Safely Buy Pepto Bismol Extra Strength ( Bismuth subsalicylate - non Rx ) from Canada Prescriptions Plus.

Indications

Pepto-Bismol Extra Strength is a product variation of Pepto-Bismol that is specifically formulated to provide stronger relief for certain digestive symptoms.

Pepto-Bismol Extra Strength is designed to provide relief for multiple digestive symptoms, including nausea, heartburn, indigestion, upset stomach, and diarrhea.

The Extra Strength version of Pepto-Bismol contains a higher concentration of the active ingredient, bismuth subsalicylate, compared to the regular strength formula. This concentrated formula is intended to provide stronger and more effective relief for those experiencing more severe symptoms.

Use and Dosage

Use exactly as directed on the label, or as prescribed by your doctor.

Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided or use a medicine dose-measuring device (not a kitchen spoon).

You must chew the chewable tablet before you swallow it.

Drink plenty of liquids while you are taking Bismatrol Extra Strength.

Do not take more than 8 doses in one day (24 hours).

Call your doctor if you still have diarrhea after 2 days of using this medicine.

This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using Bismatrol for extra Strength.

Side Effects

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

Stop taking Bismatrol Extra Strength and call your doctor at once if you have:

• Changes in behavior with nausea and vomiting
• Hhearing loss or ringing in your ears
• Diarrhea lasting longer than 2 days
• Worsened stomach symptoms

Bismatrol Extra Strength can cause you to have a black or darkened tongue. This is a harmless side effect.

Common side effects include:

• Constipation
• Dark colored stools

This is not a complete list of side effects and others may occur. 

Cautions

• Bleeding problems: Bismuth subsalicylate should not be used without a doctor’s recommendation if you have ulcers, bleeding disorders, or bloody or black stools.
• Diabetes: Salicylate medications can cause decreased blood glucose control. If you have diabetes, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
• Diarrhea: If you have mucus in your diarrhea or if you also have a fever, contact your doctor before using this medication. Diarrhea can cause dehydration, so ensure you are drinking enough fluids (e.g., oral rehydration solution). If you experience symptoms of dehydration (e.g., dry mouth, excessive thirst, decreased urine production, dizziness, lightheadedness), contact your doctor.
• If you have diarrhea that lasts more than 2 days or your symptoms get worse, contact your doctor.
• Gout: Salicylate medications can make symptoms of gout worse or cause an attack of gout. If you have gout, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
• Kidney function: If you have reduced kidney function or kidney disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
• Liver function: Bismuth subsalicylate can build up in the body when the liver is not working properly. If you have reduced liver function or liver disease, discuss with your doctor how this medication may affect your medical condition, how your medical condition may affect the dosing and effectiveness of this medication, and whether any special monitoring is needed.
• Reye’s syndrome: Children and adolescents who have or are recovering from chickenpox or other flu-like symptoms should not use this medication as it may cause Reye’s syndrome, a rare but serious condition. If you notice behaviour changes along with nausea and vomiting in your child after being treated with bismuth subsalicylate, contact your doctor immediately.
• Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks. If you become pregnant while taking this medication, contact your doctor immediately.
• Breast-feeding: It is not known if bismuth subsalicylate passes into breast milk. If you are breastfeeding and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breastfeeding.
• Children: The safety and effectiveness of using this medication have not been established for children less than 2 years of age.
• Seniors: Seniors may be more at risk of side effects from this medication.

Forms and Strengths

Pepto-Bismol Extra Strength is available in the following forms and strengths:

• Pepto-Bismol Extra Strength Liquid:
  • 32.5 mg/ml

FAQ

What happens if I miss a dose?

Since Bismatrol Maximum Strength is used when needed, you may not be on a dosing schedule. Skip any missed dose if it is almost time for your next dose. Do not use two doses at one time.

Do not take more than 8 doses per day.

What happens if I overdose?

Seek emergency medical attention.

Overdose symptoms may include weakness, depression, anxiety, feeling irritable, problems with balance or coordination, confusion, tremors, or jerky muscle movements.

What should I avoid while taking Bismatrol Maximum Strength?

Ask a doctor or pharmacist before taking other antacids or diarrhea medicine, or taking medicine that may contain a salicylate (such as aspirin, salsalate, magnesium salicylate, choline salicylate, diflunisal, Ecotrin, Tricosal, Trilisate, and others).

Resources:

1. https://www.medbroadcast.com/drug/getdrug/pepto-bismol
2. https://www.drugs.com/mtm/bismatrol-maximum-strength.html#dosage
3. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=63274378-fbe1-63b1-e053-2a91aa0ae1a7