bismuth subsalicylate
Patient Counselling
Bismuth subsalicylate should not be taken by individuals allergic to salicylates (including aspirin), those who are taking other salicylates, as well as individuals with a bleeding ulcer, a bleeding problem, or black/tarry stools (1) Bismuth subsalicylate can be taken by adults at the arrival at a travel destination, for the prevention of traveler’s diarrhea, at a dose of 30ml of liquid (525mg BS total at 17.5mg/ml) four times a day, or 2 chewable or 2 non-chewable tablets (262mg/tablet) four times per (1) For the treatment of mild traveler’s diarrhea (less than 3 loose stools per day) the dosing for adults, and children over the age of 12, is 524mg of bismuth subsalicylate every 30mins-1hr, as needed, up to a maximum of 8 doses per 24hrs (1) If the diarrhea lasts for longer than 2 days, the symptoms get worse, or there are signs of significant dehydration (dizziness, lack of sweating, decreased urine output, etc.) a physician should be consulted. Common side effects of bismuth subsalicylate include black/tarry stools, constipation, dark urine, and potential allergic reaction (rash, hives, wheezing, chest and/or throat tightness, etc.). If allergic reaction symptoms develop, it is important to stop taking the medication and consult with a physician.
References:
1. Wanke. CA, Calderwood SB, Bloom A. Travelers’ Diarrhea. Up to date. Accessed on March 10, 2014. http://www.uptodate.com/contents/travelers-diarrhea?source=machineLearning&search=travelers+diarrhea&selectedTitle=1~50§ionRank=1&anchor=H11#H11
References:
1. Wanke. CA, Calderwood SB, Bloom A. Travelers’ Diarrhea. Up to date. Accessed on March 10, 2014. http://www.uptodate.com/contents/travelers-diarrhea?source=machineLearning&search=travelers+diarrhea&selectedTitle=1~50§ionRank=1&anchor=H11#H11