Common questions about Pepto-Bismol (2024)

How does Pepto-Bismol work?

It's not fully understood how Pepto-Bismol works.

The medicine forms a protective coating over the lower part of your food pipe (oesophagus), and partly coats your stomach. This helps protect them from stomach acid.

It also has weak antacid properties that may help reduce too much stomach acid. This will ease feelings of pain and discomfort.

When will I feel better?

Pepto-Bismol should work within 30 to 60 minutes.

You can have another dose after 30 to 60 minutes, if you need to.

You can take up to 8 doses in 24 hours.

Are there other indigestion medicines?

There are a number of different medicines for indigestion and heartburn.

Antacids contain ingredients like calcium carbonate (Tums), magnesium hydroxide (Milk of Magnesia), aluminium hydroxide or sodium alginate. Some contain combinations of these ingredients (for example Maalox, Rennies and Gaviscon).

Antacids relieve indigestion and heartburn by counteracting (neutralising) the reducing the damage of acid in your stomach. They work quickly and make you feel better for a few hours. They're ideal if you occasionally get stomach acid problems. You can get antacids from pharmacies and supermarkets.

Proton pump inhibitors (PPIs) reduce the amount of acid your stomach makes. Most PPIs are available on prescription only. They include omeprazole, esomeprazole and lansoprazole. You can buy the lowest-strength omeprazole and esomeprazole from pharmacies.

H2 blockers (histamine antagonists) reduce the amount of acid made in your stomach, but they do this in a different way to PPIs. For example, your doctor might prescribe cimetidine (Tagamet), famotidine (Pepcid) or nizatidine (Axid). You can also buy famotidine from pharmacies.

Will it affect my contraception?

Pepto-Bismol does not affect any type of contraception, including the combined pill, progestogen-only pill and emergency contraception.

But if Pepto-Bismol is not working for you and you're being sick, your contraceptive pills may not protect you from pregnancy. Check the pill packet to find out what to do.

Find out more:

  • What to do if you're sick or have diarrhoea when taking the combined pill
  • What to do if you're sick or have diarrhoea when taking the progestogen-only pill
Can I drive or ride a bike?

Taking Pepto-Bismol will not usually affect your ability to drive a car or ride a bike.

However, taking too much Pepto-Bismol can make you feel confused, tired or dizzy. It can also affect your hearing or cause ringing or buzzing in your ears. If you have any of these symptoms, do not drive or ride a bike until you feel OK again.

It's an offence to drive a car if your ability to drive safely is affected. It's your responsibility to decide if it's safe to drive. If you're in any doubt, do not drive.

Talk to your doctor or pharmacist if you're unsure whether it's safe for you to drive while taking Pepto-Bismol. GOV.UK has more information on the law on drugs and driving.

Can I drink alcohol while taking Pepto-Bismol?

Alcohol does not affect the way Pepto-Bismol works. However, drinking alcohol makes your stomach produce more acid than normal. This can irritate your stomach lining and make your symptoms worse.

If you have diarrhoea, drinking alcohol may make you more dehydrated. It's best to avoid alcohol until your symptoms are better.

Is there any food or drink I need to avoid?

You can eat and drink normally while taking Pepto-Bismol. However, it's best to avoid foods that seem to make your indigestion worse, like rich, spicy and fatty foods.

Try to cut down on caffeinated drinks, such as tea, coffee, cola and energy drinks. Reduce or try to avoid alcohol.

Can lifestyle changes help ease stomach acid?

Making a few changes to your diet and lifestyle may help if you have problems caused by too much stomach acid.

It can help if you:

  • keep to a healthy weight or lose weight if you need to – extra weight can put pressure on your stomach and make acid reflux worse
  • do not eat foods that can make your symptoms worse, including rich, spicy and fatty foods, and acidic foods like tomatoes, citrus fruits, salad dressings and fizzy drinks
  • cut down on caffeinated drinks, such as tea, coffee, cola and energy drinks
  • cut down on alcohol
  • try not to eat for at least 3 hours before you go to bed
  • prop your head and shoulders up when you go to bed – this can stop stomach acid coming up while you sleep
  • quit smoking – you can call the NHS Stop Smoking Helpline on 0300 123 1044
Common questions about Pepto-Bismol (2024)

FAQs

Common questions about Pepto-Bismol? ›

Can I drive or ride a bike? Taking Pepto-Bismol will not usually affect your ability to drive a car or ride a bike. However, taking too much Pepto-Bismol can make you feel confused, tired or dizzy. It can also affect your hearing or cause ringing or buzzing in your ears.

What are some fun facts about Pepto-Bismol? ›

At first sold directly to physicians, it was first marketed as Bismosal in 1918. Pepto-Bismol was first sold in 1900 by a doctor in New York. It was originally sold as a remedy for infant diarrhea by Norwich Pharmacal Company under the name "Bismosal: Mixture Cholera Infantum".

What problems can Pepto-Bismol cause? ›

Pepto-Bismol side effects are typically mild. Nausea, a bitter taste, and a blackened tongue are possible. Rarely, Pepto-Bismol can cause serious side effects, such as Reye's syndrome in children and allergic reactions in those with aspirin allergies.

When should Pepto-Bismol not be taken? ›

Who may not be able to take Pepto-Bismol
  1. ever had an allergic reaction to bismuth subsalicylate or any of the other ingredients in Pepto-Bismol or Pepti Calm.
  2. ever had an allergic reaction to aspirin or any other medicine.
  3. diabetes.
  4. gout.

What are the warnings about Pepto-Bismol? ›

warnings
  • black or bloody stools;
  • stomach ulcer;
  • bleeding problems; or.
  • if you are allergic to salicylates such as aspirin, Doan's Extra Strength, Salflex, Tricosal, and others.

How did Pepto-Bismol get its name? ›

Where does the name come from? Pepto was a marketeer's version of pepsin, a natural substance that aids digestion. Bismol is named for bismuth, the active ingredient that works, Schwartz says, by “coating the stomach.” Even though Pepto is now pepsin-less, no one could bear to change the name.

Why is Pepto-Bismol so pink? ›

Contrary to what you may be thinking, it is not bismuth subsalicylate that gives Pepto-Bismol its carnation colouring. That compound is beige. It turns out that Pepto is pink simply because Procter and Gamble dye it pink!

Is it bad to take Pepto everyday? ›

You can take Pepto-Bismol for up to 2 days. Do not take it for more than 2 days as this will increase your risk of getting side effects. If your symptoms are no better or are getting worse after 2 days, contact your doctor.

Is Pepto-Bismol banned in Europe? ›

Pepto Bismol's active ingredient is expressly banned in France and Denmark and you're unlikely to find it elsewhere in Europe. The pink tablets and liquid are among the most recommended items to bring from home for Americans living abroad.

How long does Pepto-Bismol last? ›

When will I feel better? Pepto-Bismol should work within 30 to 60 minutes. You can have another dose after 30 to 60 minutes, if you need to. You can take up to 8 doses in 24 hours.

What should I avoid with Pepto-Bismol? ›

Cautions with other medicines
  • an anticoagulant – medicines that help to prevent blood clots.
  • tablets or other oral medicines for diabetes.
  • medicine for gout.
  • doxycycline or minocycline, or any other tetracycline antibiotics.

Is Pepto better on an empty stomach? ›

If you are taking the chewable tablet, take this medication on an empty stomach. The chewable tablets should be chewed thoroughly before swallowing. If you are using the rapidly dissolving tablets, dry your hands before opening the blister pack to carefully remove a tablet.

Should you not drink water after taking Pepto-Bismol? ›

When treating diarrhea, be sure to drink plenty of water to replace lost fluid. Keep drinking fluids even if you're using Pepto-Bismol. If your condition lasts longer than 2 days or you have ringing in your ears, stop taking Pepto-Bismol and call your doctor.

Why don t doctors recommend Pepto-Bismol? ›

Salicylate toxicity can occur after overdose. Avoid Pepto Bismol if you take aspirin regularly. It is not advisable during pregnancy and breastfeeding. Children under 12 years of age should not take salicylate products due to an increased risk for Reye's Syndrome.

What can Pepto-Bismol do to your body? ›

This medicine is used for heartburn and acid reflux, indigestion, diarrhoea and feeling sick (nausea). It works by protecting your stomach and the lower part of your food pipe from stomach acid. It is also a mild antacid, which helps reduce too much stomach acid and eases any discomfort.

How long does Pepto stay in your system? ›

As it slowly makes its way out of your body you may see black poo. This side effect usually goes away when you stop taking the medicine but it may take several days. If your tongue or your poo is still black after you've stopped taking Pepto-Bismol for several days, speak to your doctor or a pharmacist.

What are some interesting facts about bismuth subsalicylate? ›

Bismuth subsalicylate is an antacid and anti-diarrheal agent. Exhibiting antibacterial and gastroprotective properties, bismuth subsalicylate is an insoluble salt of salicylic acid linked to trivalent bismuth cation. Each molecule of bismuth subsalicylate contains 58% bismuth and 42% salicylate by weight.

What benefits does Pepto-Bismol have? ›

This medicine is used for heartburn and acid reflux, indigestion, diarrhoea and feeling sick (nausea). It works by protecting your stomach and the lower part of your food pipe from stomach acid. It is also a mild antacid, which helps reduce too much stomach acid and eases any discomfort.

How many Pepto-Bismol a day? ›

The adult's dosage for Pepto Bismol tablets and capsules is: Take 2 pills (524 mg) by mouth every 30 minutes as needed. For diarrhea, you have the option to take 4 pills (1,048 mg) every 60 minutes as needed. Don't take more than 16 pills in 24 hours.

Why do people like Pepto-Bismol? ›

This medication is used to treat occasional upset stomach, heartburn, and nausea. It is also used to treat diarrhea and help prevent travelers' diarrhea. It works by helping to slow the growth of bacteria that might be causing the diarrhea.

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