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Doctor insights on: Bismuth Citrate Uses

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Diagnosed with chronic non-atrophic gastritis H. Pyori +. Is this combination of meds OK?: bismuth potassium citrate/ tinidazole/ clarithromycin.

Diagnosed with chronic non-atrophic gastritis H. Pyori +. Is this combination of meds OK?: bismuth potassium citrate/ tinidazole/ clarithromycin.

H pylori regimens: We often use a combination of 3-4 medications for various 7-14d to treat H pylori infections (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3449761/table/t1-ceg-5-151/). There are some concerns for clarithromycin resistance. Don't consume alcohol while taking Metronidazole. While your regimen is "ok", it doesn't appear to match standard of care nor include proton pump inhibitor. ...Read more

Dr. Ralph Wharton
37 doctors shared insights

Bismuth Subsalicylate (Definition)

Bismuth subsalicylate is an anticholinergic agent which is a kind of anti-Parkinson's drug ...Read more


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I have pepto bismol (bismuth subsalicylate) from 2012, that was the expiration date. Is it still good to use now?

I have pepto bismol (bismuth subsalicylate) from 2012, that was the expiration date. Is it still good to use now?

No, I'd replace it: Unfortunately 4 years is probably too long; unless the bottle has an expiration date sometime in the future, I'd get a new one (-: ...Read more

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Is it safe for me to use pepto bismol (bismuth subsalicylate)?

Is it safe for me to use pepto bismol (bismuth subsalicylate)?

Generally yes.: Apart from Aspirin hypersensitivity, the only major issues with normal doses are discolored (black) stools, potential constipation (it is used for diarrhea). ...Read more

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Is it safe for me to use peptobismol(bismuth subsalicylate) on a trip daily?

Is it safe for me to use peptobismol(bismuth subsalicylate) on a trip daily?

Probably: Pepto may be used for certain infectious diarrhea prevention, on a daily basis for a few days or weeks. It does contain something similar to aspirin, so be sure there are no Aspirin allergies, and no GI system ulcers or bleeding problems. Pepto will turn your bowel movements very dark black. ...Read more

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I have just woken up from hot flashes caused by diahrea. I have taken pepto bismol (bismuth subsalicylate). Is there any other remedies i could use so i can get some sleep?

I have just woken up from hot flashes caused by diahrea. I have taken pepto bismol (bismuth subsalicylate). Is there any other remedies i could use so i can get some sleep?

Sleeping?: Sleeping while having diarrhea can be risky/ messy. The cause of the diarrhea is important to know. Diarrhea alone does not usually cause hot flashes. This may be an infectious diarrhea in which case you need antibiotics. ...Read more

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I have a stomach virus I've had it since Tuesday I took Pepto bismuth now my tummy hurts and I have to use the bathroom but I can't what do I do?

I have a stomach virus I've had it since Tuesday I took Pepto bismuth now my tummy hurts and I have to use the bathroom but I can't what do I do?

Gastroenteritis: This sounds as if it is time to seek help. Not at all sure how you arrived at the diagnosis of a stomach virus, but what you describe deserves an examination after obtaining a full history. Good luck. ...Read more

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Is it ok to use aspirin with helidac (bismuth subsalicylate metronidazole and tetracycline) therapy?

Is it ok to  use aspirin with helidac (bismuth subsalicylate metronidazole and tetracycline) therapy?

Helidac (bismuth subsalicylate metronidazole and tetracycline) therapy: Helidac (bismuth subsalicylate metronidazole and tetracycline) therapy is used to eliminate h pylori, and duedenal ulcer caused bu h pylori.In my view Aspirin be avoidid as it can cause bleeding from the ulcer, if there is one.If there is no ulcer seen on endoscopic exam, than you can use Aspirin with extreme caution if it is absolutely neccessary to be given. ...Read more