g., Tums, Rolaids) for heartburn and indigestion
• H2 blockers (e.g., Pepcid, Zantac) for acid reflux and heartburn
• Proton pump inhibitors (e.g., Prilosec, Nexium) for chronic acid reflux
• Loperamide (e.g., Imodium) for diarrhea
• Probiotics for general digestive health and diarrhea prevention

Are natural remedies effective alternatives to Pepto Bismol? Some natural remedies may provide relief for certain digestive issues:

1. Ginger for nausea and upset stomach
2. Peppermint for indigestion and bloating
3. Chamomile tea for general digestive discomfort
4. Apple cider vinegar for heartburn (though evidence is limited)
5. Activated charcoal for gas and bloating

While these natural alternatives may be effective for some individuals, it’s important to note that their efficacy and safety profiles may not be as well-established as those of over-the-counter medications like Pepto Bismol. Always consult with a healthcare provider before relying on natural remedies, especially for persistent or severe digestive issues.

Tips for Preventing Common Digestive Issues

While Pepto Bismol and other treatments can provide relief from digestive symptoms, prevention is often the best approach. Here are some tips to help maintain digestive health and prevent common issues:

• Eat a balanced diet rich in fiber, fruits, and vegetables
• Stay hydrated by drinking plenty of water throughout the day
• Practice portion control to avoid overeating
• Chew food thoroughly and eat slowly
• Limit intake of spicy, fatty, or acidic foods if they trigger symptoms
• Manage stress through relaxation techniques or exercise
• Avoid lying down immediately after meals
• Quit smoking and limit alcohol consumption

How can travelers prevent digestive issues when visiting new places? When traveling, especially to areas with different sanitation standards, consider these additional precautions:

1. Drink only bottled or boiled water
2. Avoid raw or undercooked meats and seafood
3. Be cautious with street food and unpasteurized dairy products
4. Wash hands frequently or use hand sanitizer
5. Consider taking probiotics before and during travel

By implementing these preventive measures, you can reduce the likelihood of experiencing digestive issues and minimize the need for medications like Pepto Bismol. However, it’s always wise to be prepared and have appropriate treatments on hand when needed.

When to Seek Medical Attention for Digestive Symptoms

While Pepto Bismol can effectively treat many common digestive issues, there are situations where professional medical attention is necessary. It’s important to recognize the signs that indicate a potentially more serious condition requiring immediate evaluation by a healthcare provider.

When should you consult a doctor for digestive symptoms? Seek medical attention if you experience:

• Severe abdominal pain or cramping
• Bloody or black, tarry stools
• Persistent vomiting or inability to keep fluids down
• Signs of dehydration (e.g., excessive thirst, dark urine, dizziness)
• Fever above 101°F (38.3°C) accompanying digestive symptoms
• Symptoms lasting more than a few days despite home treatment
• Unexplained weight loss
• Difficulty swallowing

These symptoms may indicate more serious conditions such as gastrointestinal bleeding, severe infections, or inflammatory bowel diseases that require prompt medical evaluation and treatment.

Chronic Digestive Issues: When to Consider Further Evaluation

If you find yourself regularly relying on Pepto Bismol or other over-the-counter digestive treatments, it may be time to consult a healthcare provider for a more comprehensive evaluation. Chronic or recurrent digestive symptoms could be signs of underlying conditions such as:

1. Gastroesophageal reflux disease (GERD)
2. Peptic ulcers
3. Irritable bowel syndrome (IBS)
4. Inflammatory bowel diseases (e.g., Crohn’s disease, ulcerative colitis)
5. Celiac disease
6. Food intolerances or allergies

A healthcare provider can perform necessary tests and examinations to identify the root cause of your symptoms and develop an appropriate treatment plan, which may include lifestyle modifications, dietary changes, or prescription medications.

The Future of Digestive Health: Emerging Treatments and Research

While medications like Pepto Bismol have been staples in digestive health for decades, ongoing research continues to uncover new insights and potential treatments for various gastrointestinal issues. Some exciting areas of research and emerging treatments include:

• Microbiome-based therapies: Targeting the gut microbiome to treat and prevent digestive disorders
• Personalized nutrition: Tailoring dietary recommendations based on an individual’s genetic makeup and microbiome composition
• Gut-brain axis interventions: Exploring the connection between mental health and digestive function
• Novel drug delivery systems: Developing more targeted and efficient ways to deliver medications to specific areas of the digestive tract
• Biomarkers for early disease detection: Identifying indicators that can help diagnose digestive disorders in their early stages

What potential advancements might we see in over-the-counter digestive treatments? Future developments could include:

1. More precise symptom-targeting formulations
2. Combination products that address multiple digestive issues simultaneously
3. Improved drug delivery methods for faster and more localized relief
4. Integration of probiotics or prebiotics into traditional medications
5. Natural ingredient-based formulations with enhanced efficacy

As research progresses, we may see significant advancements in both the prevention and treatment of digestive issues, potentially reducing the reliance on traditional medications like Pepto Bismol. However, it’s important to note that these emerging treatments and technologies are still in various stages of development and may take years before becoming widely available.

In conclusion, while Pepto Bismol remains a valuable tool in managing common digestive issues, it’s essential to use it appropriately and be aware of its limitations. By understanding the proper usage, potential side effects, and alternatives available, individuals can make informed decisions about their digestive health. As always, for persistent or severe symptoms, consulting with a healthcare provider is crucial to ensure proper diagnosis and treatment.

Causes of Indigestion, Heartburn, Nausea, Upset Stomach & Diarrhea

Heartburn 101

Burning sensation in the throat or below the ribs or breastbone are the common symptoms of heartburn caused by stomach acid. Know more about tips and treatments to cure heartburn symptoms.

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How to Get Rid of Gas and Bloating & What Causes It in the First Place

Feeling gassy? Gas and bloating are often caused by overindulging in food or drink. Find out how to get rid of gas and bloating and how Pepto Bismol can help.

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How Does Pepto Bismol Work as an Anti-Diarrhea Medicine?

Pepto Diarrhea is an over-the-counter anti-diarrhea medicine that provides effective diarrhea relief. It coats and kills bacteria that cause diarrhea.

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Diarrhea 101: Symptoms, Remedies and Treatments

Diarrhea is a problem everyone faces – and tries to avoid. Learn about diarrhea symptoms, remedies and treatment tips like taking Pepto Diarrhea to get effective relief.

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Stomach Bug Got You Spending Time on the Toilet? Here are 5 Things You Need to Know

Diarrhea have you stuck on the toilet? It may be a sign of the stomach bug. Learn about stomach bug symptoms and how to treat the diarrhea that comes with it.

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Pepto Bismol’s Countdown to Thanksgiving Calendar & Tips

On Thanksgiving Day, many of us overindulge in second or third helpings. Read about how to prepare for Thanksgiving, like stocking up on Pepto Bismol for post-meal recovery.

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Why Pepto Bismol is an Effective Anti-Nausea Medicine

Nausea after eating happens more than you may like. OTC anti-nausea medicine like Pepto Bismol can help relieve nausea symptoms from overindulgence. Find out how.

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Need Anti-Indigestion Medicine?

What’s the difference between an upset stomach and indigestion? And, how do you treat the symptoms and find relief fast? Pepto Bismol is a trusted part of your anti-indigestion and upset stomach medicine arsenal.   

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5 Remedies That Can Help Settle Your Upset Stomach

An upset stomach can ruin your day. Learn how to settle an upset stomach and get fast and effective relief with upset stomach remedies such as Pepto Bismol.

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Wondering How to Get Rid of Nausea? Learn What Helps It Go Away

Nausea can hit like a ton of bricks – or a ton of hot dogs. Your stomach hurts, and you may feel that doing anything just adds to your discomfort. So, how do you get rid of nausea? Follow these simple tips, and your stomach should feel normal in no time. 

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What Causes Heartburn and What Does Heartburn Feel Like?

Heartburn can feel like a burning sensation in the throat and can occur if you overindulge in food or drink. Learn about its causes and treatments, like Pepto Bismol.

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Montezuma’s Revenge: Get the Facts, Know the Symptoms

Montezuma’s Revenge is diarrhea often experienced when traveling south of the U. S. border. Learn more about its causes and treatments to get relief, like Pepto Diarrhea.

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5 Things You Need for Traveler’s Diarrhea — So You Can Avoid It & Treat It

Traveler’s diarrhea is the last thing you want on vacation. Make sure you always pack a diarrhea remedy, such as Pepto Diarrhea, so you’re prepared if symptoms strike.

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Indigestion 101: Causes, Symptoms, Treatments

Indigestion is often described as feeling too full or uncomfortable during or after a meal. Learn about the causes of indigestion and remedies like Pepto Bismol.

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How to Stop Diarrhea and Get Rid of the Bacteria Causing It

Diarrhea is often caused by bad bacteria. Learn how to stop diarrhea with Pepto Diarrhea. It coats and kills bacteria that cause diarrhea to provide effective relief.

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How to Get Rid of a Stomach Ache After Eating

Ever gotten a stomach ache after eating? It may happen after eating spicy, starchy or decadent foods. Remedies like Pepto Bismol can give you stomach ache relief, fast.

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5 Remedies to Bring You Fast Relief from Indigestion

Many people experience indigestion after eating or drinking too much. Learn what remedies for indigestion can bring fast relief, like Pepto Bismol.

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Pepto-Bismol – Uses, Side Effects, Interactions

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.

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.

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.

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.

What side effects are possible with this medication?

Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.

The side effects listed below are not experienced by everyone who takes this medication. If you are concerned about side effects, discuss the risks and benefits of this medication with your doctor.

The following side effects have been reported by at least 1% of people taking this medication. Many of these side effects can be managed, and some may go away on their own over time.

Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.

• dark tongue
• grey or dark stools

Although most of the side effects listed below don’t happen very often, they could lead to serious problems if you do not seek medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

• anxiety
• muscle spasms
• muscle weakness
• severe constipation

Stop taking the medication and seek immediate medical attention if any of the following occur:

• symptoms of a severe allergic reaction (hives, swelling of the mouth or throat, difficulty breathing)
• symptoms of taking too much of this medication (seizures, extreme drowsiness, fast breathing, ringing in the ears, confusion, hearing loss)

Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking this medication.

Are there any other precautions or warnings for this medication?

Before you begin using a medication, be sure to inform your doctor of any medical conditions or allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should use this medication.

Bleeding problems: Bismuth subsalicylate should not be used without a doctor’s recommendation if you have ulcers, bleeding disorders or bloody or black stools.

Diabetes: Salicylate medications can cause decreased blood glucose control. If you have diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Diarrhea: If you have mucus in your diarrhea or if you also have a fever, contact your doctor before using this medication. Diarrhea can cause dehydration, so ensure you are drinking enough fluids (e.g., oral rehydration solution). If you experience symptoms of dehydration (e.g., dry mouth, excessive thirst, decreased urine production, dizziness, lightheadedness), contact your doctor.

If you have diarrhea that lasts more than 2 days or your symptoms get worse, contact your doctor.

Gout: Salicylate medications can make symptoms of gout worse or cause an attack of gout. If you have gout, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Kidney function: If you have reduced kidney function or kidney disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Liver function: Bismuth subsalicylate can build up in the body when the liver is not working properly. If you have reduced liver function or liver disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.

Reye’s syndrome: Children and adolescents who have or are recovering from chickenpox or other flu-like symptoms should not use this medication as it may cause Reye’s syndrome, a rare but serious condition. If you notice behavior changes along with nausea and vomiting in your child after treating with bismuth subsalicylate, contact your doctor immediately.

Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.

Breast-feeding: It is not known if bismuth subsalicylate passes into breast milk. If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.

Children: The safety and effectiveness of using this medication have not been established for children less than 2 years of age.

What other drugs could interact with this medication?

There may be an interaction between bismuth subsalicylate and any of the following:

• insulin
• methotrexate
• omeprazole
• oral medications used to treat diabetes (e.g., glyburide, gliclazide)
• other salicylate medications (e.g., ASA)
• probenecid
• sulfinpyrazone
• tetracycline antibiotics (e.g., doxycycline, minocycline, tetracycline)
• warfarin

If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:

• stop taking one of the medications,
• change one of the medications to another,
• change how you are taking one or both of the medications, or
• leave everything as is.

An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.

Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.

All material copyright MediResource Inc. 1996 – 2021. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Source: www.medbroadcast.com/drug/getdrug/Pepto-Bismol

Differences, similarities, and which is better for you

Drug overview & main differences | Conditions treated | Efficacy | Insurance coverage and cost comparison | Side effects | Drug interactions | Warnings | FAQ

Whether you’ve experienced mild indigestion or occasional heartburn, you’ve probably come across Pepto-Bismol and Tums at some point. These drugs are two of the most common over-the-counter (OTC) medicines for heartburn.

Both Pepto-Bismol and Tums have antacid effects, which help neutralize stomach acid. Too much stomach acid after eating spicy foods or large meals can sometimes cause a burning sensation or discomfort in the chest and upper abdominal region. Antacids can help relieve these symptoms.

What are the main differences between Pepto-Bismol and Tums?

Pepto-Bismol is the brand name for bismuth subsalicylate. Bismuth has antimicrobial effects against certain diarrhea-causing bacteria while subsalicylate has antisecretory effects against fluid and electrolyte loss. Bismuth subsalicylate also has anti-inflammatory actions on the stomach and intestinal lining. For these reasons, Pepto-Bismol can be used as an antacid or antidiarrheal agent.

Pepto-Bismol is notably found as an oral liquid. However, it also comes in regular tablets and chewable tablets. It’s important to note that, while most forms of Pepto-Bismol contain bismuth subsalicylate, Children’s Pepto-Bismol often contains calcium carbonate.

Tums is a brand name for calcium carbonate. It’s considered a potent antacid that directly neutralizes stomach acid. Calcium carbonate reacts with stomach acid to form calcium chloride, carbon dioxide, and water. Because of excess carbon dioxide production in the stomach, belching and gas (flatulence) are common side effects of Tums.

Unlike Pepto-Bismol, Tums is mainly found as a chewable tablet in regular-strength and extra-strength forms. Tums is typically used by those older than 12 years old, but children’s versions of Tums are also available. Some versions of Children’s Tums contains simethicone to help relieve gas.

RELATED: Pepto-Bismol details | Children’s Pepto-Bismol details | Tums details

Main differences between Pepto-Bismol and Tums
Drug class	Antacid Antidiarrheal agent	Antacid
Brand/generic status	Brand and generic versions available	Brand and generic versions available
What is the generic name?	Bismuth subsalicylate	Calcium carbonate
What form(s) does the drug come in?	Oral suspension liquid Oral tablet Oral chewable tablet	Oral chewable tablet
What is the standard dosage?	2 tablespoons of liquid or 2 tablets containing 262 mg (for a total of 524 mg per dose) every 30 to 60 minutes as needed. Maximum of 8 doses per day.	2 to 4 chewable 750 mg tablets as needed for symptoms. Maximum of 10 tablets in a day.
How long is the typical treatment?	For occasional short-term use. Self-treatment should last no longer than 14 days of consistent use.	For occasional short-term use. Self-treatment should last no longer than 14 days of consistent use.
Who typically uses the medication?	Adults and children 12 years and older	Adults and children 12 years and older

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Conditions treated by Pepto-Bismol and Tums

Pepto-Bismol is FDA approved to treat heartburn, a digestive problem that can also be a symptom of acid reflux and GERD (gastroesophageal reflux disease). Pepto-Bismol can treat acid indigestion, which includes symptoms like abdominal discomfort, bloating, and nausea. In addition, Pepto-Bismol can treat traveler’s diarrhea and occasional diarrhea, as well as peptic ulcer disease caused by Helicobacter pylori. When used for H. pylori, bismuth subsalicylate is taken with other antibiotics to treat the infection.

Tums is labeled to treat heartburn and indigestion. It helps neutralize and decrease the amount of acid in the stomach to relieve symptoms such as bloating and abdominal discomfort. Calcium carbonate is sometimes combined with simethicone to relieve symptoms of gas and flatulence associated with indigestion.

Because Pepto-Bismol can sometimes contain calcium carbonate—the same ingredient in Tums—it’s important to check the package labeling and ask your healthcare provider to make sure you’re taking the right product.

Is Pepto-Bismol or Tums more effective?

Currently, there are no comprehensive reviews directly comparing Pepto-Bismol and Tums. Studies have shown that bismuth subsalicylate and calcium carbonate are commonly used to treat indigestion because of their acid-reducing effects.

Compared with h3 blockers like Pepcid (famotidine) and Zantac (ranitidine), Tums works faster and relieves symptoms for a shorter period of time. Compared with other antacids like Alka-Seltzer (sodium bicarbonate) and Maalox (aluminum hydroxide/magnesium hydroxide), Tums has a slightly slower onset of action, but its effects may last longer.

Pepto-Bismol is more effective for other uses such as treating diarrhea and H. pylori infections. Bismuth subsalicylate has been shown to help heal peptic ulcers while fighting bacteria, especially when combined with antibiotics like metronidazole and clarithromycin.

Consult a healthcare provider for the best treatment option for occasional heartburn and indigestion. More serious cases of heartburn, such as acid reflux disease or GERD, may require other medications like proton pump inhibitors (PPIs). Drugs labeled as PPIs include Prevacid (lansoprazole) and Prilosec (omeprazole).

RELATED: Alka-Seltzer details

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Coverage and cost comparison of Pepto-Bismol vs. Tums

Medicare and insurance plans rarely cover over-the-counter (OTC) medications like Pepto-Bismol and Tums. In cases where a prescription version of an OTC drug is available, insurance plans may decide to cover it.

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The average costs of Pepto-Bismol and Tums vary depending on which pharmacy you go to. However, these drugs are relatively inexpensive. Still, you may be able to save more with a SingleCare Pepto-Bismol coupon or SingleCare Tums coupon if prescribed by a doctor.

Common side effects of Pepto-Bismol vs.

Tums

Pepto-Bismol can often cause a darkened color of the stool or tongue. This is because bismuth subsalicylate can react with small amounts of sulfur to create bismuth sulfide, a black substance. While darkened stool may be confused with bloody stool (a serious condition), this side effect is temporary and harmless. Some people also report mild constipation after taking Pepto-Bismol.

Side effects of Tums include belching and gas (flatulence). Tums may also cause constipation and dry mouth.

Rare but serious effects of Pepto-Bismol may include tinnitus or a constant ringing in the ear that could indicate hearing problems. Other serious side effects of Tums include symptoms of high calcium levels (hypercalcemia), such as weakness, bone pain, and fatigue.

^*not reported

This may not be a complete list of adverse effects that can occur. Please refer to your doctor or healthcare provider to learn more.

Source: NIH (Pepto-Bismol), NIH (Tums)

Drug interactions of Pepto-Bismol vs. Tums

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.

Consult a healthcare professional for other possible drug interactions.

Warnings of Pepto-Bismol and Tums

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. Children who are recovering from chickenpox or influenza are at an increased risk of Reye’s syndrome after taking bismuth subsalicylate. In very rare cases, Pepto-Bismol can lead to neurotoxicity, especially in those with AIDS. 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.

Frequently asked questions about Pepto-Bismol vs. Tums

What is Pepto-Bismol?

Pepto-Bismol is an over-the-counter drug that contains bismuth subsalicylate. It’s used to treat mild, infrequent heartburn, indigestion, and diarrhea. Bismuth subsalicylate is also approved to treat H. pylori infections when used along with other antibiotics. Pepto-Bismol is available in an oral suspension, oral tablet, and oral chewable tablet.

What is Tums?

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.

Are Pepto-Bismol and Tums the same?

Pepto-Bismol and Tums are not the same. They contain different active ingredients and come in different formulations. However, some versions of Pepto-Bismol may contain calcium carbonate, the same active ingredient in Tums. Check the label of the drug before purchasing to make sure it contains the ingredients you’re looking for.

Is Pepto-Bismol or Tums better?

Pepto-Bismol and Tums are both effective drugs for treating occasional symptoms of heartburn or indigestion. They both work relatively quickly and work for a short duration. One may be preferred over the other depending on sugar contents and inactive ingredients, as well as whether it comes in a liquid or chewable tablet. Cost may also play a role in determining the best option.

Can I use Pepto-Bismol or Tums while pregnant?

Pepto-Bismol is not generally recommended for pregnant women due to a possible increased risk of bleeding. Tums may be taken occasionally for indigestion in recommended doses. However, it’s important for pregnant women to be aware of calcium intake since they may be taking other prenatal vitamins or supplements. Get medical advice from your healthcare provider if you’re experiencing heartburn or indigestion while pregnant.

Can I use Pepto-Bismol or Tums with alcohol?

Alcohol should be avoided while taking Pepto-Bismol or Tums. Alcohol may irritate the lining of the stomach or intestines and alter the overall effectiveness of antacids and antidiarrheal agents.

Is Tums good for an upset stomach?

Tums is an affordable, effective option for treating an upset stomach. Chewable Tums tablets start working within five minutes and can be taken as needed. Tums should only be used for mild, occasional heartburn and indigestion. If you’re needing to use Tums consistently for more than 14 days, consult a healthcare provider.

Is Pepto Bismol an antacid?

Pepto-Bismol has mild antacid effects to help relieve symptoms of heartburn and indigestion. It also works as an antidiarrheal agent that is commonly used to treat traveler’s diarrhea. Pepto-Bismol works by coating the lining of the digestive tract while preventing fluid and electrolyte loss.

History of Pepto-Bismol | Pepto Bismol

Over 100 Years of Pepto History

Pepto-Bismol provides effective relief of multiple stomach symptoms. Available in liquid, chewable tablets, and swallowable caplets, Pepto-Bismol treats diarrhea and provides fast relief of upset stomach, nausea, heartburn, and indigestion due to overindulgence in food and drink.

The formula of the pink medicine we now call Pepto-Bismol was originally developed at the start of the 20th century, when high standards of hygiene and sanitation weren’t as widespread as today. Looking to cure a frightening form of cholera that caused severe diarrhea, vomiting, and sometimes death, a doctor concocted a formula in his home that proved effective against these symptoms. The formula (which was different from today’s) was made from pepsin, zinc salts, salol, and oil of wintergreen, along with a colorant to make it pink, and he called it Mixture Cholera Infantum. (Researchers would later learn that this illness was caused by a bacterial infection, treatable with antibiotics.)

Today, we think of how Pepto-Bismol soothes the digestive system after we’ve overindulged at a meal. Or, we think of it as a travel companion that can help soothe stomach upsets associated with traveler’s diarrhea. But in its early days, a different form of Pepto-Bismol did more than comfort; it actually helped treat symptoms of a more serious illness.

Sharing with the World

The invention of what we now know as Pepto-Bismol coincided with other health advances, such as milk pasteurization and public campaigns advocating hand washing.

The early success of Pepto-Bismol presented a production crisis for its inventor, who couldn’t make enough product in his home to satisfy demand. He brought his formula to what was then called the Norwich Pharmacal Company in Norwich, New York. Norwich Pharmacal had a way to increaseproduction dramatically – by manufacturing it in 20-gallon tubs.

Norwich added the remedy to its catalog for medical professionals, with the product name Bismosal: Mixture Cholera Infantum. Norwich tinkered with the doctor’s formula a bit and advertised the improved product as an “elegant, pleasantly flavored” mixture.

Pepto-Bismol – an overview | ScienceDirect Topics

Antimicrobial Agents

The primary mode of action of BSS, the active ingredient of Pepto-Bismol, is as an antimicrobial agent. BSS disassociates in gastric acid to form bismuth salts, such as bismuth oxychloride. In addition to antimicrobial properties BSS has antisecretory properties and a potential for toxin adsorption. Salicylic acid is released as a byproduct of the reaction and is nearly completely absorbed. Chewing a total of eight Pepto-Bismol tablets/day is equivalent to taking three to four adult aspirin tablets. Although salicylic acid does not have the same anticoagulant properties as acetylsalicylic acid, travelers taking warfarin or nonsteroidal antiinflammatory agents should avoid BSS.

BSS is an effective and safe agent for the prevention and treatment of TD.²⁵ Protection ranges from 40% to 65%, according to the amount and frequency of the dose. For best protection it should be taken as two tablets chewed four times a day.^6,14 The formation of black bismuth salts can discolor the tongue and the resultant blackened stools can mimic melena. Travelers should be advised to rinse their mouth thoroughly after each dose, and especially after the bedtime dose. Gently brushing the tongue at bedtime is recommended to help avoid the otherwise purely esthetic problem of black tongue. Theoretically, the absorbed salicylate may cause tinnitus, but in studies this occurred no more frequently in BSS-treated patients than in placebo-treated patients. Care should be exercised when using BSS in patients with impaired renal function. BSS can contribute to salicylate intoxication, so it should not be taken with aspirin. Encephalopathy has been anecdotally reported, but the bismuth in BSS is essentially not absorbed compared to other bismuth compounds, so such reports are exceedingly rare. If doxycycline is used for malaria prevention, travelers should be cautioned not to use concurrent BSS. The bivalent cations in BSS preparations can lower the bioavailability of doxycycline.

Much of the early work on TD prevention focused on the use of prophylactic antimicrobials. Table 19.4 shows currently recommended⁶ antimicrobials with the suggested dosing regimens. Although antimicrobials have demonstrated clear efficacy in the prevention of TD, concerns include side effects, promoting resistance development, and the use of antimicrobial agents for chemoprophylaxis of a self-limiting syndrome when those agents have more critical other uses. Concerns about the effect of antimicrobial agents on the microbiota and subsequent colonization by multiple resistant organisms after treatment of TD with antibiotics must be considered in the decision to use antibiotics for chemoprophylaxis of this condition. Fluoroquinolones appear to be especially capable of disturbing the microbiota.¹³

Classic studies by Ben Kean^25a noted the utility of the antibiotic neomycin in the prevention of TD. Then studies with doxycycline dosed at 100 mg/day showed it to be a highly protective agent. Increasing resistance to tetracyclines in developing regions of the world has rendered the use of tetracyclines obsolete.

Trimethoprim and the combination of trimethoprim and sulfamethoxazole (TMP/SMX) were historically the next generation of antimicrobials studied for prevention of diarrhea. These agents provided 71%–95% protection in areas where resistance was low; however, rising resistance around the world has compromised the usefulness of these antimicrobials as well. Furthermore, TMP/SMX is ineffective against Campylobacter jejuni, an important cause of TD, particularly in Southeast Asia, where use of TMP/SMX cannot be recommended for prophylaxis or treatment. While TMP/SMX is relatively inexpensive, easy to administer, and can be used in children, its major disadvantages include rashes, hypersensitivity reactions (including Stevens-Johnson syndrome), bone marrow depression, and GI disturbances. Serious side effects are rare but need to be considered when prescribing this drug for purposes of prophylaxis.

In the past, fluoroquinolones were among the drugs of choice as effective and relatively safe agents for the prevention of TD. A study reported in 1994 showed 84% protection.²⁶ Unfortunately, fluoroquinolone resistance, particularly among C. jejuni, is increasingly being reported. In Southeast Asia, fluoroquinolones can no longer be recommended for prevention of TD. Adverse reactions to fluoroquinolones include tendonitis (black box warning) rash, GI intolerance, and central nervous system stimulation manifested as insomnia, nervousness, or dizziness. Fluoroquinolones should not be used in pregnant women. For this class of drugs, the development of resistance in the community is important since their broad spectrum of activity, including respiratory tract pathogens, has given them a wide range of clinical applications. Because of the side effects of fluoroquinolones and their effect on microbiota, at a recent consensus development conference sponsored by the International Society of Travel Medicine the decision was made to no longer recommend fluoroquinolones as preventative agents.¹³

Azithromycin is an antibiotic with efficacy in the treatment of TD.²⁷ This agent is attractive for its broad spectrum of activity against enteropathogens, including C. jejuni, and its availability for use in children and pregnant women. In Southeast Asia, azithromycin is the current drug of choice for treatment of TD; and following the black box warnings about the use of fluoroquinolones for the treatment of TD, azithromycin is considered by most experts to be the drug of choice worldwide. Although azithromycin should work in prophylaxis, there are no data to guide dosing amounts or frequency of administration.

An ideal antimicrobial agent for the prevention of TD would be one that has excellent activity against enteric pathogens, is not absorbed (helping to guarantee an excellent safety profile), is safe, has little potential for promoting antibiotic resistance, and has no other uses than in enteric diseases.^1,34 Rifaximin is such an agent and is approved for treatment of TD when invasive pathogens are not suspected.^28–30 It has exclusively intraluminal action with <0.4% gastrointestinal absorption, documented low potential for generating cross-resistance, and a profile of clinical use that is limited to GI syndromes and preventing hepatic encephalopathy. Rifaximin has been shown to be effective in prevention of TD and affords 60%–70% protection with a single daily 200-mg dose.³¹ Fecal levels are about 8000 µg/g of stool after 3 days of therapy, which far exceeds the average minimum inhibitory concentration (MIC) (32–50 µg/mL) of most enteric pathogens.²⁸ The availability of such an agent permits consideration of a change in paradigm. The objections of the NIH consensus development conference appear to be largely moot with the availability of rifaximin, although disagreement in general with the concept of chemoprophylaxis continues to exist among experts.³² Arguably, chemoprophylaxis with an agent such as rifaximin might now be safely offered to more short-term travelers than only those with special risks.

Pepto Bismol Upset Stomach Reliever/Antidiarrheal, Original, 16 fl oz (1 pt) 473 ml

Pepto Bismol Upset Stomach Reliever/Antidiarrheal, Original, 16 fl oz (1 pt) 473 ml | Rite Aid

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From the Manufacturer

PRODUCT DETAILS

Item No. 0033323

Pepto Bismol Original Liquid. When you have a sour stomach, Pepto’s improved formula coats your stomach and provides fast relief from nausea, heartburn, indigestion, upset stomach, and diarrhea.

• 5 SYMPTOM Digestive Relief: Nausea, Heartburn, Indigestion, Upset Stomach, Diarrhea (Packaging may vary)
• The #1 Pharmacist Recommended Brand for Upset Stomachs (Based on Pharmacy Times 2018 Survey-upset stomach remedies category)
• Pepto’s formula now has improved coating to calm and soothe your stomach
• Bismuth Subsalicylate
• Whether you’re looking for an upset stomach medicine or nausea help, wondering what to do for indigestion or heartburn relief, or trying to find what’s good for diarrhea, Pepto provides fast relief

Over-the-counter digestive aids are now available for FSA and HSA reimbursement without a prescription. For any questions you may have regarding FSAs or HSAs, please browse our FAQ.

MORE INFORMATION

HOW TO USE

Shake well before use. Only use dose cup provided. Adults and children 12 years and over 30 mL (1 dose) every hour or 60 mL (2 doses) every hour as needed for diarrhea/travelers diarrhea. 30 mL (1 dose) every hour as needed for overindulgence (upset stomach, heartburn, indigestion, nausea). Do not exceed 8 doses (240 mL) in 24 hours. Use until diarrhea stops but not more than 2 days. Children under 12 years ask a doctor. Drink plenty of clear fluids to help prevent dehydration caused by diarrhea.

INGREDIENTS

Active Ingredient (in each 30 mL dose): Bismuth Subsalicylate 525 mg. Inactive Ingredients: Benzoic Acid, D&C Red No. 22, D&C Red No. 28, Flavor, Gellan Gum, Magnesium Aluminum Silicate, Methylcellulose, Salicylic Acid, Sodium Salicylate, Sorbic Acid, Sucralose, Water Bismuth Subsalicylate 525 mg (in each 30 mL dose)

SAFETY

Reye’s syndrome: Children and teenagers who have or are recovering from chicken pox or flu-like symptoms should not use this product. When using this product, if changes in behavior with nausea and vomiting occur, consult a doctor because these symptoms could be an early sign of Reye’s syndrome, a rare but serious illness.
Allergy alert: Contains salicylate. Do not take if you are allergic to salicylates (including aspirin), taking other salicylate products. Do not use if you have an ulcer, a bleeding problem, bloody or black stool. Ask a doctor before use if you have: fever, mucus in the stool. Ask a doctor or pharmacist before use if you are taking any drug for: anticoagulation (thinning the blood), diabetes, gout, arthritis. When using this product a temporary, but harmless, darkening of the stool and/or tongue may occur. Stop use and ask a doctor if: symptoms get worse or last more than 2 days, ringing in the ears or loss of hearing occurs, diarrhea lasts more than 2 days. If pregnant or breast feeding, ask a health professional before use. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away.

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Pepto-bismol (bismuth subsalicylate): uses and side effects

Pepto-bismol is used for relieving symptoms of an upset stomach, such as nausea, indigestion, heartburn or diarrhoea.

Here’s everything you need to know about Pepto-bismol, including how it works, who shouldn’t take it and the potential side effects:

How does Pepto-bismol work?

Pepto-bismol chewable tablets and suspension both contain the active ingredient bismuth subsalicylate.

This has several actions in the gut. It coats irritated tissues in the foodpipe (gullet) and stomach, helping to protect them from stomach acid. It may also kill certain bacteria, including E coli, a common cause of diarrhoea. It also has weak antacid properties.

How to take Pepto-bismol

Pepto-bismol liquid and chewable tablets can be taken either with or without food. If you’re using the suspension, shake the bottle before taking a dose.

Adults aged 16 years and over should take 30ml Pepto-bismol liquid OR two Pepto-bismol tablets when needed to relieve symptoms. This dose can be repeated after 30 to 60 minutes if needed. Do not take more than eight doses in 24 hours.

⚠️ Do not exceed the maximum dose. If your symptoms do not improve after two days of using Pepto-bismol, you should get medical advice from your doctor.

Acute diarrhoea makes you lose more fluids and salt than you usually would and can make you dehydrated. This medicine only treats the diarrhoea symptoms and so will not rehydrate you. You should ensure that you drink plenty of fluids, and you may also want to take an oral rehydration therapy, which is a soluble powder containing sugars and salts, to help rehydrate you. This is particularly important for frail and elderly people and children. Rehydration salts can be bought from pharmacies.

Who should not take Pepto-bismol?

Certain people shouldn’t take Pepto-bismol. They include:

● Children under 16 years old.

● People who are allergic to aspirin or salicylates.

● People who are allergic to any ingredient of the medicine. Check the ingredients listed in the leaflet that comes with the medicine if you know you have specific allergies.

Meanwhile, others should seek medical advice before taking Pepto-bismol. They include:

● People who have diarrhoea that started either during or after taking a course of antibiotics, if the diarrhoea contains yellow or greenish mucus or blood, or if you also have a fever.

● People with blood clotting disorders or gout.

● People taking anticoagulant medicines such as warfarin, or medicines for diabetes or gout.

Pepto-bismol while pregnant or breastfeeding

Not unless it’s recommended by your doctor. The safety of Pepto-bismol for use during pregnancy and breastfeeding has not been established. It should only be used if considered essential by your doctor.

As with all medicines, if you are pregnant or breastfeeding you should get medical advice from your doctor before taking Pepto-bismol.

Pepto-bismol side effects

Medicines and their possible side effects can affect individual people in different ways. The following are some of the side effects that are known to be associated with Pepto-bismol. Just because a side effect is stated here doesn’t mean that all people using this medicine will experience that or any side effect.

Blackening of your poo (very common) or blackening of your tongue (common). This is normal and nothing to worry about and will go away when you stop treatment.

Read the leaflet that comes with the medicine or talk to your pharmacist if you want any more information about the possible side effects of Pepto-bismol. If you think you have experienced a side effect, did you know you can report this using the yellow card website?

Pepto-bismol and other medicines

If you’re already taking any other medicines, including those bought without a prescription and herbal medicines, it is important to check with your doctor or pharmacist before taking this medicine as well. Similarly, check with your doctor or pharmacist before taking any new medicines in combination with this one, to make sure that the combination is safe.

You should check with your doctor before taking Pepto-bismol if you’re taking warfarin or medicines for gout or diabetes.

⚠️ You should not take Pepto-bismol in combination with aspirin or any other salicylate medicines.

Pepto-bismol may reduce the absorption of tetracycline-type antibiotics, eg doxycycline, minocycline from the gut, which could make them less effective. To minimise this problem you should not take Pepto-bismol within two hours of taking a dose of this type of antibiotic.

There are currently no other medicines available in the UK that contain bismuth subsalicylate as the active ingredient.

Last updated 20.06.2020

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Bismuth Subsalicylate | Memorial Sloan Kettering Cancer Center

This document, provided by Lexicomp ^® , contains all the information you need to know about the drug, including the indications, route of administration, side effects and when you should contact your healthcare provider.

Trade names: USA

Bismatrol Maximum Strength [OTC] [DSC]; Bismatrol [OTC]; Diotame InstyDose [OTC]; Geri-Pectate [OTC]; GoodSense Stomach Relief [OTC]; Kao-Tin [OTC] [DSC]; Peptic Relief [OTC] [DSC]; Pepto-Bismol InstaCool [OTC] [DSC]; Pepto-Bismol To-Go [OTC]; Pepto-Bismol [OTC]; Pink Bismuth [OTC]; Stomach Relief Extra Strength [OTC]; Stomach Relief Plus [OTC]; Stomach Relief [OTC]

What is this drug used for?

• This medicine is used to treat diarrhea.
• Used to treat heartburn and nausea.

What should I tell my doctor BEFORE taking this drug?

For all patients taking this drug:

• If you are allergic to this drug, any of its ingredients, other drugs, foods or substances. Tell your doctor about your allergy and how it manifested itself.
• If you are allergic to aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen.
• If you have any of the following health problems: bleeding, sores, or black, tarry, or bloody stools.
• If you are taking a salicylate such as aspirin.

Children:

• If your young or adolescent child has signs of flu, chickenpox or other viral infections, or is recovering. There may be an increased risk of developing a very serious condition called Reye’s syndrome.Do not give this drug to a child or teenager who has a viral infection or is recovering from it.

This list of drugs and diseases that may be adversely associated with this drug is not exhaustive.

Tell your doctor and pharmacist about all medicines you take (both prescription and over-the-counter, natural products and vitamins) and your health problems. You need to make sure that this drug is safe for your medical conditions and in combination with other drugs you are already taking.Do not start or stop taking any medication or change the dosage without your doctor’s approval.

What do I need to know or do while taking this drug?

• Tell all healthcare providers that you are taking this drug. These are doctors, nurses, pharmacists and dentists.
• If you are on a low sodium or salt free diet, tell your doctor. Some of these preparations contain sodium.
• If you have phenylketonuria, talk to your doctor. Some foods contain phenylalanine.
• Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. The benefits and risks for you and your child will need to be discussed.

What side effects should I report to my doctor immediately?

WARNING. In rare cases, some people with this drug can have serious and sometimes deadly side effects.Call your doctor or get medical help right away if you have any of the following signs or symptoms, which may be associated with serious side effects:

• Signs of an allergic reaction such as rash, hives, itching, reddened and swollen skin with blistering or scaling, possibly associated with fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue, or throat.
• Tinnitus, hearing loss, or any other change in hearing.

What are some other side effects of this drug?

Any medicine can have side effects. However, many people have little or no side effects. Call your doctor or get medical help if these or any other side effects bother you or do not go away:

• Constipation.
• Dark color of tongue and stool.This is normal and not dangerous.

This list of potential side effects is not exhaustive. If you have any questions about side effects, please contact your doctor. Talk to your doctor about side effects.

You can report side effects to the National Health Office.

You can report side effects to the FDA at 1-800-332-1088. You can also report side effects at https: // www.fda.gov/medwatch.

What is the best way to take this drug?

Use this drug as directed by your healthcare practitioner. Read all the information provided to you. Follow all instructions strictly.

Pills:

• The drug should be swallowed completely with a glass of water.
• Do not chew this medicine.

Chewable Tablets:

• Chew thoroughly or allow to dissolve in the mouth.

Suspension:

• Shake well before use.
• Care should be taken to measure the doses of the liquid preparation. Use the dispenser that comes with the medicine. If a dispenser is not included in the package, ask your pharmacist for a dosing product for this drug.

All forms of issue:

• Drink plenty of decaffeinated liquids, unless your doctor tells you to drink less.

What should I do if a dose of a drug is missed?

• If you are taking this medication regularly, take the missed dose as soon as you can.
• If it’s time to take your next dose, do not take the missed dose and then return to your normal dose schedule.
• Do not take 2 doses at the same time or an additional dose.
• In most cases, this drug is used as needed.Do not take this medicine more often than prescribed by your doctor.

How do I store and / or discard this drug?

• Store at room temperature in a dry place. Do not store in the bathroom.
• Protect from heat.
• Store all medicines in a safe place. Keep all medicines out of the reach of children and pets.
• Dispose of unused or expired drugs.Do not empty into toilet or drain unless directed to do so. If you have any questions about the disposal of your medicinal products, consult your pharmacist. Your area may have drug recycling programs.

General information on medicinal products

• If your health does not improve or even worsens, see your doctor.
• You should not give your medicine to anyone or take someone else’s medicine.
• Some medicines may have different patient information sheets. If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other healthcare professional.
• Some medicines may have different patient information sheets. Check with your pharmacist. If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other healthcare professional.
• If you think an overdose has occurred, call a Poison Control Center immediately or seek medical attention. Be prepared to tell or show which drug you took, how much and when it happened.

Use of information by the consumer and limitation of liability

This information should not be used to make decisions about taking this or any other drug. Only the attending physician has the necessary knowledge and experience to make decisions about which drugs are appropriate for a particular patient.This information does not guarantee that the drug is safe, effective, or approved for the treatment of any disease or specific patient. Here are only brief general information about this drug. It does NOT contain all available information on the possible use of the drug with instructions for use, warnings, precautions, information about interactions, side effects and risks that may be associated with this drug. This information should not be construed as a treatment guide and does not replace information provided to you by your healthcare professional.Check with your doctor for complete information on the possible risks and benefits of taking this drug. Use of this information is governed by the Lexicomp End User License Agreement available at https://www.wolterskluwer.com/en/solutions/lexicomp/about/eula.

Copyright

© UpToDate, Inc. and its affiliates and / or licensors, 2021. All rights reserved.

Bismol – instructions for use, dosages, composition, analogs, side effectsWismutvergiftung kann auch gastrointestinale Störungen, Hautreaktionen, Verfärbungen der Schleimhäute und Nierenfunktionsstörungen als Folge einer akuten tubulären Nekrose verursachen. Die Behandlung umfasst Magenspülung, Reinigung und Flüssigkeitszufuhr. Chelatbildner können in den frühen Stadien nach der Einnahme wirksam sein, und eine Hämodialyse kann erforderlich sein.

Salicylat

Eine überdosierung von Pepto-Gastro-Bismol kann auch Symptome einer salicylatvergiftung hervorrufen.Salicylatvergiftung ist normalerweise mit Plasmakonzentrationen verbunden> 350 mg / L (2.5 mmol / L). Die meisten Todesfälle bei Erwachsenen treten bei Patienten auf, deren Konzentrationen 700 mg / L (95.1 mmol / L) überschreiten. Einzeldosen von weniger als 100 mg / kg verursachen wahrscheinlich keine ernsthafte Vergiftung.

Wenn Symptome auftreten, sollte die Anwendung von Pepto-Gastro-Bismol abgebrochen werden. Das Management der überdosierung ist das gleiche wie bei Salicylat-überdosierung:

Gemeinsame Merkmale sind Erbrechen, Austrocknung, tinnitus, Schwindel, Taubheit, Schwitzen, warme Extrevensäten mitp Arenhrenzung.Ein gewisses Maß an Säure-Basen-Störung ist in den meisten Fällen vorhanden.

Eine gemischte respiratorische Alkalose und metabolische Azidose mit normalem oder hohem arteriellen pH-Wert (normale oder reduzierte wasserstoffionenkonzentration) ist bei Erwachsenen und Kindern über vier Jahren üblich. Bei Kindern ab vier Jahren ist eine dominante metabolische Azidose mit niedrigem arteriellen pH-Wert (erhöhte wasserstoffionenkonzentration) üblich. Azidose kann den salicylattransfer über die Blut-Hirn-Schranke erhöhen.

zu den Seltenen Merkmalen gehören hämatemese, hyperpyrexie, Hypoglykämie, Hypokaliämie, Thrombozytopenie, erhöhte INR / PTR, intravaskuläre Koagulation, Nierenöversagen und nicht kardiales.

Merkmale des Zentralnervensystems wie Verwirrung, Desorientierung, Koma und Krämpfe sind bei Erwachsenen seltener als bei Kindern.

Management: geben Sie Aktivkohle, wenn ein Erwachsener innerhalb einer Stunde nach Einnahme von mehr als 250 mg / kg präsentiert.Die plasmasalicylatkonzentration sollte gemessen werden, obwohl der Schweregrad der Vergiftung nicht allein dadurch bestimmt werden kann und die klinischen und biochemischen Merkmale berücksichtigt werden müssen. Die Elimination wird durch harnalkalisierung erhöht, was durch die Verabreichung von 1 erreicht wird. 26% Natriumbicarbonat. Der pH-Wert des Urins sollte überwacht werden. Korrekte metabolische Azidose mit intravenöser Verabreichung. 4% Natriumbicarbonat (erste überprüfung serum Kalium). Erzwungene Diurese sollte nicht angewendet werden, da Sie die salicylatausscheidung nicht verstärkt und lungenödeme verursachen kann.

Hämodialyse ist die Behandlung der Wahl für schwere Vergiftungen und sollte bei bei patient mit plasmasalicylatkonzentrationen in Betracht gezogen werden> 700 mg / L (5,1 mmol / L) oder niedrigere cnkonzentrationen im Zernrige mitrengine metabolischen metabolischen Patienten unter zehn Jahren oder über 70 Jahren haben ein erhöhtes Risiko für salicylattoxizität und müssen möglicherweise in einem früheren Stadium dialysiert werden.

Clinical study Healthy: bismuth subsalicylate (Pepto-Bismol®), placebo-matched (bismuth subsalicylate), dimethyl fumarate (DMF) – Clinical trial registry

90,000 💊 Pepto-Bismol: What you want to know

Introduction

Chances are, you’ve heard of “pink things”. Pepto-Bismol is a widely used over-the-counter medicine used to treat digestive problems.If you are feeling a little off the table, read on to find out what to expect while taking Pepto-Bismol and how to use it safely.

About Pepto-Bismol What is Pepto-Bismol?

Pepto-Bismol is used to treat diarrhea and relieve symptoms of upset stomach. These symptoms may include heartburn, nausea, and upset stomach, as well as gas, belching, and a feeling of fullness. The active ingredient in pepto-bismol is called bismuth subsalicylate. It belongs to a class of drugs called salicylates.-Bismol is available in standing cabbage, chewable tablet, and liquid. It is available in maximum strength as a liquid. All forms are taken by mouth.

ActionHow It Works

Pepto-Bismol Supposed to Treat Diarrhea:

an increase in the amount of fluid that your intestines absorb

• , which reduces inflammation and hyperactivity of your intestines
• Preventing the release of your body by a chemical called prostaglandin that causes inflammation
• , blocking toxins produced by bacteria such as
• E.coli kills other bacteria that cause diarrhea

The active ingredient, bismuth subsalicylate, also has antacid properties that may help reduce heartburn, indigestion and nausea.

DosageDosage

Adults and children 12 years of age and older can take any of the following forms of Pepto-Bismol for two days. The doses below apply for all digestive problems. Pepto-Bismol can help treat. If your condition lasts longer than two days or if you have ringing in your ears, stop taking Pepto-Bismol and call your doctor.

Liquid suspension

Regular strength:

Take 30 ml (525 mg) every 30-60 minutes as needed.

• Do not exceed eight doses (240 ml) in a 24 hour period.
• Maximum Strength:

Take 30 ml (1.050 mg) every 60 minutes as needed.

• Do not exceed four doses (120 ml) in a 24 hour period.
• Chewable Tablets

Take two 262 mg tablets every 30-60 minutes as needed.

• Chew or dissolve the tablets in your mouth.
• Do not exceed eight doses (16 tablets, or 4.19 mg) in a 24 hour period.
• Caplets

If needed, take two capsules (262 mg each) every 30-60 minutes.

• Swallow caplets whole with water. Don’t chew them.
• Do not exceed eight doses (16 capsules or 4.19 mg) in a 24 hour period.
• Side effects Various effects

Most side effects of Pepto-Bismol are mild and disappear shortly after the medication is stopped.

More common side effects

More common side effects of Pepto-Bismol include:

black chair

• black, hairy tongue
• These side effects are harmless. Both effects are temporary and disappear within a few days after you stop taking Pepto-Bismol.

Q:

Why can Pepto-Bismol give me black stools and black hairy tongue?

A:

Pepto-Bismol contains a substance called bismuth.When this substance mixes with sulfur (a mineral in your body), it forms another substance called bismuth sulfide. This substance is black. When it forms in the digestive tract, it mixes with food as you digest it. This causes your stools to turn black. When bismuth sulfide forms in your saliva, it turns your tongue black. It also causes a buildup of dead skin cells on the surface of your tongue, which can make your tongue look fluffy.

Healthline Medical TeamAnswers represents the opinions of our medical experts.All content is strictly informative and should not be construed as medical advice.

Serious side effect

Tinnitus is an uncommon and serious side effect of Pepto-Bismol. If you have this side effect, stop taking Pepto-Bismol and call your doctor right away.

Interactions Reactive interactions

Pepto Bismol may interact with any other medicines you may be taking. Talk to your pharmacist or doctor to find out if Pepto-Bismol interacts with any medicines you take.

Examples of drugs that can interact with Pepto-Bismol are:

Angiotensin converting enzyme (ACE) inhibitors such as benazepril, captopril, enalapril, fosinopril, lisinopril and trandolapril

• Blood solvents (anticoagulants) such as warfarin
• Medications for diabetes such as insulin, metformin, sulfonylureas, dipeptidyl peptidase-IV (DPP-IV) inhibitors and sodium glucose transfer inhibitors (SGLT) 2
• Medicines for gout such as probenecid
• Methotrexate
• Non-steroidal anti-inflammatory drugs (NSAIDs) such as aspirin, naproxen, ibuprofen, meloxicam, indomethacin and diclofenac
• Phenytoin
• Tetracycline antibiotics such as demeclocycline, doxycycline, minocycline and tetracycline
• Anti-seizure drugs such as valproic acid and divalprox
• WarningsWarnings
• Pepto-Bismol is generally safe for most people, but you should avoid it if you have certain health conditions.Pepto Bismol can make them worse. You should not take Pepto-Bismol if you:

are allergic to salicylates (including aspirin or NSAIDs such as ibuprofen, naproxen, and celecoxib)

have an active, bleeding ulcer

• pass bloody stools or black stools that are not caused by Pepto-Bismol
• , are adolescents recovering or sick from chickenpox or flu-like symptoms
• Bismuth subsalicylate may also cause problems in people with other medical conditions.Before taking Pepto-Bismol, tell your doctor if you have any of the following medical conditions. They can tell you if Pepto-Bismol can be used. These conditions include:
• stomach ulcers

bleeding problems such as hemophilia and von Willebrand disease

• kidney problems
• diabetes
• Stop taking Pepto-Bismol and call your doctor at once if you have vomiting and extreme diarrhea or behavior changes such as loss of energy, aggressive behavior, or confusion.These symptoms may be early symptoms of Rey’s syndrome. It is a rare but serious condition that can affect your brain and liver.
• Continue Reading: Causes, Symptoms and Diagnosis of Reye’s Syndrome “
• You should not use Pepto-Bismol to self-medicate diarrhea if you have fever or stools containing blood or mucus. If you have these symptoms, calling your doctor right away may be a sign of a serious health condition such as an infection.

In case of overdose

Symptoms of a Pepto-Bismol overdose may include:

ringing in the ears> hearing loss

extreme sleepiness

nervousness

• rapid breathing
• Confusion

90,013 withdrawals 90,014

• If you think you have taken too much of this drug, call your doctor or local poison control center. If you have severe symptoms, call 9-1-1 or go to the nearest emergency room right away.
• TakeawayTalk with your doctor
• For many people, Pepto-Bismol is a safe and easy way to relieve common stomach problems, but if you have any concerns about whether Pepto-Bismol is a safe option for you, be sure to ask your doctor or pharmacist. You should also call your doctor r if Pepto-Bismol does not relieve your symptoms after two days.

Many Russian medicines can be found equivalent in America

About medicines here and there.

The first time I came to an American pharmacy, I was surprised by the variety of products sold there. In addition to common over-the-counter drugs, there were stationery, toys for children, souvenirs, and far from dietary products such as chips and wine on the shelves. Moreover, you can examine the drugs, read the composition on the boxes, choose what you need, and then pay at the checkout at the exit. In other words, all non-prescription drug stores operate on a self-service basis.Despite the fact that you can buy almost anything in the pharmacy, there is a rather high mark-up on food products, so it is more profitable to buy them in hypermarkets such as Walmart, Target, HEB, etc.

Russian pharmacies sell only medicines, medical devices and apparatus, less often – some types of cosmetics. Pharmacy area is much smaller. In the United States, pharmacies occupy an area of ​​at least 100 square meters, and some are about 5 thousand square meters. The leader in the number of large pharmacies is the Rite Aid pharmacy chain: the average area of ​​this chain’s pharmacies is 1,000 sq.sq. m. Non-prescription drugs, other than pharmacies, can be purchased in US supermarkets, stalls, or grocery stores. There are also pharmacies at hospitals.

The overwhelming majority of patients who come to the American pharmacy for medicine have a doctor’s prescription and personal health insurance. In the United States, unlike Russian pharmacies, there is a close electronic connection between pharmacies and medical institutions. Before going to the doctor, it is recommended that you select a nearby pharmacy and inform your doctor about it.The doctor writes out a prescription for this or that medicine and reports it to the pharmacy via the Internet. The pharmacy prepares the drug strictly according to the prescription, indicating the period of its use. For example, a doctor has prescribed a medication that is taken twice a day, one tablet for two weeks. The pharmacy prepares 28 tablets of the prescribed drug in a special cup with a screw cap and no more. Such a drug can be taken on the road abroad without presenting a prescription from a doctor at the border, because on the label of the drug, in addition to its name and dosage, the pharmacy records the date of issue, the name and surname of the patient, the pharmacy phone number.The patient can go to the pharmacy to get the medicine right after the doctor’s appointment. At the same time, he may not go to the pharmacy, but get it without leaving the car in a special window outside the building. If this line is occupied by another machine, you can use a parallel line, which is a round post with a round cabinet rotating inside it with closing doors. In accordance with the instructions of the pharmacy employee, whose voice is heard from the locker, you need to put your payment card and a document confirming the patient’s identity in it.A minute later, the documents are returned along with the medicine in a special pharmacy package. If you need to sign for the receipt of the medicine, then you will be sent both an invoice and a pen, fixed on a cardboard, so that it is convenient to write.

Despite the fact that the cost of drugs in the United States is quite high, each patient pays only a portion of it. This can be either 15% of the cost of a drug, or a flat $ 5-10 for any item, or the patient can even get drugs for free, depending on what kind of health insurance they have.Therefore, every American strives to get good health insurance or join some special government program. It is interesting that every pharmacy must keep a record of medicines for each client, and all information about the purchase of medicines by each patient is entered into the computer. The pharmacy stores information about which drugs and when the person bought. If the previous medicine was calculated for 2 weeks, then the pharmacy will not issue this medicine again earlier.

In Russia, as in the United States, drugs sold in pharmacies are divided into two categories: those that can be bought without a doctor’s prescription and those that require a prescription to purchase. Medicines for which you need a prescription from a doctor are, more recently, antibiotics and stronger drugs, overdose of which is life-threatening, as well as the use of which can cause addiction. In Russia, drugs are sold mostly at full cost in whole packs, and if, for example, tablets remain during treatment, they are either thrown away by the patient or stored “just in case” until the expiration date.Some pharmacies give discounts to pensioners, but not more than 5% of the total cost of the medicine. There are categories of citizens (veterans of the Great Patriotic War, disabled people, disabled children, etc.), who are given drugs free of charge according to a list specially approved by the Ministry of Health and Social Development, which includes about 600 drugs.

Much of what is sold absolutely freely in Russia is released in the United States only by written prescription from a doctor. At first glance, you can buy vitamins, dietary supplements, cough syrups, a number of antihistamines, eye drops, various plasters for cuts, for back pain such as peppercorns, etc., without a prescription.And yet, if you study the drugs on the shelves of American supermarkets and pharmacies in more detail, you can find an equivalent replacement for many Russian drugs and buy them without a prescription. What is presented below is far from a complete list, but it will also allow Russian speakers to navigate the world of drugs when an urgent need arises.

What drugs similar to Russian ones are sold in US pharmacies without a prescription?

Analgesics

Aspirin (Aspirin) – acetylsalicylic acid belongs to the group of non-steroidal anti-inflammatory drugs (NSAIDs) and has analgesic, antipyretic and anti-inflammatory effects.It is used to reduce fever in diseases such as colds and flu, to relieve joint and muscle pain, toothache, headache, sore throat, etc.

Acetaminophen – the active ingredient in acetaminophen is paracetamol. Therefore, we can say: acetaminophen and paracetamol are one and the same. Acetaminophen has an effective antipyretic and analgesic effect, as well as a mild anti-inflammatory effect. According to the instructions, acetaminophen is recommended for use with mild and moderate pain symptoms in joints, muscles, with toothache and headache, with injuries, neuralgia, algodismenorrhea.

Tylenol, active ingredient – acetaminophen. Used in the same cases.

Naproxen (Naproxen) – (pentalgin in Russia), belongs to NSAIDs. Has a pronounced analgesic activity. It is used more often for inflammatory diseases of the musculoskeletal system: for arthritis, radiculitis, myalgia, but it also helps with other localization of pain.

MOTRIN (Motrin) – a preparation containing naproxen, has anti-inflammatory, analgesic and antipyretic effects.It is also used as part of the complex therapy of infectious and inflammatory diseases of the ear, throat, nose with severe pain syndrome, incl. pharyngitis, tonsillitis, otitis media.

Buscopan – the main active ingredient is hyoscine butyl bromide. Buscopan has an antispasmodic effect on the smooth muscles of the gastrointestinal tract, gallbladder and urogenital organs. It can be used for temporary pain relief like the Russian drug drotaverin (noshpa) for biliary, renal and intestinal colic, cholecystitis, gastric ulcer and duodenal ulcer in the acute phase (as part of complex therapy).

Coricidin (Corecidin) – contains a combination of acetaminophen and chlorpheniramine. Acetaminophen is an analgesic and antipyretic agent. Chlorpheniramine is an antihistamine. Coricidin is used to treat headaches, runny nose, sneezing, pain, or fever caused by allergies, colds, or flu.

Pain Telief PM – acetaminophen plus diphenhydramine. Relieves pain and has a hypnotic effect. It is also a mild antiemetic.

Ibuprofen (Ibuprofen) – has an analgesic, anti-inflammatory antipyretic effect. Indications for use: rheumatoid arthritis, gout, neuralgia, myalgia, bursitis, sciatica, as part of an aid for headaches and toothaches, etc.

Advil – the main active ingredient is ibuprofen. The indications are the same as for ibuprofen.

Bengay – anti-inflammatory non-steroidal ointment of irritating local action, contains derivatives of salicylic acid.It is used: to relieve lower back pain; to reduce stiffness, pain in muscles and joints during sprains, injuries, inflammations; in case of myalgia after sports.

Cold

Over the counter, colds in the USA are treated with all sorts of fortified powders (always with some sweet pleasant taste of raspberries, orange, etc.), which must be diluted in water. A lot of all kinds of lozenges that contain menthol, mint, they can be used with such a symptom of an onset cold as a sore throat.

Two potions, Vicks Dayquil and Nyquil (sold together), are widely used for adults and children. When the first symptoms of a cold appear, they drink a cap of the medicine from the bottle that is intended for taking during the day. The night dose should be drunk before bedtime (it contains sleeping pills).

Theraflu is an American variation of the drug with the same Russian name. Great for chills, coughs, runny nose and other cold symptoms.

Mucinex and Tussin are the most common American cough medicines. When coughing up sputum, expectorants such as guaifenesin, which is contained in the preparations Humibid, Musinex, Robitussin and Tussin, help. Expectorants help thin the phlegm so it can be cleared more easily with a cough. It is not recommended to give medicines for colds and coughs to children under 4 years of age. These common over-the-counter medications can cause serious side effects in toddlers.For children, special shelves in pharmacies are allocated, the medicines on which correspond to diseases and age.

Afrin (Afrin) – drops or spray are used for rhinitis, including allergic.

From diseases of the gastrointestinal tract

Activated Charcoal – (Activated Charcoal Tablets) is used for poisoning: 1 tablet per 10 kg of weight. Americans are more likely to use various sorbents for disorders of the digestive tract.

Antacids – drugs intended for the treatment of diseases of the digestive tract, the mechanism of action of which is based on the neutralization of gastric acid.Available in the form of suspensions or delicious, sweet, colorful pills for heartburn. Most common on US pharmacy counters: Tums, Mylanta, Maalox, Zantac, Acid Reducer, etc.

Imodium – a medicine for diarrhea (diarrhea) with the same name is known in Russia.

Kaopectate – is also used in Russia and the United States for bowel disorders.

Pepto-Bismol – helps in the fight against diarrhea, heartburn, nausea.

Pancreatin is one of the cheapest Russian remedies for digestive disorders.In the USA it has the same name. It is most often used for preventive purposes, for example, before eating abundant fatty, spicy or spicy foods. It is indicated for chronic pancreatitis, with increased gas production, in the complex treatment of gastritis and gastric ulcer, etc. In Russia, many more expensive drugs with an active ingredient are sold without a prescription – pancreatin, such as mezim-forte, penzital, biozyme, panzinorm, festal, etc. dr.

Laxative – Dulcexla – a drug used for constipation.

Simeticone Gas Relief – helps with increased gas production in the gastrointestinal tract, flatulence, dyspepsia, etc.

Antihistamines for allergies .: Zyrtec, Nasalcrom, Cheor-Trimeton, Drixoral, Claritin, Benadril, Sudafed, etc. Symptoms of itching, lacrimation, runny nose, skin rashes are all manifestations of allergies that will help remove antihistamines. US Pharmacy updates and improves the quality of these drugs every year.

Miscellaneous

Hawthorn Berries in capsules, which is used in the complex treatment of cardiovascular diseases.The hawthorn alcohol solution, widely known in Russia, cannot be found in the United States without a prescription.

Valerian (Valerian Root) Indications for use: increased nervous excitability, insomnia, functional disorders of the cardiovascular system, spasms of the gastrointestinal tract.

Melatonin (Melatonin) – helps against insomnia, an artificial sleep hormone.

Neosporin is a drug in the form of an antibacterial ointment or spray, produced by the American pharmaceutical company Johnson & Johnson for over 40 years.Designed to fight inflammation, to heal wounds and prevent the spread of infection. It is widely used in Russia, mainly in the form of an ointment in tubes.

Eye drops – (Eye drops), ingredients: Tetrahydrozoline Hcl, Zinc sulfate.

Used for conjunctival edema, catarrhal conjunctivitis, irritation of the conjunctiva as a result of exposure to chemical and physical factors such as smoke, dust, chlorinated water, bright light, cosmetics, contact lenses.

American counters have a large selection of vitamins, probiotics and various dietary supplements – biologically active additives. When buying any medicine, you should always study the instructions included in the package before taking it, and especially pay attention to contraindications and side effects.

But over-the-counter drugs are not always a panacea. This is a temporary elimination of symptoms and therefore, if the condition worsens, it is imperative to consult a doctor.Health to all!

And – to resort to the above-described means as rarely as possible.

Irina Kinger,

Texas

90,000 Dutch police interrogate two US air passengers

August 31, 2010

Photo caption,

Amsterdam Schiphol Airport

Dutch police detained two men arriving from Chicago at Amsterdam airport after the US authorities found in their surrender luggage suspicious items.

A mobile phone was found in the bag of one of the two passengers, tied with adhesive tape to a bottle containing the drug Pepto Bismol. In addition, there were three more telephones and several watches glued with the same tape, as well as three large knives and one small one.

However, a spokeswoman for the US Department of Homeland Security noted that none of these items posed a threat in themselves, and that no explosives were found on the men.

Nevertheless, the authorities of the Netherlands were notified of the finds, which decided to detain these people at Schiphol airport. The United Airlines liner on which they flew was accompanied by security guards.

Tradition of pasting luggage

According to ABC News, one of the men began his journey from Birmingham, Alabama. He attracted the attention of the security forces with his “baggy” clothing.

Photo caption,

Screening of passengers at the American airport

In Chicago, this passenger checked in his luggage to the capital of Yemen, Sanaa, and he himself boarded an Amsterdam flight.

The New York Times quoted a relative as saying that mobile phones, watches, and medicine were taped to keep them safe. “This is our custom,” said this relative.

NBC news notes that the incident caused a “low” alarm, but the authorities decided to take precautions, suggesting that it could be a security check of the airline before a real sabotage in the future.

Agence France-Presse reports that the detainees are US residents of Yemeni origin.According to the agency, authorities fear they were rehearsing an attack on an airplane.

Last Christmas, a Nigerian was arrested in the United States on a flight from Amsterdam to Detroit. He was charged with trying to detonate a bomb on board the liner.

May “2013” Newspaper of Boris Rubin

Wednesday, May 1, 2013

On an early sunny and warm morning on March 9th of this year, we departed from the Hilton Papagayo resort, located on the Pacific coast of Costa Rica, in a rented car to Arenal Volcano National Park.This most famous Costa Rican volcano has a regular conical shape and rises 1670 meters above sea level. The Arenal was considered inactive until 1968, when there was a violent eruption after four hundred years of “hibernation”. Then about a hundred people died and a small village located at its foot was destroyed. Since then, the volcano periodically reminds of itself with small eruptions and smoke screens.

Despite the hectic nature of the Arenal, its surroundings are overgrown with an almost impenetrable tropical jungle.

We wanted to see this miracle and the surrounding nature, although a rather long journey awaited us – more than one and a half hundred kilometers one way. Shortly after we passed the city of Liberia, Lake Arenal, the largest in Costa Rica, appeared in front of us. Most of our route ran along its banks. As we moved into the mountains, the weather began to deteriorate. First, a fine drizzle began to settle on the windshield, and then it began to rain. The road, meanwhile, unraveled along the winding bank and, despite the fog and rain, was very beautiful.We were surrounded by a real jungle, which is not surprising: after all, we were driving into a tropical rain forest. The weather corresponded to the name of the forest in the best possible way.

When we were going on a trip, I suggested that everyone bring swimming trunks and bathing suits with them, naively believing that we might be able to swim in the lake. However, it turned out that almost all of its coastline was fenced off from the road by barbed wire, indicating that there is private property behind it. But the most important thing was not even that.All the days that we were in the resort, which lies almost at sea level, the weather was hot. Only occasionally translucent clouds floated across the sky. Here, in the mountains, the whole sky was covered with gray clouds, which, with short interruptions, poured rain on us. When we first stopped to look at and photograph a couple of monkeys eating in a tall tree, it was so cold outside the car that I would gladly change my swimming trunks for some kind of jacket. But there was no one to change with.

The monkeys feasted among the branches of a tree called Stemmadenia obovata in Latin. I learned its name with the help of the same Melissa, about whom I wrote in the previous essay. The indigenous people gave this tree a rather crude name. In some places, translated from Spanish into Russian, it sounds like horse eggs, and in others – donkey eggs, because of the shape of its fruits. The bitten “eggs” of stemmadenia were scattered around its trunk on the ground. They were about the size of a medium apple with a dark green, velvety skin that hid white flesh with a bright orange center filled with seeds.

By the way, it turns out that some undersized trees from the genus Stemmadenia are used in decorative floriculture, thanks to their snow-white and fragrant flowers.

Having photographed the monkeys that did not pay any attention to us, we continued on our way.
At first we drove along the southern shore of the lake, and then, passing the dam that bounds it from the west, we followed for a long time all the meanders of the road that snaked along its northern side.
Lake Arenal tripled in size following the construction of a dam and hydroelectric power plant.Now, with a length of about thirty kilometers, it reaches almost five kilometers in its widest part. The Arenalskaya HPP generates up to 12 percent of the electricity consumed in the country.

Meanwhile, the road remained very beautiful, surrounded by impenetrable jungle, cut by small rivers and streams. Especially unusual seemed to us a mountain river with almost orange water, which sawed through its rocky channel in the continuous and high green thickets of the tropical forest.

In one place we slowed down, seeing on the roadside a gray-black funny long-tailed, with a strongly elongated muzzle of an animal called a coati or noose. No sooner had we stopped than a whole flock of his relatives with their tails pulled up, their fur dyed in the form of light and dark rings, ran out of the tall and thick grass onto the road.

They surrounded the car, some stood on their hind legs, obviously begging for a handout. We threw them a couple of bananas, broken into pieces, and a sliced ​​orange out of the windows.They rushed for each piece with a loud squeak, forming a heap of mala. Coati people were not at all afraid. By the time we had nothing to throw them, another car stopped behind us, and the noses, instantly forgetting about us, rushed to her in unison. These wild animals have already been spoiled by human civilization.

On the way, we passed the small towns of Tilaran and Nuevo Arenal. Driving along the main, and perhaps the only, street of Tilarana, we saw in one place a dozen parked cars and a small crowd of people looking at something on a tree standing at the edge of the road.We also stopped. It turned out that in the wide crown of the tree there were a dozen-two Capuchin monkeys who sat on branches, and sometimes just hung on them, hooked with one hand, and looked at us with no less interest than we did.

Having admired the Capuchins frolicking in the branches of the tree, we drove on. The rain almost completely subsided, then began to pour with renewed vigor.

We entered the park for free, because on that day they did not take money from tourists because of some administrative disturbances, as the announcement said.And this was true, if only for the reason that we had no hope of seeing the volcano because of the clouds that surrounded the entire sky.

Leaving the car in the parking area, we moved towards the volcano along a winding path, first laid among thickets of bamboo, and then deeper into a dense tropical forest.

It was not very cold, but it was drizzling almost constantly, and I decided to put on a beach towel to keep warm and not get wet at all. So I traveled through the park in this semblance of a poncho, causing smiles from a few tourists.

I saw and photographed a funny tree with aerial roots, which with a bend of the trunk resembled a many-legged dinosaur. And there were also very beautiful orchids. The photograph of one such blue beauty, with a beetle hiding from the rain between her petals, was especially successful for me.

It was very unusual and beautiful around, but we never saw the volcano, although it was somewhere nearby.

On the way back we stopped for a bite to eat at one of the many restaurants scattered along the road.Our choice fell on German bakery. Before I could get a table, to my surprise I heard that most of the few visitors to the establishment spoke German to each other, including the hostess, a young blonde dressed in a blue dress with a white apron.

Soon a waiter approached us, who spoke neither German nor English, but only Spanish. With a sin in half, we explained to him what we want, poking our finger at the menu. And yet he got it all mixed up. But it doesn’t really matter.

The menu, printed in three languages, of course had sausages and stewed cabbage, but I ordered a goulash with homemade noodles, which turned out to be very tasty. During the meal, a small ginger cat jumped into my wife’s lap, which had previously washed in a nearby chair. Having comfortably tripled in a new place, like at home, he began to purr. Then one of the obvious regulars of this bakery approached us, apologized for the unceremonious cat and took him away. At the same time, he told us that the cat’s name is Leonardo da Vinci, because he is very smart.He knows how, for example, to lie down and get up on command, which was immediately demonstrated to us to the great delight of my two and a half-year-old grandson.

Taking the opportunity, I asked our sociable stranger if they always have such heavy rains as they do today. To this he answered me with a noticeable German accent that they had such weather only for the last three days, and before that it was sunny, warm and pleasant.

Already driving away from the bakery, I thought that in this Costa Rican wilderness, probably the descendants of those Germans who fled here after the Second World War live.They have retained their language, some customs and cuisine. I did not expect to meet them here, and I have a double feeling.

Then, on the outskirts of the town of Tilaran, I saw a house, along one of the walls of which was hung clothes after washing to dry. I immediately recalled my post-war childhood, when in our yard linen was often hung on ropes stretched between sheds, propped up with fingers with flyers at the end. Sticks were needed so that, for example, heavy damp sheets did not sag too low and did not touch the edges of the ground.Mom hung out our laundry like this after hand washing in a zinc bath on the washing board.

And the rain continued to drizzle outside the window. And I thought that the underwear I saw from the car window would “dry” for a very long time.

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