Please be patient! It may take up to ONE minute to load all the Engines.
Problems? Please contact our support.
Bismuth Subsalicylate (Oral)
In the U.S.-
Bismuth subsalicylate ( BIS-muth sub-sa-LIS-a-late) is used to treat diarrhea. It is also used to relieve the symptoms of an upset stomach, such as heartburn, indigestion, and nausea.
This medicine is available without a prescription; however, your doctor may have special instructions on the proper use and dose for your medical problem. Bismuth subsalicylate is available in the following dosage forms:
Before Using This Medicine
If you are taking this medicine without a prescription, carefully read and follow any precautions on the label. For bismuth subsalicylate, the following should be considered:
Allergies- Tell your doctor if you have ever had any unusual or allergic reaction to bismuth subsalicylate or to other salicylates, such as aspirin, including methyl salicylate (oil of wintergreen), or to any of the following medicines:
Also tell your health care professional if you are allergic to any other substances, such as certain foods, sulfites or other preservatives, or dyes.
Diet- Make certain your health care professional knows if you are on any special diet, such as a low-sodium or low-sugar diet.
Pregnancy- The occasional use of bismuth subsalicylate is not likely to cause problems in the fetus or in the newborn baby. However, based on what is known about the use of other salicylates, especially at high doses and for long periods of time, the following information may also apply for bismuth subsalicylate.
Salicylates have not been shown to cause birth defects in humans. However, studies in animals have shown that salicylates may cause birth defects.
There is a chance that regular use of salicylates late in pregnancy may cause unwanted effects on the heart or blood flow in the fetus or in the newborn infant.
Use of salicylates during the last 2 weeks of pregnancy may cause bleeding problems in the fetus before or during delivery or in the newborn infant. Also, too much use of salicylates during the last 3 months of pregnancy may increase the length of pregnancy, prolong labor, cause other problems during delivery, or cause severe bleeding in the mother before, during, or after delivery.
Breast-feeding- Salicylates pass into the breast milk. Although they have not been shown to cause problems in nursing babies, it is possible that problems may occur if large amounts of salicylates are taken regularly.
Children- The fluid loss caused by diarrhea may result in a severe condition. For this reason, medicine for diarrhea must not be given to young children (under 3 years of age) without first checking with their doctor. In older children with diarrhea, medicine for diarrhea may be used, but it is also very important that a sufficient amount of liquids be given to replace the fluid lost by the body. If you have any questions about this, check with your health care professional.
Also, children are usually more sensitive to the effects of salicylates, especially if they have a fever or have lost large amounts of body fluid because of vomiting, diarrhea, or sweating.
The bismuth in this medicine may cause severe constipation in children.
In addition, do not use this medicine to treat nausea or vomiting in children or teenagers who have or are recovering from the flu or chickenpox. If nausea or vomiting is present, check with the child's doctor because this could be an early sign of Reye's syndrome.
Older adults- The fluid loss caused by diarrhea may result in a severe condition. For this reason, elderly persons with diarrhea should not take this medicine without first checking with their doctor. It is also very important that a sufficient amount of liquids be taken to replace the fluid lost by the body. If you have any questions about this, check with your health care professional.
Also, the elderly may be more sensitive to the effects of salicylates. This may increase the chance of side effects during treatment. In addition, the bismuth in this medicine may cause severe constipation in the elderly.
Other medicines- Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When taking bismuth subsalicylate it is especially important that your health care professional know if you are taking any of the following:
Other medical problems- The presence of other medical problems may affect the use of bismuth subsalicylate. Make sure you tell your doctor if you have any other medical problems, especially:
Proper Use of This Medicine
For safe and effective use of this medicine:
For patients using this medicine to treat diarrhea:
The dose of bismuth subsalicylate will be different for different patients. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of bismuth subsalicylate. If your dose is different, do not change it unless your doctor tells you to do so.
The number of tablets or tablespoonfuls or teaspoonfuls of suspension that you take depends on the strength of the medicine.
If your doctor has ordered you to take this medicine according to a regular schedule and you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.
To store this medicine:
Precautions While Using This Medicine
Check the labels of all over-the-counter (OTC), nonprescription, and prescription medicines you now take . If any contain aspirin or other salicylates, be especially careful. Using other salicylate-containing products while taking this medicine may lead to overdose. If you have any questions about this, check with your health care professional.
For diabetic patients:
If you think that you or anyone else may have taken an overdose, get emergency help at once . Taking an overdose of this medicine may cause unconsciousness or death. Signs of overdose include convulsions (seizures), hearing loss, confusion, ringing or buzzing in the ears, severe drowsiness or tiredness, severe excitement or nervousness, and fast or deep breathing.
If you are taking this medicine for diarrhea, check with your doctor:
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
When this medicine is used occasionally or for short periods of time at low doses, side effects usually are rare. However, check with your doctor immediately if any of the following side effects occur, since they may indicate that too much medicine is being taken:
In some patients bismuth subsalicylate may cause dark tongue and/or grayish black stools. This is only temporary and will go away when you stop taking this medicine.
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor.
Last updated: Tue, 06 Jan 2009 00:20:03 GMT