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can i take pepto bismol while on warfarin

by Alexandria Hansen Published 3 years ago Updated 2 years ago

The maximum daily dose of Pepto-Bismol contains 2080 mg of salicylate. This aspirin-like drug could well interact with the blood thinner warfarin (Coumadin). Such a combination could increase the risk for bleeding.

warfarin bismuth subsalicylate
Using warfarin together with bismuth subsalicylate may increase the risk of bleeding. You may need a dose adjustment or more frequent monitoring by your doctor to safely use both medications.

Full Answer

What medications should not be taken with Pepto Bismol?

  • stomach ulcers.
  • bleeding problems such as hemophilia and von Willebrand disease.
  • kidney problems.
  • gout.
  • diabetes.

What is a substitute for Pepto Bismol?

What is a substitute for Pepto Bismol? Pepto-Bismol (bismuth subsalicylate) Over-the-counter. 7 alternatives. Alka-Seltzer (aspirin / citric acid / sodium bicarbonate) Over-the-counter. Imodium (loperamide) Over-the-counter.

What happens if you take too much Pepto?

What happens if you take too much Pepto? Pepto-Bismol side effects. hearing loss or ringing in your ears; diarrhea lasting longer than 2 days; or. worsened stomach symptoms. How do you take Pepto chewables? Chewable Tablets. chew or dissolve in mouth. adults and children 12 years and over: 2 tablets every 1/2 to 1 hour as needed.

Is it bad to take Pepto Bismol everyday?

You should not use Pepto-Bismol if you are allergic to it, or if you have:

  • black or bloody stools;
  • a stomach ulcer (unless your doctor has prescribed Pepto-Bismol as part of modified bismuth-containing quadruple therapy);
  • bleeding problems; or
  • if you are allergic to salicylates such as aspirin, Doan's Extra Strength, Salflex, Tricosal, and others.

Can I take Pepto-Bismol while on blood thinners?

Don't take over-the-counter medicines, vitamins, or supplements unless you check with your doctor first. Your blood thinner may not work right with them. For example, aspirin, ibuprofen, and naproxen can make you bleed more. Even common products like Pepto-Bismol can cause bleeding.

Does Pepto-Bismol affect your INR?

Drugs that contain bismuth subsalicylate also affect the way the body absorbs the patient's warfarin dose. When a patient on warfarin takes a medication containing bismuth subsalicylate, they may have an increase in their INR value which is associated with a higher risk of bleeding and increased bruising.

What can you take for diarrhea when on blood thinners?

ImodiumImodium is in the drug class antidiarrheals.Imodium is used to treat the following conditions: Diarrhea. Diarrhea, Acute. Diarrhea, Chronic. Traveler's Diarrhea.

What medications should not be taken with warfarin?

Common drugs that can interact with warfarin include:Aspirin or aspirin-containing products.Acetaminophen (Tylenol, others) or acetaminophen-containing products.Antacids or laxatives.Many antibiotics.Antifungal medications, such as fluconazole (Diflucan)Cold or allergy medicines.More items...

Does Pepto-Bismol affect clotting?

Both of these medicines can interfere with your body's ability to make blood clots.

What medications should not be taken with Pepto-Bismol?

Examples of medications that can interact with Pepto-Bismol include:angiotensin converting enzyme (ACE) inhibitors, such as benazepril, captopril, enalapril, fosinopril, lisinopril, and trandolapril.anti-seizure drugs, such as valproic acid and divalproex.blood thinners (anticoagulants), such as warfarin.More items...•

How does diarrhea affect warfarin?

Conclusions: Diarrhea episodes in patients receiving warfarin can result in prolongation of the INR and possible bleeding. Patients who experience diarrhea or decreased oral intake resulting in elevated INRs should have their INRs evaluated more frequently and their warfarin doses adjusted appropriately.

What can I take for heartburn while on warfarin?

Antacids, like Maalox, Mylanta, or Tums help neutralize stomach acid. H2 blockers, like Pepcid AC, Tagamet, and Zantac, reduce stomach acid production.

Can you take antacids with blood thinners?

Taking antacids with anti-clotting drugs doesn't change outcomes after a heart attack, researchers find. TUESDAY, Sept. 1, 2009 (HealthDay News) -- Antacids don't interfere with anti-clotting drugs such as Plavix and Effient in patients who have suffered a heart attack or unstable angina, a new study finds.

How long does it take for anticoagulants to affect INR?

One small study found that moderate consumption (1.5 servings/day) does not significantly affect the INR after one week in patients receiving long-term anticoagulation.

Should salicylates be avoided in anticoagulants?

MANAGEMENT: Until further data are available, products containing salicylates, especially if given chronically or in high dosages, should preferably be avoided in patients receiving anticoagulants. Close clinical and laboratory observation for bleeding complications is recommended if concurrent therapy is necessary.

Does Pepto have aspirin?

DzooBaby 14 Jan 2011. Pepto contains salycilates which are aspirin like compounds. If you take Pepto with Coumadin it will throw your INR off by increasing it. You could become at risk for bleeding Ask your pharmacist or prescribing doctor what to take for your stomach as many things can interact with Coumadin.

Can you mix Pepto Bismol and Aspirin?

Pepto Bismol has traces of aspirin in it so I would very highly recommend that you don't mix them. If you do need something on a short term for your stomach then I would contact your doctor and see what he/she recommends maybe you could take some for a short time but check first. Hope this helps you some, marjorie zych.

Does cranberry juice affect warfarin?

It is not known if variations in the constituents of different brands of cranberry juice may affect the potential for drug interactions. Soy protein in the form of soy milk was thought to be responsible for a case of possible warfarin antagonism in an elderly male stabilized on warfarin.

Does vitamin K help with anticoagulants?

MONITOR: Vitamin K may antagonize the hypoprothrombinemic effect of oral anticoagulants. Vitamin K is a cofactor in the synthesis of blood clotting factors that are inhibited by oral anticoagulants, thus intake of vitamin K through supplements or diet can reverse the action of oral anticoagulants.

Can anticoagulants cause INR to be elevated?

Likewise, a reduction of vitamin K intake following stabilization of anticoagulant therapy may result in elevation of the INR and bleeding complications.

Severe Interactions

These medications are not usually taken together. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.

Serious Interactions

These medications may interact and cause very harmful effects. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.

Moderate Interactions

These medications may cause some risk when taken together. Consult your healthcare professional (e.g., doctor or pharmacist) for more in formation.

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If you have suffered from an upset stomach, chances are you’ve reached for the cool chalky relief of something like the Pepto-Bismol® medication, the Kaopectate® drug or any other type of medication that can be labeled as bismuth subsalicylate.

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