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Indications

REMS

Unlabeled Use:

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

GI: constipation, gray-black stools, impaction (infants, debilitated patients).

Interactions

Drug-Drug:

Availability

(Generic available)

Route/Dosage

US Brand Names

Bismatrol, Kaopectate, Kao-Tin, Kapectolin, Peptic Relief, Pepto-Bismol

Action

Therapeutic Effects:

Classifications

Therapeutic Classification: antidiarrheals, antiulcer agents

Pharmacologic Classification: adsorbents

Pharmacokinetics

Absorption: Bismuth is not absorbed; salicylate split from parent compound is >90% absorbed from the small intestine. Salicylate is highly bound to albumin.

Distribution: Salicylate crosses the placenta and enters breast milk.

Metabolism/Excretion: Bismuth is excreted unchanged in the feces. Salicylate undergoes extensive hepatic metabolism.

Half-life: Salicylate — 2–3 hr for low doses; 15–30 hr with larger doses.

Time/Action Profile

(relief of diarrhea and other GI symptoms)

ROUTEONSETPEAKDURATION
POwithin 24 hrunknownunknown

Patient/Family Teaching

Pronunciation

BIZ-muth sub-sa-LIS-i-late audio

Code

NDC Code*