Medically the evaluation by Dena Westphalen, Pharm.D. — written by Kristeen Cherney and also University of Illinois-Chicago, drug Information group — to update on November 30, 2020

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

If you’re emotion a bit queasy, review on to discover what to expect as soon as taking Pepto-Bismol and also how to use it safely.


Pepto-Bismol is offered to treat diarrhea and also relieve the symptoms of an uncomfortable stomach. These symptoms can include:

heartburnnauseaindigestiongasbelchinga feeling of fullness

The energetic ingredient in Pepto-Bismol is dubbed bismuth subsalicylate. That belongs to a drug course called salicylates.

Pepto-Bismol is obtainable in constant strength together a caplet, chewable tablet, and also liquid. It’s accessible in maximum strength as a liquid and also caplet. All creates are take away by mouth.


Pepto-Bismol is thought to law diarrhea by:

increasing the lot of fluid your intestines absorbreducing inflammation and also overactivity of her intestinespreventing her body’s release of a chemical called prostaglandin that reasons inflammationblocking toxins created by bacteria such as Escherichia colikilling various other bacteria that reason diarrhea

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


Adults and also children 12 years and also older have the right to take the following forms the Pepto-Bismol for approximately 2 days. The dosages below use for all digestive troubles Pepto-Bismol can assist treat.

When dealing with diarrhea, be certain to drink plenty of water to replace lost fluid. Save drinking fluids even if you’re utilizing Pepto-Bismol.

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

Liquid suspension

Original strength:

Take 30 milliliters (mL) every 30 minutes, or 60 mL every hour as needed.Do no take much more than eight sheep (240 mL) in 24 hours. Perform not usage for an ext than 2 days. Watch your physician if diarrhea lasts much longer than this. Original Pepto-Bismol liquid also comes in a cherry flavor, both of which have actually the very same dosage instructions.

Pepto-Bismol Ultra (maximum strength):

Take 15 mL every 30 minutes, or 30 mL every hour together needed.Do no take much more than eight sheep (120 mL) in 24 hours.Do not use for more than 2 days. See your physician if symptoms no improving.Pepto-Bismol Ultra also comes in cherry flavor with identical dosage instructions.

Another liquid alternative is recognized as Pepto Cherry Diarrhea. This product is draft to just treat diarrhea. That not the exact same product together cherry-flavored Pepto-Bismol original or Ultra. It’s additionally for civilization 12 years and older.

Below is the recommended dosage for Pepto Cherry Diarrhea:

Take 10 mL every 30 minutes, or 20 mL every hour together needed. Carry out not take an ext than eight doses (80 mL) in 24 hours.Do not use for much more than 2 days. See your physician if diarrhea is tho ongoing.

Chewable tablets

For Pepto Chews:

Take two tablet computers every 30 minutes, or four tablets every 60 minutes as needed.Chew or dissolve the tablets in her mouth.Do not take much more than eight sheep (16 tablets) in 24 hours.Stop acquisition this medication and see your physician if diarrhea doesn’t subside ~ 2 days.

Caplets

Original caplets:

Take two caplets (262 milligrams each) every 30 minutes, or 4 caplets every 60 minutes as needed.Swallow the caplets whole with water. Perform not chew them.Do not take much more than eight caplets in 24 hours.Do not use for much more than 2 days. See your doctor if diarrhea no subside.

Ultra caplets:

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

Pepto Diarrhea caplets:

Take one caplet every 30 minutes, or 2 caplets every 60 minutes together needed.Swallow the caplets through water. Execute not chew them.Do not take much more than eight caplets in 24 hours.Do not take for much longer than 2 days. See your medical professional if diarrhea lasts past this time.

Pepto original LiquiCaps or Diarrhea LiquiCaps:

Take 2 LiquiCaps (262 mg each) every 30 minutes, or four LiquiCaps every 60 minutes together needed.Do not take more than 16 LiquiCaps in 24 hours. Do not use for an ext than 2 days. Watch your physician if diarrhea lasts longer than this.

For children

The over products and dosages are designed for civilization 12 years and also older. Pepto-Bismol provides a different product draft for kids 12 and under in chewable tablets.

This product is designed come treat heartburn and also indigestion in young children. Keep in mind that the dosages are based upon weight and also age.

Pepto kids Chewable Tablets:

One tablet for kids 24 to 47 pounds and 2 to 5 year of age. Do not exceed three tablet computers in 24 hours.Two tablet computers for kids 48 come 95 pounds and also 6 come 11 year of age. Execute not exceed six tablets in 24 hours.Do not usage in kids under 2 years old or under 24 pounds, uneven recommended through a doctor.Call her child’s doctor if symptom don’t improve within 2 weeks.

Most side impacts from Pepto-Bismol space mild and also go away soon after you stop taking the medication.

More typical side effects

The more common side effects of Pepto-Bismol include:

black stoolblack, hairy tongue

These side impacts are harmless. Both impacts are temporary and go far within number of days ~ you stop taking Pepto-Bismol.

Serious next effect

Ringing in your ears is one uncommon however serious side effect of Pepto-Bismol. If you have actually this side effect, avoid taking Pepto-Bismol and call your medical professional right away.


Pepto-Bismol may interact with any type of other medicines you may be taking. Talk to her pharmacist or medical professional to view whether Pepto-Bismol interacts with any medications friend take.

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

angiotensin convert enzyme (ACE) inhibitors, such as benazepril, captopril, enalapril, fosinopril, lisinopril, and also trandolaprilanti-seizure drugs, such as valproic acid and also divalproexblood thinners (anticoagulants), such together warfarindiabetes medications, such together insulin, metformin, sulfonylureas, dipeptidyl peptidase-4 (DPP-4) inhibitors, and also sodium-glucose cotransporter-2 (SGLT-2) inhibitorsgout medications, such as probenecidmethotrexatenonsteroidal anti-inflammatory medicine (NSAIDs), such as aspirin, naproxen, ibuprofen, meloxicam, indomethacin, and also diclofenacother salicylates, such as aspirinphenytointetracycline antibiotics, such together demeclocycline, doxycycline, minocycline, and also tetracycline

Pepto-Bismol is typically safe for most people, but avoid it if friend have specific health conditions. Pepto-Bismol might make lock worse.

Don’t take Pepto-Bismol if you:

are allergic to salicylates (including aspirin or NSAIDs such as ibuprofen, naproxen, and celecoxib)have one active, bleeding ulcerare happen bloody stools or black color stools the aren’t brought about by Pepto-Bismolare a teenager who has actually or is recovering from chickenpox or flu-like symptoms

Bismuth subsalicylate may additionally cause troubles for world with other wellness conditions.

Before taking Pepto-Bismol, tell your medical professional if girlfriend have any kind of of the complying with medical conditions. They can tell girlfriend if it’s safe to usage Pepto-Bismol. These problems include:

stomach ulcersbleeding problems, such as hemophilia and also von Willebrand diseasekidney problemsgoutdiabetes

Stop taking Pepto-Bismol and also call your doctor right far if you have actually vomiting and extreme diarrhea together with behavior changes, together as:

loss of energyaggressive behaviorconfusion

These symptoms could be beforehand signs the Reye’s syndrome. This is a rare however serious illness that can influence your brain and liver.

Avoid making use of Pepto-Bismol to self-treat diarrhea if you have a heat or stools that contain blood or mucus. If you have actually these symptoms, call your physician right away. They can be indicators of a serious health condition, such as an infection.

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In instance of overdose

Symptoms that a Pepto-Bismol overdose deserve to include:

ringing in her earsloss that hearingextreme drowsinessnervousnessfast breathingconfusionseizures

If friend think you’ve taken as well much, contact your medical professional or local poison control center. If her symptoms space severe, call 911 or local emergency services, or go to the nearest emergency room appropriate away.