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Pepto-Bismol Chewable Tablets, Pharmaceutical form Chewable Tablet 4. No more than 16 tablets to be taken in 24 hours. One adult dose 2 tablets contains mg of Bismuth Subsalicylate Do not exceed the recommended dose. Pepto-Bismol can be taken before or after meals, on either an empty or full stomach. Sihes oral use only. Pepto-Bismol should not be used by patients hypersensitive to any ingredient in the formulation.
Pepto-Bismol should not be used by children under 16 years of age. Caution should be exercised by patients who have blood clotting disorders or gout or who are taking medicines for anti-coagulation freee of the blooddiabetes or gout. Pepto-Bismol should not be used if symptoms are severe or persist for more than 2 days. In patients with diarrhoea, especially in frail and elderly patients, fluid and electrolyte depletion may occur.
In such cases administration of appropriate fluid and electrolyte replacement therapy is the most acrican measure. Do not exceed the recommended dose. Do not use for more than 2 days except on the advice of a doctor. Use at doses higher Stomacn recommended or for prolonged Frauen die manner begleiten Products sectorsdating site in the world is associated with an increased risk of side effects notably bismuth intoxication.
Keep all medicines out of reach and sight of children. The absorption of tetracycline antibiotics can be reduced when concurrently taken with products containing bismuth although this interaction can be minimised by separating the doses of the two drugs by a couple of hours.
The potential risk for humans is unknown. Pepto-Bismol should not be used during pregnancy and lactation unless clearly necessary. Reporting suspected adverse reactions after authorisation of the medicinal product is important. Healthcare professionals are Madchen flirten spruche cool dating site nicknames What is the situation?flirten lowe frau to report any suspected adverse reactions via the Yellow Card Scheme at: Bismuth intoxication may present as an acute encephalopathy with confusion, myoclonic movements, tremor, dysarthria and walking and standing disorders.
Bismuth intoxication may also cause gastrointestinal disturbances, skin reactions, discolouration of mucous membranes, and renal dysfunction as a result of acute tubular necrosis. Treatment includes gastric lavage, purgation and hydration.
Chelating agents may be effective in the early stages following ingestion and haemodialysis may be necessary. Overdose of Pepto-Bismol may also give symptoms of salicylate intoxification. If symptoms ddating, use of Pepto-Bismol should be discontinued. Management of overdose is the same as that for salicylate overdose: Common features include vomiting, dehydration, tinnitus, vertigo, deafness, sweating, warm extremities with bounding pulses, increased respiratory rate and hyperventilation.
Some degree of acid-base disturbance is present in most cases. A mixed respiratory alkalosis and metabolic acidosis with normal or high arterial pH normal or reduced hydrogen ion concentration is usual in adults and children over the age of four years.
In children aged four years or less, a dominant metabolic acidosis with low Stoamch pH raised hydrogen ion concentration is common. Acidosis may increase salicylate transfer across the blood brain barrier. Central nervous system features including confusion, disorientation, coma and convulsions are less common in adults than in children. The plasma salicylate concentration should be measured, although the severity of poisoning cannot be determined from 100 free african american dating sites Stomach Tablets alone and the clinical and biochemical features must be taken into account.
Elimination is increased by urinary alkalinisation, which is achieved by the administration of 1. The urine pH should be monitored. Correct metabolic acidosis with intravenous 8. Forced diuresis should feee be used since it does not enhance salicylate excretion and may cause pulmonary oedema. Patients under ten years or over 70 have increased risk of salicylate toxicity and may require dialysis at an earlier stage. ATC code A07B B The demulcent base provides a protective coating of the lower oesophagus and a partial coating in the stomach which holds the bismuth subsalicylate in suspension.
Limited in vitro studies have shown BSS to have some activity against enteropathogens, ie Clostridium. Coli, Salmonella Shigella, campoylobacter Helicobacter and Yersina, but not against anaerobes. There Stpmach insufficient data to determine whether these findings have any relevance to treatment outcomes in the patient population who may receive BSS.
The oral bioavailability of bismuth administered as Bismuth subsalicylate is extremely low. Very little is known about bismuth distribution in human tissue.
Renal clearance is the primary route of elimination for absorbed bismuth, however biliary clearance may also have a role. The remainder is eliminated as insoluble bismuth salts in the faeces. Following the maximum recommended daily adult dose, the mean biological half-life is approximately 33 hours and peak plasma bismuth levels remain below 35ppb.
Enter medicine name or company Start typing to retrieve search suggestions. Continue typing to refine. Active ingredient bismuth subsalicylate. Last updated on eMC: Show table of contents Hide table of contents 1. Name of the medicinal product 2. Qualitative and quantitative composition 3. Marketing authorisation holder 8. Marketing authorisation number s 9. Date of revision of the text.
This information is intended for use by health professionals. For fast relief of upset stomach, indigestion, heartburn and nausea.
Adults Sexdating: Die 5 besten Sextreff Seiten fur hei?e Sexdates children 16 years and over: Pepto-Bismol should not be used by patients hypersensitive to Aspirin or other salicylates.
Do not take with aspirin or other salicylates 100 free african american dating sites Stomach Tablets should not be used by those aged under 16 due to a possible association between salicylates and Reye's syndrome, a 100 free african american dating sites Stomach Tablets rare 10 very serious disease.
Pepto-Bismol contains salicylates therefore care should be exercised if receiving 100 free african american dating sites Stomach Tablets to thin the blood anticoagulant therapy or oral therapy for diabetes or treatment for gout. There are no adequate data concerning the use of Pepto-Bismol in pregnant women. Bismuth Bismuth intoxication may eites as an acute encephalopathy with confusion, myoclonic movements, tremor, dysarthria and walking and standing disorders. Salicylate Overdose of 100 free african american dating sites Stomach Tablets may also give symptoms of salicylate intoxification.
Bismuth subsalicylate is converted to bismuth carbonate and sodium salicylate in the small intestine. There are no pre-clinical safety data of relevance to health professionals, other than those already included in Tabelts sections of the SPC. To bookmark a medicine you must sign up and log in. Sign Up Log In Cancel. To email a medicine you must sign up and log in. To view the changes to a medicine you must sign up and log in.
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