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pepto bismol nursing consideration

by Joanny Gulgowski Published 3 years ago Updated 3 years ago

The American Academy of Pediatrics suggests using caution with salicylates such as Pepto-Bismol while breastfeeding. And the National Institutes of Health suggests finding an alternative to Pepto-Bismol altogether. It's best to talk with your doctor about whether or not Pepto-Bismol is safe for you while breastfeeding.

Precautions

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.

What happens if you take too much Pepto?

  • Tightness in the chest
  • Difficulty breathing
  • Rash
  • Hives
  • Itching
  • Swelling of the lips, face, mouth or tongue

What are the side effects of Pepto Bismol?

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. Watch out a lot more about it. Moreover, can I drink water after taking Pepto Bismol? You do not need to take the medication with food.

How long does it take for Pepto Bismol to work?

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.

Is it bad to take Pepto Bismol everyday?

What are nursing considerations for drugs?

Start with the basicsVerify any medication order and make sure it's complete. ... Check the patient's medical record for an allergy or contraindication to the prescribed medication. ... Prepare medications for one patient at a time.Educate patients about their medications. ... Follow the eight rights of medication administration.

What are the contraindications of Pepto-Bismol?

Who should not take PEPTO-BISMOL?diabetes.a type of joint disorder due to excess uric acid in the blood called gout.increased risk of bleeding due to clotting disorder.decreased kidney function.a patient who is producing milk and breastfeeding.

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...•

What are the side effects of bismuth?

Side effects of bismuth subsalicylate include:abdominal pain.anal discomfort.anxiety.black or 'hairy' tongue.clay-colored or gray-black stools.cold symptoms (stuffy nose, sneezing, sore throat)confusion.constipation (may be chronic)More items...

Does Pepto raise blood pressure?

amLODIPine bismuth subsalicylate The combination may cause your blood pressure to increase. You may need a dose adjustment or your blood pressure checked more often. Also, if you are already taking the combination and stop taking bismuth subsalicylate, your blood pressure may decrease.

Is Pepto-Bismol safe in pregnancy?

The active ingredient in Pepto-Bismol is bismuth subsalicylate. According to a 2014 review in American Family Physician, you should avoid taking Pepto-Bismol during the second and third trimesters of your pregnancy. This is because it raises your risk of bleeding problems when you take it closer to delivery.

Is Pepto an antacid?

Pepto Bismol is a common over-the-counter (OTC) drug that may help control occasional symptoms of simple digestive issues, such as indigestion, heartburn, and diarrhea. Pepto Bismol is an antacid.

How long should I wait to breastfeed after taking Pepto-Bismol?

Try not to breastfeed for 1 to 2 hours after taking the dose to minimise the amount in your breastmilk.

Does Pepto-Bismol interfere with antibiotics?

Pepto-Bismol may also inhibit the absorption of other antibiotics but the extent of this interaction has not been well studied. Prophylactic Antibiotics Taking an antibiotic (especially one of the quinolones) can significantly reduce your risk of travelers' diarrhea.

Which instruction is essential to teach the patient who is taking bismuth subsalicylate for diarrhea?

Swallow the tablets whole; do not chew them. Shake the liquid well before each use to mix the medication evenly. If your symptoms get worse or if your diarrhea lasts longer than 48 hours, stop taking this medication and call your doctor.

How does bismuth stop diarrhea?

Stimulation of absorption of fluids and electrolytes by the intestinal wall (antisecretory action) As a salicylate, reducing inflammation/irritation of stomach and intestinal lining through inhibition of prostaglandin G/H synthase 1/2. Reduction in hypermotility of the stomach.

Can Pepto-Bismol cause internal bleeding?

Many people using this medication do not have serious side effects. Tell your doctor right away if you have any serious side effects, including: ringing ears, hearing loss. This drug may rarely cause serious (rarely fatal) bleeding from the stomach or intestines.

Before Taking This Medicine

This medication should not be given to a child or teenager who has a fever, especially if the child also has flu symptoms or chicken pox. Subsalicy...

How Should I Take Pepto-Bismol?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.Do no...

What Happens If I Miss A Dose?

Since Pepto-Bismol is taken as needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soo...

What Happens If I Overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.Overdose symptoms may include increased thirst, anxiety, muscle spa...

What Should I Avoid While Taking Pepto-Bismol?

Ask your doctor or pharmacist before taking other antacids or diarrhea medications together with Pepto-Bismol.

Pepto-Bismol Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue...

What Other Drugs Will Affect Pepto-Bismol?

Ask a doctor or pharmacist if it is safe for you to use Pepto-Bismol if you are also using any of the following drugs: 1. a blood thinner such as w...

What is the active ingredient in Pepto Bismol?

The active ingredient in Pepto-Bismol is a type of drug called a subsalicylate, which is a bismuth salt of salicylic acid. The risk of problems from salicylates is thought to be small. However, there is no definitive clinical research on subsalicylates in pregnant women.

Is Pepto Bismol safe to take?

Even though Pepto-Bismol is an over-the-counter drug, it’s still important to question its safety. The active ingredient in Pepto-Bismol is bismuth subsalicylate. According to a 2014 review in American Family Physician, you should avoid taking Pepto-Bismol during the second and third trimesters of your pregnancy.

Is Pepto Bismol safe for pregnant women?

The Food and Drug Administration (FDA) has not assigned a pregnancy category to Pepto-Bismol. This means that it isn’t known for sure if Pepto-Bismol is safe for use in pregnant women, leading most experts to say it should be avoided.

Does Pepto Bismol help with gas?

Diarrhea, nausea, heartburn are unpleasant. Pepto-Bismol can be used to help relieve these and other digestive problems, including upset stomach, gas, and feeling overly full after eating. If you’re pregnant, chances are you’re all too familiar with these types of digestive upset.

How to use Pepto Bismol?

How to use Pepto-Bismol Tablet, Chewable. Take this medication by mouth, usually as needed, as directed by the product package or as directed by your doctor. The dosage is based on your age, medical condition, and response to treatment. Do not increase your dose or take this drug more often than directed.

Where to report side effects?

You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345. See also Uses section.

Can a drug pass into breast milk?

However, similar drugs pass into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding. Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them.

Can Helicobacter pylori be used to treat ulcers?

Do not use this medication to self-treat ulcers.

Can you use bismuth subsalicylate alone?

Do not use this medication to self-treat ulcers. Bismuth subsalicylate is a salicylate. Salicylates can cause serious bleeding problems when used alone in patients with ulcers.Check the ingredients on the label even if you have used the product before. The manufacturer may have changed the ingredients.

Actions

Hydrolyzed in GI tract to salicylate, which is believed to inhibit synthesis of prostaglandins responsible for GI hypermotility and inflammation.

Therapeutic Effects

Effectiveness as an antidiarrheal also appears to be due to direct antimicrobial action and to an antisecretory effect on intestinal secretions exposed to toxins particularly of Escherichia coli and Vibrio cholerae .

Uses

Prophylaxis and treatment of traveler's diarrhea (turista) and for temporary relief of indigestion.

Contraindications

Hypersensitivity to aspirin or other salicylates; concurrent use with aspirin; use for more than 2 d in presence of high fever or in children <3 y unless prescribed by physician; chicken pox or flu.

Cautious Use

Diabetes and gout; concurrent use with salicylates and anticoagulants; pregnancy (category C), lactation.

Administration

Ensure chewable tablets are chewed or crushed before being swallowed and followed with at least 8 oz water or other liquid.

Diagnostic Test Interference

Because bismuth subsalicylate is radiopaque, it may interfere with radiographic studies of GI tract.

What Is Pepto Bismol Used For?

Pepto Bismol is an over-the-counter antacid medication used to treat stomach problems like diarrhea and acid reflux. The active ingredient in Pepto-Bismol is called bismuth subsalicylate, which belongs to a drug family called salicylates.

Can You Take Pepto Bismol While Breastfeeding?

Nursing moms are not immune to stomach issues like constipation, nausea, and heartburn and there may be times when they want to take something to relieve their symptoms, but is Pepto Bismol safe for nursing moms?

Safety Tips For Taking Pepto Bismol While Breastfeeding

If after reading this article you do still want to take Pepto Bismol, here are 5 key safety tips to remember:

The Final Thought & Safety Tips

When it comes to breastfeeding and taking Pepto Bismol, there is not a definitive answer with regards to its safety. There have not been enough clinical studies to confidently prove the safety of taking Pepto Bismol while nursing.

Actions

This medication is used to treat occasional upset stomach, heartburn, and nausea. It is also used to treat diarrhea and help prevent travelers' diarrhea.

May Treat: Diarrhea · Dyspepsia

Alternate Brand Names: Pink Bismuth

Drug Class: Antidiarrheal - Bismuth Agents

Availability: No Prescription Required

Pregnancy: Consult a doctor before using

May Treat: Diarrhea · Dyspepsia

Alternate Brand Names: Pink Bismuth

Drug Class: Antidiarrheal - Bismuth Agents

Availability: No Prescription Required

Pregnancy: Consult a doctor before using

Lactation: This drug should not be given to breastfeeding mothers

Alcohol: Limit intake while taking this medication

Driving: May cause drowsiness or dizziness. Use caution

Manufacturer: PROCTER&GAMBLE

Precautions

  • Tell your pharmacist & Dr if you have allergies
  • Do not take more than package label recommends
  • Avoid use in pregnancy from 20 weeks until birth

  • Tell your pharmacist & Dr if you have allergies
  • Do not take more than package label recommends
  • Avoid use in pregnancy from 20 weeks until birth
  • Do not give to kids with flu like symptoms
  • Call Dr if you have black stools or stomach pain
  • Tell doctor if ringing in the ears occurs.
  • Review all drugs you are taking with your doctor
  • For suspension, oral products : Shake well & measure with dosing spoon/cup/syringe.
  • For tablet products : May discolor tongue.
  • For tablet, chewable products : Chew medicine completely before swallowing.

Therapeutic Effects

Contraindications

Cautious Use

Administration

  • Take this medication by mouth, usually as needed, as directed by the product package or as directed by your doctor. The dosage is based on your age, medical condition, and response to treatment. Do not increase your dose or take this drug more often than directed. Do not take more of this medication than recommended for your age. There are many bra...
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Nursing Implications

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