Pharm

Bismuth Subsalicylate

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Bismuth Subsalicylate, Pepto-Bismol

  • Indications
  1. Traveler's Diarrhea
  2. Helicobacter Pylori management
  • Dosing
  1. Tablet: Two tabs PO qid up to maximum of every 4 hours
  2. Liquid: 30 ml every 30 minutes to maximum of 240 ml/day
  • Adverse Effects
  1. Turns Tongue and stool black
  2. Mild Tinnitus
  3. May decrease bioavailability of Doxycycline
    1. Doxycycline is used for Malaria Prophylaxis
  • Contraindications
  1. Avoid in Salicylate allergy
  2. Avoid if patient on Salicylates OR Coumadin
  3. Do not exceed 3 weeks of use