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Pepto uses. Pepto-Bismol: Uses, Dosage, and Safety Guide for Digestive Relief

by alexxlab

What are the main uses of Pepto-Bismol. How does Pepto-Bismol work to relieve digestive symptoms. What are the recommended dosages for different forms of Pepto-Bismol. Are there any safety precautions to consider when taking Pepto-Bismol.

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Understanding Pepto-Bismol: The Pink Solution for Digestive Discomfort

Pepto-Bismol, often referred to as “the pink stuff,” is a widely recognized over-the-counter medication designed to address various digestive issues. This popular remedy contains bismuth subsalicylate as its active ingredient, which belongs to a class of drugs known as salicylates.

The medication is available in several forms, including regular strength caplets, chewable tablets, and liquid, as well as maximum strength liquid and caplets. All formulations are intended for oral consumption and can be used to treat a range of digestive symptoms.

The Versatility of Pepto-Bismol: Addressing Multiple Digestive Concerns

Pepto-Bismol is primarily used to treat diarrhea and alleviate symptoms associated with an upset stomach. These symptoms may include:

  • Heartburn
  • Nausea
  • Indigestion
  • Gas
  • Belching
  • Feelings of fullness

Its versatility in addressing multiple digestive issues makes it a popular choice for those seeking relief from various gastrointestinal discomforts.

The Science Behind Pepto-Bismol: How Does It Work?

Pepto-Bismol’s effectiveness in treating diarrhea and other digestive symptoms can be attributed to several mechanisms:

  1. Increasing fluid absorption in the intestines
  2. Reducing inflammation and overactivity of the intestines
  3. Preventing the release of prostaglandin, a chemical that causes inflammation
  4. Blocking toxins produced by bacteria such as Escherichia coli
  5. Eliminating other bacteria that cause diarrhea

Additionally, the bismuth subsalicylate in Pepto-Bismol possesses antacid properties, which help alleviate heartburn, upset stomach, and nausea.

How quickly does Pepto-Bismol take effect?

The onset of action for Pepto-Bismol can vary depending on the individual and the specific symptoms being treated. Generally, users may experience relief from symptoms such as nausea and upset stomach within 30 minutes to an hour after taking the medication. For diarrhea, it may take a few doses over several hours to notice a significant improvement.

Dosage Guidelines: Ensuring Proper Use of Pepto-Bismol

Pepto-Bismol is intended for use by adults and children 12 years and older. The medication can be taken for up to 2 days, with specific dosage instructions varying based on the form and strength of the product.

Liquid Suspension Dosage

For original strength liquid Pepto-Bismol:

  • Take 30 milliliters (mL) every 30 minutes, or 60 mL every hour as needed
  • Do not exceed eight doses (240 mL) in 24 hours
  • Limit use to 2 days

For Pepto-Bismol Ultra (maximum strength):

  • Take 15 mL every 30 minutes, or 30 mL every hour as needed
  • Do not exceed eight doses (120 mL) in 24 hours
  • Limit use to 2 days

Chewable Tablets Dosage

For Pepto Chews:

  • Take two tablets every 30 minutes, or four tablets every 60 minutes as needed
  • Chew or dissolve the tablets in your mouth
  • Do not exceed eight doses (16 tablets) in 24 hours

Caplets Dosage

For original strength caplets:

  • Take two caplets (262 milligrams each) every 30 minutes, or four caplets every 60 minutes as needed
  • Swallow the caplets whole with water; do not chew
  • Do not exceed eight caplets in 24 hours

For Ultra caplets:

  • Take one caplet (525 mg) every 30 minutes, or two caplets every 60 minutes as needed
  • Swallow the caplets with water; do not chew
  • Do not exceed eight caplets in 24 hours

Safety Precautions and Potential Side Effects of Pepto-Bismol

While Pepto-Bismol is generally considered safe when used as directed, there are some important safety considerations to keep in mind:

  • Do not use for more than 2 days without consulting a healthcare professional
  • If symptoms persist or worsen after 2 days of use, seek medical advice
  • Stop taking Pepto-Bismol and consult a doctor if you experience ringing in your ears
  • When treating diarrhea, ensure adequate fluid intake to prevent dehydration

Are there any common side effects associated with Pepto-Bismol?

While generally well-tolerated, some users may experience side effects when taking Pepto-Bismol. Common side effects may include:

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

If these side effects persist or worsen, it is advisable to discontinue use and consult a healthcare provider.

Special Considerations: Who Should Exercise Caution with Pepto-Bismol?

Certain individuals should exercise caution or avoid using Pepto-Bismol altogether. These include:

  • Children and teenagers recovering from viral infections, due to the risk of Reye’s syndrome
  • Individuals with a history of ulcers or bleeding disorders
  • Those allergic to aspirin or other salicylates
  • Pregnant or breastfeeding women
  • People taking blood thinners or other medications that may interact with Pepto-Bismol

Can Pepto-Bismol be used during pregnancy?

Pregnant women should consult their healthcare provider before using Pepto-Bismol. While occasional use may be deemed safe in some cases, there are potential risks associated with salicylates during pregnancy. Alternative treatments may be recommended for managing digestive symptoms during pregnancy.

Interactions and Contraindications: When to Avoid Pepto-Bismol

Pepto-Bismol may interact with certain medications or medical conditions. It’s important to be aware of potential interactions and contraindications:

  • Anticoagulants (blood thinners) such as warfarin
  • Medications for gout, such as probenecid
  • Certain antibiotics, including tetracyclines and fluoroquinolones
  • Medications for diabetes, as Pepto-Bismol may affect blood sugar levels

Additionally, individuals with the following conditions should avoid using Pepto-Bismol or consult a healthcare provider before use:

  • Bleeding disorders
  • Ulcerative colitis
  • Gout
  • Kidney problems

How does Pepto-Bismol interact with alcohol consumption?

Combining Pepto-Bismol with alcohol is not recommended. Alcohol can irritate the stomach lining and potentially worsen digestive symptoms. Moreover, both substances can have effects on the liver, and their combination may increase the risk of liver-related side effects. It’s best to avoid alcohol while taking Pepto-Bismol and for several days afterward.

Alternative Treatment Options for Digestive Issues

While Pepto-Bismol is an effective over-the-counter remedy for many digestive complaints, there are alternative treatments available for those who cannot use this medication or prefer other options:

  • Probiotics: These beneficial bacteria can help restore balance to the gut microbiome and alleviate diarrhea and other digestive issues.
  • Ginger: Known for its anti-nausea properties, ginger can be consumed as tea, capsules, or in its natural form.
  • Peppermint: This herb may help relieve symptoms of indigestion and irritable bowel syndrome.
  • Chamomile tea: This herbal tea has calming properties that may help soothe an upset stomach.
  • Activated charcoal: While not suitable for all types of digestive issues, activated charcoal may help with certain cases of diarrhea or gas.

When should you seek medical attention for digestive symptoms?

While Pepto-Bismol can effectively manage many common digestive complaints, there are instances where professional medical attention is necessary. Seek immediate medical care if you experience:

  • Severe abdominal pain
  • Bloody or black stools
  • High fever accompanying digestive symptoms
  • Signs of dehydration, such as extreme thirst, dry mouth, or decreased urination
  • Symptoms persisting for more than 2 days despite using over-the-counter treatments

These symptoms may indicate a more serious underlying condition that requires prompt medical evaluation and treatment.

The History and Evolution of Pepto-Bismol

Pepto-Bismol has a rich history dating back to its creation in 1901 by a doctor in New York. Originally developed as a remedy for infant cholera, the medication quickly gained popularity for its effectiveness in treating various digestive ailments in both children and adults.

Over the years, Pepto-Bismol has evolved in terms of its formulations and marketing strategies. The iconic pink color, which has become synonymous with the brand, was introduced in the 1930s. Today, Pepto-Bismol remains a household name and continues to be a go-to solution for millions of people seeking relief from digestive discomfort.

How has the formulation of Pepto-Bismol changed over time?

While the core active ingredient, bismuth subsalicylate, has remained consistent, Pepto-Bismol has seen several formulation changes and additions to its product line over the years:

  • Introduction of chewable tablets in the 1980s
  • Development of caplets for those who prefer solid dosage forms
  • Creation of maximum strength formulations
  • Introduction of flavor variations, such as cherry-flavored liquid
  • Specialized formulations targeting specific symptoms, like Pepto Diarrhea

These innovations have helped Pepto-Bismol maintain its relevance and effectiveness in addressing a wide range of digestive issues for over a century.

The Global Impact of Pepto-Bismol: Usage Around the World

Pepto-Bismol’s popularity extends beyond its country of origin, the United States. The medication has gained recognition and usage in many parts of the world, albeit with some variations in availability and regulations:

  • In some countries, Pepto-Bismol may be available under different brand names or formulations
  • Certain regions may require a prescription for bismuth subsalicylate products
  • Some countries have restrictions on the import or sale of Pepto-Bismol due to regulatory differences

Despite these variations, the global demand for effective digestive remedies has contributed to Pepto-Bismol’s international presence and recognition.

Is Pepto-Bismol commonly used as a preventive measure for traveler’s diarrhea?

Pepto-Bismol has gained popularity among travelers as a preventive measure against traveler’s diarrhea. Some studies have shown that taking Pepto-Bismol prophylactically can reduce the risk of developing traveler’s diarrhea by up to 50%. However, it’s important to note:

  • Preventive use should be discussed with a healthcare provider before travel
  • Long-term preventive use is not recommended due to potential side effects
  • It should not replace good hygiene practices and caution with food and water in high-risk areas

Travelers should always consult with a healthcare professional or travel clinic for personalized advice on preventing and managing traveler’s diarrhea.

Future Developments and Research in Digestive Health Remedies

While Pepto-Bismol remains a popular and effective treatment for many digestive issues, ongoing research in the field of gastroenterology continues to explore new avenues for managing digestive health:

  • Development of more targeted treatments for specific digestive disorders
  • Exploration of novel drug delivery systems for improved efficacy and reduced side effects
  • Investigation of the role of the gut microbiome in digestive health and potential probiotic interventions
  • Research into natural compounds with potential digestive benefits

These advancements may lead to new treatment options that complement or even surpass traditional remedies like Pepto-Bismol in the future.

What role might personalized medicine play in the future of digestive health treatments?

Personalized medicine is an emerging field that holds promise for tailoring digestive health treatments to individual patients. This approach may involve:

  • Genetic testing to identify predispositions to certain digestive disorders
  • Analysis of an individual’s gut microbiome to inform treatment strategies
  • Use of biomarkers to predict response to specific medications or interventions
  • Development of customized dietary and lifestyle recommendations based on individual health profiles

As research in this area progresses, we may see more personalized approaches to managing digestive health, potentially leading to more effective and targeted treatments than current one-size-fits-all solutions.

What You Want to Know

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Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

  • Evaluate ingredients and composition: Do they have the potential to cause harm?
  • Fact-check all health claims: Do they align with the current body of scientific evidence?
  • Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Pepto-Bismol may help relieve diarrhea, upset stomach, and other digestive symptoms.

Chances are you’ve heard of “the pink stuff. ” Pepto-Bismol is a well-known over-the-counter medication used to treat digestive problems.

If you’re feeling a bit queasy, read on to learn what to expect when taking Pepto-Bismol and how to use it safely.

Pepto-Bismol is used to treat diarrhea and relieve the symptoms of an upset stomach. These symptoms can include:

  • heartburn
  • nausea
  • indigestion
  • gas
  • belching
  • a feeling of fullness

The active ingredient in Pepto-Bismol is called bismuth subsalicylate. It belongs to a drug class called salicylates.

Pepto-Bismol is available in regular strength as a caplet, chewable tablet, and liquid. It’s available in maximum strength as a liquid and caplet. All forms are taken by mouth.

Pepto-Bismol is thought to treat diarrhea by:

  • increasing the amount of fluid your intestines absorb
  • reducing inflammation and overactivity of your intestines
  • preventing your body’s release of a chemical called prostaglandin that causes inflammation
  • blocking toxins produced by bacteria such as Escherichia coli
  • killing other bacteria that cause diarrhea

The active ingredient, bismuth subsalicylate, also has antacid properties that can help decrease heartburn, upset stomach, and nausea.

Adults and children 12 years and older can take the following forms of Pepto-Bismol for up to 2 days. The dosages below apply for all digestive problems Pepto-Bismol can help treat.

When treating diarrhea, be sure to drink plenty of water to replace lost fluid. Keep drinking fluids even if you’re using Pepto-Bismol.

If your condition lasts longer than 2 days or you have ringing in your ears, stop taking Pepto-Bismol and call your doctor.

Liquid suspension

Original strength:

  • Take 30 milliliters (mL) every 30 minutes, or 60 mL every hour as needed.
  • Do not take more than eight doses (240 mL) in 24 hours.
  • Do not use for more than 2 days. See your doctor if diarrhea lasts longer than this.
  • Original Pepto-Bismol liquid also comes in a cherry flavor, both of which have the same dosage instructions.

Pepto-Bismol Ultra (maximum strength):

  • Take 15 mL every 30 minutes, or 30 mL every hour as needed.
  • Do not take more than eight doses (120 mL) in 24 hours.
  • Do not use for more than 2 days. See your doctor if symptoms aren’t improving.
  • Pepto-Bismol Ultra also comes in cherry flavor with identical dosage instructions.

Another liquid option is known as Pepto Cherry Diarrhea. This product is designed to only treat diarrhea. It’s not the same product as cherry-flavored Pepto-Bismol Original or Ultra. It’s also for people 12 years and older.

Below is the recommended dosage for Pepto Cherry Diarrhea:

  • Take 10 mL every 30 minutes, or 20 mL every hour as needed.
  • Do not take more than eight doses (80 mL) in 24 hours.
  • Do not use for more than 2 days. See your doctor if diarrhea is still ongoing.

Chewable tablets

For Pepto Chews:

  • Take two tablets every 30 minutes, or four tablets every 60 minutes as needed.
  • Chew or dissolve the tablets in your mouth.
  • Do not take more than eight doses (16 tablets) in 24 hours.
  • Stop taking this medication and see your doctor if diarrhea doesn’t subside after 2 days.

Caplets

Original caplets:

  • Take two caplets (262 milligrams each) every 30 minutes, or four caplets every 60 minutes as needed.
  • Swallow the caplets whole with water. Do not chew them.
  • Do not take more than eight caplets in 24 hours.
  • Do not use for more than 2 days.
  • See your doctor if diarrhea doesn’t subside.

Ultra caplets:

  • Take one caplet (525 mg) every 30 minutes, or two caplets every 60 minutes as needed.
  • Swallow the caplets with water. Do not chew them.
  • Do not take more than eight caplets in 24 hours. Don’t use for more than 2 days.
  • See your doctor if diarrhea lasts longer than 2 days.

Pepto Diarrhea caplets:

  • Take one caplet every 30 minutes, or two caplets every 60 minutes as needed.
  • Swallow the caplets with water. Do not chew them.
  • Do not take more than eight caplets in 24 hours.
  • Do not take for longer than 2 days. See your doctor if diarrhea lasts beyond this time.

Pepto Original LiquiCaps or Diarrhea LiquiCaps:

  • Take two LiquiCaps (262 mg each) every 30 minutes, or four LiquiCaps every 60 minutes as needed.
  • Do not take more than 16 LiquiCaps in 24 hours.
  • Do not use for more than 2 days. See your doctor if diarrhea lasts longer than this.

For children

The above products and dosages are designed for people 12 years and older. Pepto-Bismol offers a separate product designed for children 12 and under in chewable tablets.

This product is designed to treat heartburn and indigestion in young children. Note that the dosages are based on weight and age.

Pepto Kids Chewable Tablets:

  • One tablet for children 24 to 47 pounds and 2 to 5 years of age. Do not exceed three tablets in 24 hours.
  • Two tablets for children 48 to 95 pounds and 6 to 11 years of age. Do not exceed six tablets in 24 hours.
  • Do not use in children under 2 years old or under 24 pounds, unless recommended by a doctor.
  • Call your child’s pediatrician if symptoms don’t improve within 2 weeks.

Most side effects from Pepto-Bismol are mild and go away shortly after you stop taking the medication.

More common side effects

The more common side effects of Pepto-Bismol include:

  • black stool
  • black, hairy tongue

These side effects are harmless. Both effects are temporary and go away within several days after you stop taking Pepto-Bismol.

Q:

Why can Pepto-Bismol give me black stool and a black, hairy tongue?

Reader-submitted question

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 your digestive tract, it mixes with food as you digest it. This makes your stool turn black. When bismuth sulfide forms in your saliva, it turns your tongue black. It also causes a buildup of dead skin cells on your tongue’s surface, which can make your tongue look furry.

Healthline Medical TeamAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

Was this helpful?

Serious side effect

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

Pepto-Bismol may interact with any other medications you may be taking. Talk to your pharmacist or doctor to see whether Pepto-Bismol interacts with any medications you take.

Examples of medications that can interact with Pepto-Bismol include:

  • angiotensin converting enzyme (ACE) inhibitors, such as benazepril, captopril, enalapril, fosinopril, lisinopril, and trandolapril
  • anti-seizure drugs, such as valproic acid and divalproex
  • blood thinners (anticoagulants), such as warfarin
  • diabetes medications, such as insulin, metformin, sulfonylureas, dipeptidyl peptidase-4 (DPP-4) inhibitors, and sodium-glucose cotransporter-2 (SGLT-2) inhibitors
  • gout medications, such as probenecid
  • methotrexate
  • nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, naproxen, ibuprofen, meloxicam, indomethacin, and diclofenac
  • other salicylates, such as aspirin
  • phenytoin
  • tetracycline antibiotics, such as demeclocycline, doxycycline, minocycline, and tetracycline

Definition

An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.

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Pepto-Bismol is typically safe for most people, but avoid it if you have certain health conditions. Pepto-Bismol may make them worse.

Don’t take Pepto-Bismol if you:

  • are allergic to salicylates (including aspirin or NSAIDs such as ibuprofen, naproxen, and celecoxib)
  • have an active, bleeding ulcer
  • are passing bloody stools or black stools that aren’t caused by Pepto-Bismol
  • are a teenager who has or is recovering from chickenpox or flu-like symptoms

Bismuth subsalicylate may also cause problems for people with other health conditions.

Before taking Pepto-Bismol, tell your doctor if you have any of the following medical conditions. They can tell you if it’s safe to use Pepto-Bismol. These conditions include:

  • stomach ulcers
  • bleeding problems, such as hemophilia and von Willebrand disease
  • kidney problems
  • gout
  • diabetes

Stop taking Pepto-Bismol and call your doctor right away if you have vomiting and extreme diarrhea along with behavior changes, such as:

  • loss of energy
  • aggressive behavior
  • confusion

These symptoms could be early signs of Reye’s syndrome. This is a rare but serious illness that can affect your brain and liver.

Avoid using Pepto-Bismol to self-treat diarrhea if you have a fever or stools that contain blood or mucus. If you have these symptoms, call your doctor right away. They could be signs of a serious health condition, such as an infection.

In case of overdose

Symptoms of a Pepto-Bismol overdose can include:

  • ringing in your ears
  • loss of hearing
  • extreme drowsiness
  • nervousness
  • fast breathing
  • confusion
  • seizures

If you think you’ve taken too much, call your doctor or local poison control center. If your symptoms are severe, call 911 or local emergency services, or go to the nearest emergency room right away.

For many people, Pepto-Bismol is a safe, 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.

Also call your doctor if Pepto-Bismol doesn’t ease your symptoms after 2 days.

Shop for Pepto-Bismol.

Dosage warning

This product should not be used in children younger than 12 years.

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What You Want to Know

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

  • Evaluate ingredients and composition: Do they have the potential to cause harm?
  • Fact-check all health claims: Do they align with the current body of scientific evidence?
  • Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Pepto-Bismol may help relieve diarrhea, upset stomach, and other digestive symptoms.

Chances are you’ve heard of “the pink stuff.” Pepto-Bismol is a well-known over-the-counter medication used to treat digestive problems.

If you’re feeling a bit queasy, read on to learn what to expect when taking Pepto-Bismol and how to use it safely.

Pepto-Bismol is used to treat diarrhea and relieve the symptoms of an upset stomach. These symptoms can include:

  • heartburn
  • nausea
  • indigestion
  • gas
  • belching
  • a feeling of fullness

The active ingredient in Pepto-Bismol is called bismuth subsalicylate. It belongs to a drug class called salicylates.

Pepto-Bismol is available in regular strength as a caplet, chewable tablet, and liquid. It’s available in maximum strength as a liquid and caplet. All forms are taken by mouth.

Pepto-Bismol is thought to treat diarrhea by:

  • increasing the amount of fluid your intestines absorb
  • reducing inflammation and overactivity of your intestines
  • preventing your body’s release of a chemical called prostaglandin that causes inflammation
  • blocking toxins produced by bacteria such as Escherichia coli
  • killing other bacteria that cause diarrhea

The active ingredient, bismuth subsalicylate, also has antacid properties that can help decrease heartburn, upset stomach, and nausea.

Adults and children 12 years and older can take the following forms of Pepto-Bismol for up to 2 days. The dosages below apply for all digestive problems Pepto-Bismol can help treat.

When treating diarrhea, be sure to drink plenty of water to replace lost fluid. Keep drinking fluids even if you’re using Pepto-Bismol.

If your condition lasts longer than 2 days or you have ringing in your ears, stop taking Pepto-Bismol and call your doctor.

Liquid suspension

Original strength:

  • Take 30 milliliters (mL) every 30 minutes, or 60 mL every hour as needed.
  • Do not take more than eight doses (240 mL) in 24 hours.
  • Do not use for more than 2 days. See your doctor if diarrhea lasts longer than this.
  • Original Pepto-Bismol liquid also comes in a cherry flavor, both of which have the same dosage instructions.

Pepto-Bismol Ultra (maximum strength):

  • Take 15 mL every 30 minutes, or 30 mL every hour as needed.
  • Do not take more than eight doses (120 mL) in 24 hours.
  • Do not use for more than 2 days. See your doctor if symptoms aren’t improving.
  • Pepto-Bismol Ultra also comes in cherry flavor with identical dosage instructions.

Another liquid option is known as Pepto Cherry Diarrhea. This product is designed to only treat diarrhea. It’s not the same product as cherry-flavored Pepto-Bismol Original or Ultra. It’s also for people 12 years and older.

Below is the recommended dosage for Pepto Cherry Diarrhea:

  • Take 10 mL every 30 minutes, or 20 mL every hour as needed.
  • Do not take more than eight doses (80 mL) in 24 hours.
  • Do not use for more than 2 days. See your doctor if diarrhea is still ongoing.

Chewable tablets

For Pepto Chews:

  • Take two tablets every 30 minutes, or four tablets every 60 minutes as needed.
  • Chew or dissolve the tablets in your mouth.
  • Do not take more than eight doses (16 tablets) in 24 hours.
  • Stop taking this medication and see your doctor if diarrhea doesn’t subside after 2 days.

Caplets

Original caplets:

  • Take two caplets (262 milligrams each) every 30 minutes, or four caplets every 60 minutes as needed.
  • Swallow the caplets whole with water. Do not chew them.
  • Do not take more than eight caplets in 24 hours.
  • Do not use for more than 2 days.
  • See your doctor if diarrhea doesn’t subside.

Ultra caplets:

  • Take one caplet (525 mg) every 30 minutes, or two caplets every 60 minutes as needed.
  • Swallow the caplets with water. Do not chew them.
  • Do not take more than eight caplets in 24 hours. Don’t use for more than 2 days.
  • See your doctor if diarrhea lasts longer than 2 days.

Pepto Diarrhea caplets:

  • Take one caplet every 30 minutes, or two caplets every 60 minutes as needed.
  • Swallow the caplets with water. Do not chew them.
  • Do not take more than eight caplets in 24 hours.
  • Do not take for longer than 2 days. See your doctor if diarrhea lasts beyond this time.

Pepto Original LiquiCaps or Diarrhea LiquiCaps:

  • Take two LiquiCaps (262 mg each) every 30 minutes, or four LiquiCaps every 60 minutes as needed.
  • Do not take more than 16 LiquiCaps in 24 hours.
  • Do not use for more than 2 days. See your doctor if diarrhea lasts longer than this.

For children

The above products and dosages are designed for people 12 years and older. Pepto-Bismol offers a separate product designed for children 12 and under in chewable tablets.

This product is designed to treat heartburn and indigestion in young children. Note that the dosages are based on weight and age.

Pepto Kids Chewable Tablets:

  • One tablet for children 24 to 47 pounds and 2 to 5 years of age. Do not exceed three tablets in 24 hours.
  • Two tablets for children 48 to 95 pounds and 6 to 11 years of age. Do not exceed six tablets in 24 hours.
  • Do not use in children under 2 years old or under 24 pounds, unless recommended by a doctor.
  • Call your child’s pediatrician if symptoms don’t improve within 2 weeks.

Most side effects from Pepto-Bismol are mild and go away shortly after you stop taking the medication.

More common side effects

The more common side effects of Pepto-Bismol include:

  • black stool
  • black, hairy tongue

These side effects are harmless. Both effects are temporary and go away within several days after you stop taking Pepto-Bismol.

Q:

Why can Pepto-Bismol give me black stool and a black, hairy tongue?

Reader-submitted question

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 your digestive tract, it mixes with food as you digest it. This makes your stool turn black. When bismuth sulfide forms in your saliva, it turns your tongue black. It also causes a buildup of dead skin cells on your tongue’s surface, which can make your tongue look furry.

Healthline Medical TeamAnswers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

Was this helpful?

Serious side effect

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

Pepto-Bismol may interact with any other medications you may be taking. Talk to your pharmacist or doctor to see whether Pepto-Bismol interacts with any medications you take.

Examples of medications that can interact with Pepto-Bismol include:

  • angiotensin converting enzyme (ACE) inhibitors, such as benazepril, captopril, enalapril, fosinopril, lisinopril, and trandolapril
  • anti-seizure drugs, such as valproic acid and divalproex
  • blood thinners (anticoagulants), such as warfarin
  • diabetes medications, such as insulin, metformin, sulfonylureas, dipeptidyl peptidase-4 (DPP-4) inhibitors, and sodium-glucose cotransporter-2 (SGLT-2) inhibitors
  • gout medications, such as probenecid
  • methotrexate
  • nonsteroidal anti-inflammatory drugs (NSAIDs), such as aspirin, naproxen, ibuprofen, meloxicam, indomethacin, and diclofenac
  • other salicylates, such as aspirin
  • phenytoin
  • tetracycline antibiotics, such as demeclocycline, doxycycline, minocycline, and tetracycline

Definition

An interaction is when a substance changes the way a drug works. This can be harmful or prevent the drug from working well.

Was this helpful?

Pepto-Bismol is typically safe for most people, but avoid it if you have certain health conditions. Pepto-Bismol may make them worse.

Don’t take Pepto-Bismol if you:

  • are allergic to salicylates (including aspirin or NSAIDs such as ibuprofen, naproxen, and celecoxib)
  • have an active, bleeding ulcer
  • are passing bloody stools or black stools that aren’t caused by Pepto-Bismol
  • are a teenager who has or is recovering from chickenpox or flu-like symptoms

Bismuth subsalicylate may also cause problems for people with other health conditions.

Before taking Pepto-Bismol, tell your doctor if you have any of the following medical conditions. They can tell you if it’s safe to use Pepto-Bismol. These conditions include:

  • stomach ulcers
  • bleeding problems, such as hemophilia and von Willebrand disease
  • kidney problems
  • gout
  • diabetes

Stop taking Pepto-Bismol and call your doctor right away if you have vomiting and extreme diarrhea along with behavior changes, such as:

  • loss of energy
  • aggressive behavior
  • confusion

These symptoms could be early signs of Reye’s syndrome. This is a rare but serious illness that can affect your brain and liver.

Avoid using Pepto-Bismol to self-treat diarrhea if you have a fever or stools that contain blood or mucus. If you have these symptoms, call your doctor right away. They could be signs of a serious health condition, such as an infection.

In case of overdose

Symptoms of a Pepto-Bismol overdose can include:

  • ringing in your ears
  • loss of hearing
  • extreme drowsiness
  • nervousness
  • fast breathing
  • confusion
  • seizures

If you think you’ve taken too much, call your doctor or local poison control center. If your symptoms are severe, call 911 or local emergency services, or go to the nearest emergency room right away.

For many people, Pepto-Bismol is a safe, 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.

Also call your doctor if Pepto-Bismol doesn’t ease your symptoms after 2 days.

Shop for Pepto-Bismol.

Dosage warning

This product should not be used in children younger than 12 years.

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Anti-age peptide mesocomplex Illumica PEPTO WHITENING

  • 10ml “Liquid threads” work wonders, soon I will show the result “before” / “after”.
    My dear Olga saw the result immediately, and this is the most important thing for a doctor.
    Thanks to @mesoproff and @meSOterra.

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  • Derli FIBROLIFT SOFT liquid biofilaments (10 ml bottle, 3 ml syringe).
    For soft, atonic, finely wrinkled skin with thin and moderately pronounced subcutaneous fat. Used at any stage of aging.

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  • Aurevitelli 3D EYES+ Leveling of the skin relief in the periorbital area (elimination of fine wrinkles and smoothing of deep wrinkles). Elimination of excess skin. acceleration of skin repair processes after exposure to aggressive factors (chemical peels, insolation, plastic surgery, and other traumatic cosmetic procedures). Improvement in skin quality. Reduce dark circles under the eyes.‼️

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  • Derli FIBROLIFT STRONG highly cohesive filler – a slight change in the projection of the back and tip of the nose leads to excellent aesthetic results. This option is great for those who want Fast, painless, discreet. Additional correction can be carried out in several stages – for a gradual change in facial features, although, in general, satisfaction with the result after the first procedure.

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  • Liquid biothreads from Mesoproff are a lifting effect, prolonged biorevitalizing and biorestructuring effects…

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  • The same magic drug for biorevitalization! Suitable for both young and old patients.

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  • Girls who want radiant, smooth skin around the eyes, without dark circles and puffiness. .? 3D EYES is a peptide-amino acid complex from Mesopoff for the periorbital zone. Results after the first treatment!

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  • FEEL DERLI NORMAL + 1.0 ml and 10 minutes of work!

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  • Liquid biofilaments, “Before” and “After”.

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  • The drug is simply “bomb”, as my clients say. Lifting is simply incomparable with anything!

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  • Ampoule cosmetics are a real find for me. Problematic skin is the scourge of the modern metropolis. I used Evoline Skin SOOTHING COMPLEX ampoules. Was very satisfied. Serum relieves skin irritation, mattifies, moisturizes. Goes great with makeup. I recommend.

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  • Good afternoon. I used Evoline Skin MATIFYING COMPLEX ampoules. I have oily skin with enlarged pores. I really liked the result. The skin after the first application began to look more even, smooth, oily sheen disappeared. After several applications, the pores became less visible. The serum itself is very light and easy to apply. I also want to try the Lift&Form ampoules.

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  • I tried lamellar cosmetics in Evoline Skin SOOTHING COMPLEX ampoules. I used to always use creams, but I read about the effectiveness of ampoules and decided to try it. And she didn’t regret it. I saw the effect immediately, the skin became more even. With each passing day, irritation on the skin became less and less noticeable. The serum itself is quickly absorbed, does not leave a greasy sheen. Just super! I recommend to try.

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  • Evoline Skin PROTEOGLYCAN & VITAMIN C ampoules have completely replaced the usual daily face care – moisturizing cream. And the serum is quite enough, which is very pleasing. Very comfortable on the face after application. It seemed a little greasy for the summer in the first days of use, but as the use showed, everything suits me perfectly and I quickly got used to it! The tone of the face has evened out and become smoother.

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  • Good afternoon. The cosmetologist recommended using the concentrate in ampoules Evoline Skin MATIFYING COMPLEX at home for the treatment and prevention of post-acne. I was surprised that on the 5th day of using the ampoules, the appearance of pimples stopped. The skin became smooth and hydrated. I am very pleased.

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  • Derli FIBROLIFT STRONG liquid biothreads are one of the best drugs that actively work on tissue contraction. We worked on the inner surface of the shoulder and the result was not long in coming! Atonic skin was reduced after the first procedure and became smooth and toned. The client underwent a course of two procedures with a frequency of 1 time in 3 weeks. The effect of the procedure lasts a year!

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  • Sharing my experience with Re Nova REVITAL. Used this drug to correct purse-string wrinkles. The work was carried out in the cannula technique. After 2 weeks, small wrinkles around the lips smoothed out, the contour became clearer, the bottom of deep wrinkles rose. It is easy to work with the drug, it gives excellent results!

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  • I learned about Mezoproff company and products 3 years ago from Aktual Expert, a company operating in our city. I immediately fell in love with your Derli APL COMPLEX biorevitalizant, it gives a gorgeous result immediately after the first procedure: porcelain skin, my patients also loved it very much.

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  • My acquaintance with Mesopoff began on December 20, 2017, when Elena Barinova came to Kirov.
    In the company “Vse for Cosmetology” there was a training seminar on the topic: “Combination and combination of injection techniques in lifting face correction programs.”
    From that day on, I began to actively use the products of the Premium line. I really like the ratio of price and quality of drugs, the same is noted by patients.

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  • Many thanks to Olga Selyanina and her team for being there!!! These are people who have high knowledge, thanks to their constant development, with whom they share with us. This is very valuable! Special thanks for their preparations, the opportunity to work with them. These are drugs that really work! I wish you prosperity, positive and a lot of interesting things

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  • Good afternoon. I really like your preparations, starting with 1% hyaluronic acid and ending with liquid mesothreads! They have an excellent result on the face, neck, stomach!

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  • The result of my work. They sewed a woman’s neck and chin with liquid threads. The difference between the photos is 1 month.

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  • Hello, I work with MESOPROFF preparations for mesotherapy, biorevitalization, lipolytics. I like the result that we get with clients, both the cosmetologist and the client are satisfied.

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  • Hello, I work with MESOPROFF preparations for mesotherapy, biorevitalization, lipolytics. I like the result that we get with clients, both the cosmetologist and the client are satisfied.

    read all reviews

  • Hello! I wanted to thank you for your wonderful preparations ❤. Thank you for the work you are doing to achieve these results.
    I have been working with you for 4 years now, and I look forward to your every new product. Clients and I notice the result after the 1st procedure.

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  • Even the most sensitive clients note that the procedures with Mesopoff preparations are very comfortable, after them there are no severe edema, hyperemia quickly disappears, they do not cause allergies, there is no tightness and discomfort.

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  • My acquaintance with injectable cosmetology began with the preparations of your line, constantly attending your training seminars, I significantly expanded my knowledge and practical skills. I also fell in love with mesotherapy, as you love it, and it was you (Olga) and your specialists who made me believe in the effectiveness of this method and the effectiveness of its application. Now I always use mesotherapy and biorevitalization in my practice, for which I thank you very much!!! Regarding drugs, I would like to highlight 2 drugs – Aurevitelli X-ADN Revitagel and APL-complex, I really like to work with them, because. I see results for myself and my clients.

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  • I want to say a huge thank you to Olga Selyanina for her brainchild Mesoprof, unique preparations, and most importantly, working for results. My favorite product is liquid threads, I love it, I see the result and satisfied grateful customers who are getting younger with Mesoprof. I feel great pride that I am learning from the very “first” professionals !!!! Prosperity and new developments and unique drugs. And we are eagerly waiting for new products and trainings !!!!

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  • I fell in love with PDRN products and I see results with my clients, I was also impressed by the WHITE EVER DOU TEN threads, and the wonderful composition of DERLI REBIRTH SKIN. Of my favorite drugs that I constantly use in my work are 3D FACE, Pepto LIGHT, Pepto LIPO slim, Pepto LIPO contour, X-ADN revitagel, as well as my favorite FIBROLIFT SOFT and REVITAFEEL.

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  • I heard a lot of recommendations from very good cosmetologists, colleagues, about drugs and Olga Selyanina’s methods. And the truth is that both drugs and methods work great! I only regret one thing: I won’t be able to learn first-hand experience, as my friends once did, who were trained by O. Selyanina herself !!

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  • Dear cosmetologists! I want to share my impressions about the Amazing Mezoproff company and its composition! I have been in cosmetology for more than 7 years. I learned about the company in 2017 in Novosibirsk, from the day I met the company I attend all seminars. All seminars are very informative and unique! I work with SkiNext preparations. These are unique combinations of ingredients, high quality and reasonable prices. My clients and I are very satisfied with the results of the procedures performed.

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  • I have been working with MezoProff products for the third year! I want to sincerely thank the whole team for their attention and kindness, Special thanks to the manager Marcel. From my practice, I really want to mention my favorite preparations such as Derli FIBROLIFT STRONG ❤️, Aurevitelli PEPTO LIPO SLIM ❤️, PEPTO LIPO CONTOUR ❤️ Chic fillers FEEL DERLI AQUA+, NORMAL+, STRONG+. I also want to note peels Peel Nova managed to try only TCA 15% and was in love with it. The result is amazing and the client is happy, and for me this is a great reward. Thank you for being you and yes we are together.

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  • I met MESOPROFF at a seminar in the city of Kirov, and I was very lucky that Olga Selyanina herself led it! It was super-informative, and everything is very clear! Thanks to a wide range of products, my ability to make the world more beautiful has increased significantly! And since then I can not imagine my practice without them! I especially liked glutathione (it hurts, but incredibly effective)), Vicino Pepto Eyes (my indispensable)), and of course many others !!! After all, all drugs WORK!
    Olga Selyanina is a real goddess of Mesotherapy! Your knowledge is invaluable!!

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  • Dear mesoprof!!! Thank you for having us!!! Having started working with your team and your preparations, my work quality has changed, new interest in work has appeared. the desire to work even harder and better))) I love your drugs, all without exception, they are of high quality, they are reliable, they are the best))) thank you to each and every one of you, you are great!!! I hope for a long mutual cooperation!!! thank you dear Olga Nikolaevna for inspiration, thanks to Lena Barinova and Olesya Yusupova for their golden hands, thanks to Marcel for brilliant service and help, thanks to everyone, everyone, everyone)))

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  • I want to express my deep gratitude for the entire PREMIUM line! I work with all products and always get the maximum result. Excellent result shows ReVita Liquid Bionity! Lifting, moisturizing, solving related problems after even 1 procedure!

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  • ReVita Bio EYES is an amazing effective product! Wrinkles, puffiness, dark circles go away with one procedure!

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  • I get amazing results with ReVita Armirant! Reinforcement gives a prolonged effect of lifting and filling wrinkles even from the 1st procedure!

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  • I would like to note the quality and effectiveness of drugs. Received a gorgeous visible result on the mesopreparation Aurevitelli PEPTO LIPO CONTOUR. After 2 weeks, 2 sizes in the waist became less than

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  • Delighted with Aurevitelli 3D EYES, the effect is already visible after 2 treatments! Puffiness, blueness, pigmentation passes!
    A complex of preparations for pigmentation in general is a godsend! Now I am testing ampoule cosmetics on myself, I did not expect such a good anti-inflammatory effect!

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  • Colleagues cosmetologists!
    As promised, we are posting a review of our wonderful model Lidia, who underwent the Full Face procedure using mesothreads.

    Lydia was implanted with: Barb Spiral threads, Screw threads, Mono threads, Mesh threads

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  • Hello
    I want to share my impressions of the drug!
    I liked it very much: the syringe is comfortable and the needles are of optimal length! Pricking is a pleasure! Yes, I’m happy with the results! Intense lip color! Thank you!

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    Cosmetology Department

    Cosmetology

    • Biorevitalization

    • Botox and Dysport injections

    • Facial contouring with fillers

    • Laser removal (treatment) of scars

    • Laser biorevitalization

    • Laser removal of pigmentation

    • Acne laser treatment

    • Laser rejuvenation

    • laser resurfacing

    • Lipolysis (elimination of the second chin)

    • Lipolitics

    • Liposculpture

    • Laser removal of blood vessels

    • Mesotherapy

    • APTOS threads

    • Plasmolifting

    • Rhinoplasty

    • Removal of moles, warts and papillomas

    • Care procedures

    • Fractional laser resurfacing

    • Chemical peel

    • Purges

    • Aesthetic laser peels

    • RF-thermolifting

    • 3D mesothreads

    • Radiesse

    • 4D rejuvenation

    Laser hair removal

    Liposuction

    • LPG vacuum massage

    • Laser liposuction and laser lipolysis

    • body liposuction

    • face liposuction

    • Massage

    • Pressotherapy

    • Stretch Mark Removal

    • Preparation for the liposuction procedure

    Trichology

    • Alopecia

    • Hair anomalies

    • Hair loss

    • Hypertrichosis

    • Mesotherapy for hair

    • Dandruff

    • Plasmolifting

    • Seborrheic dermatitis

    • split ends

    • Dry brittle hair

    • Phototrichogram

    Aesthetic gynecology

    • Vaginoplasty

    • Intimate plastic

    • Intimate whitening

    • Contouring of the clitoris

    • Labioplasty

    • Treatment of stress urinary incontinence syndrome

    • Plasmolifting of the intimate area

    • Vaginal relaxation syndrome

    • Hymenoplasty

    body aesthetics

    Aesthetic phlebology

    • Sclerotherapy of dilated veins in the arms

    • Cryosclerotherapy CLaCS

    • Sclerotherapy of the veins of the lower extremities

    Medical department

    Venereology

    • Human papillomavirus infection (HPV)

    • Gonorrhea

    • Sexually transmitted infections (STIs)

    • Mycoplamosis

    • Syphilis

    • Trichomoniasis

    Gynecology

    • Inflammatory diseases

    • Gynecological hirudotherapy

    • Hysteroscopy

    • Diagnosis and treatment of infertility

    • Planning information

    • Treatment of infections. Sexual infections

    • Methods and means of contraception

    • Subcutaneous contraceptive implant

    • Prevention of uterine cancer

    • Stress urinary incontinence syndrome

    • Cervical erosion (ectopia)

    Dermatology

    • Allergic dermatitis

    • Atopic dermatitis

    • Herpetic infection

    • Contact dermatitis

    • Laser treatment of onychomycosis

    • Eczema

    • Melanoma

    • Psoriasis

    • Seborrhea

    Cardiology

    • Arrhythmia

    • Hypertension

    • Diseases of the heart

    • Ischemia

    • Angina

    • Heart failure

    • Ultrasound of the heart

    • ECG

    Laboratory diagnostics

    • Diagnostics of sexually transmitted diseases (STDs)

    • DNA diagnostics.