How Bad Is It Really to Take Pepto-Bismol Every Day? | Livestrong.com (2024)

How Bad Is It Really to Take Pepto-Bismol Every Day? | Livestrong.com (1)

Like any medicine, Pepto-Bismol has possible side effects, and they're more likely the longer you take it.

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Pepto-Bismol can be just the thing to make a short-lived stomach bug or upset stomach more manageable.

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But if you're relying on the pink liquid to keep gastrointestinal (GI) symptoms in check more often than not, is that a problem?

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Here, learn if it's bad to take Pepto-Bismol every day, how much is ‌too much‌ and when to see your doctor for GI issues that won't go away.

First, What's in Pepto-Bismol?

Pepto-Bismol contains the active ingredients bismuth and subsalicylate. Together, they work to clear GI infections faster and soothe a sour stomach, according to the National Institutes of Health (NIH).

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Bismuth:‌ This chemical element works as an antiseptic to help fight off diarrhea caused by stomach bugs.

"Most acute cases of diarrhea are caused by a short-lived bacterial or viral infection in the GI tract," says Aditya Sreenivasan, MD, a gastroenterologist at Northwell Lenox Hill Hospital in New York City.

"Your body usually does a good job of clearing these infections within 24 to 72 hours, but bismuth can help shorten the length of symptoms," he adds.

Bismuth also directly curbs diarrhea by reducing the amount of liquid secreted by the small intestine and increasing water absorption in the colon, making stools firmer, per the NIH.

Subsalicylate:‌ This anti-inflammatory works a lot like aspirin. "It helps improve cramps and abdominal pain," Dr. Sreenivasan says.

Long-Term Effects of Taking Pepto-Bismol Every Day

In general, regularly taking Pepto-Bismol to settle your stomach isn't harmful. As long as you follow proper dosing instructions on the label, it's overall considered safe, per the National Library of Medicine (NLM).

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That said, a daily dose of Pepto may not be the best idea for a couple reasons.

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1. It Could Mask a Larger Problem

If you find yourself needing to take the pink liquid for more than a few days, "it's likely you have an underlying issue that needs the attention of a doctor and some more definitive treatment," Dr. Sreenivasan says.

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You could be dealing with stomach ulcers, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), celiac disease or gallbladder or bile duct issues, he says. The only way to know for sure, though, is by seeing your doctor.

2. Large Doses Can Be Dangerous

Additionally, there are some side effects of Pepto-Bismol ‌itself‌ to consider. In some people, even a single dose of Pepto can potentially cause mild nausea, a bitter taste in your mouth, a black tongue and black stool, per the National Health Service (NHS).

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"These aren't dangerous," Dr. Sreenivasan notes, but can definitely be alarming if you're not expecting them. (You can avoid the black tongue by brushing your teeth and tongue well after each dose, especially if you take a dose before going to sleep, he adds.)

In rare cases, excessive doses (i.e., taking more than the label says) of bismuth salicylate can cause toxicity, with symptoms including the following, per the NLM:

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  • Tremors
  • Lethargy
  • Impaired cognition
  • Seizures

Warning

If you experience any of the above symptoms after taking too much Pepto-Bismol, call your doctor and visit the nearest emergency room for medical attention.

Who Should Not Take Pepto-Bismol?

Children under 12 should not take Pepto-Bismol. "It can cause Reye's syndrome — a life-threatening emergency that can cause symptoms such as seizures," Dr. Sreenivasan says.

Other warning signs of Reye's syndrome include the following, per the National Institute of Neurological Disorders and Stroke (NINDS):

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  • Persistent vomiting
  • Personality changes like irritability or combativeness
  • Disorientation or confusion
  • Convulsions

You should also avoid taking Pepto-Bismol if any of the below apply to you, per the NLM:

  • You have a GI ulceration (cut) or bleeding disorder
  • You have a GI condition that already causes black or bloody stools
  • You're taking certain medications like anticoagulants (blood thinners), sulfinpyrazone (for gout), probenecid or methotrexate (for arthritis)

So, How Often Should You Actually Take Pepto-Bismol?

Healthy adults who have stomach discomfort or diarrhea can take 524 milligrams of Pepto-Bismol every 30 minutes to 1 hour as needed, or 1,050 milligrams every hour for up to two days, according to the NLM.

Don't exceed 4,200 milligrams over the course of two days. Instead, contact your doctor if you're still experiencing symptoms.

Alternatives to Pepto-Bismol

Fortunately, Pepto-Bismol isn't the only remedy for an upset stomach.

For mild indigestion, bloating, cramping, nausea or diarrhea, you've got other options, including:

1. Give Your Stomach a Break

Stick with light, bland foods that won't irritate your stomach, like crackers, bananas, toast, clear broth, white rice or plain potatoes. You can also try to avoid dairy, spicy foods or anything that's fatty or fried, per the American Academy of Family Physicians.

2. Apply Some Gentle Heat

Sometimes, a hot water bottle or heating pad placed over your stomach can be enough to ease abdominal cramping caused by gas, diarrhea and GI upset, per the Cleveland Clinic.

3. Try an Herbal Remedy

Ginger and peppermint tea can quell a queasy stomach, per the Cleveland Clinic. And herbs like licorice (which can be found in tea blends) could even help reduce gas.

So, How Bad Is It Really to Take Pepto-Bismol Every Day?

Taking Pepto-Bismol for a few days in a row or even a week likely won't hurt you. (You ‌may‌ experience mild side effects like black tongue or stool, though.)

But if you need it ‌every day‌ for lengths of time, there's a good chance you have an underlying stomach issue that needs to be addressed.

Talk to your doctor if you're unsure about your Pepto-Bismol use, and whether you can take it if you have a GI condition.

"Because GI symptoms are usually short-lived, if a person's symptoms are lasting longer than a week, it's likely there's some issue going on that needs to be diagnosed and treated," Dr. Sreenivasan says.

Warning

Visit your doctor or the nearest emergency room if you experience other GI symptoms (regardless of whether you take Pepto-Bismol or not) including abdominal pain accompanied by fever, nausea or vomiting; blood in your stool, urine or vomit; abdominal swelling or tenderness; pain throughout your body or shortness of breath.

How Bad Is It Really to Take Pepto-Bismol Every Day? | Livestrong.com (2024)

FAQs

Is taking Pepto-Bismol every day bad for you? ›

You can take Pepto-Bismol for up to 2 days. Do not take it for more than 2 days as this will increase your risk of getting side effects. If your symptoms are no better or are getting worse after 2 days, contact your doctor.

What are the long term side effects of bismuth subsalicylate? ›

Salicylism has been reported in patients who chronically ingest bismuth subsalicylate. Common complaints include vertigo, diminished hearing, lethargy, CNS dysfunction, confusion, tinnitus, vomiting, and abdominal pain.

What can I take instead of Pepto-Bismol? ›

What is the best upset stomach medicine?
Main uses
Pepto-BismolDiarrhea, nausea, and heartburn
MylantaHeartburn and gas
TumsHeartburn and indigestion
RolaidsHeartburn and indigestion
1 more row

How much is too much Pepto-Bismol? ›

For diarrhea or upset stomach: Adults and teenagers—The usual dose is 2 tablespoonfuls every half-hour to one hour if needed. You should not take more than 16 tablespoonfuls of the regular-strength suspension or 8 tablespoonfuls of the concentrate in twenty-four hours.

Why is Pepto-Bismol illegal in France? ›

Over-the-counter medicine for traveler's diarrhea is regulated, too. Pepto-Bismol is not sold in France due to a health scare in the 1970s.

How often is too often to take Pepto? ›

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.

Why don t doctors recommend Pepto-Bismol? ›

Salicylate toxicity can occur after overdose. Avoid Pepto Bismol if you take aspirin regularly. It is not advisable during pregnancy and breastfeeding. Children under 12 years of age should not take salicylate products due to an increased risk for Reye's Syndrome.

What is better omeprazole or Pepto-Bismol? ›

Prilosec (omeprazole) works the best to treat frequent heartburn. Mylanta and Pepto-Bismol work the best to relieve immediate heartburn. Generally, heartburn symptoms can be treated with antacids, acid blockers, and proton pump inhibitors. Antacids, like Mylanta, work within minutes, to treat heartburn.

Who should not use Pepto-Bismol? ›

Do not take this medicine if you are pregnant or breastfeeding. Pepto-Bismol is not suitable for some people. To make sure this medicine is safe for you, tell your doctor or pharmacist if you have: ever had an allergic reaction to bismuth subsalicylate or any of the other ingredients in Pepto-Bismol or Pepti Calm.

Why is Pepto-Bismol not available in the UK? ›

This is the Pepto-Bismol page for the US, and we have some limited info. Unfortunately, Pepto products are currently unavailable in the UK due to supply shortages. Efforts will continue to bring Pepto back to shelves as soon as possible, hopefully in 2023.

Will Pepto-Bismol prolong a stomach virus? ›

However, in some cases, Pepto-Bismol may prolong a stomach virus. This is because diarrhea is the body's way of getting rid of the virus, and treating diarrhea may slow this process down. Most of the time, a stomach virus will resolve on its own with at-home care.

Why can't diabetics take Pepto-Bismol? ›

Using bismuth subsalicylate together with insulin or certain other diabetes medications may increase the risk of hypoglycemia, or low blood sugar.

What is bismuth toxicity? ›

In the clinic, depending on the administration time of bismuth, its toxicity can be roughly divided into acute and chronic exposures. Both exposure doses can cause neurotoxicity, gastrointestinal toxicity, nephrotoxicity, hepatotoxicity, and increased bismuth concentration in blood.

When should you not take Pepto-Bismol? ›

Do not take this medicine if you are pregnant or breastfeeding. Pepto-Bismol is not suitable for some people. To make sure this medicine is safe for you, tell your doctor or pharmacist if you have: ever had an allergic reaction to bismuth subsalicylate or any of the other ingredients in Pepto-Bismol or Pepti Calm.

How to get Pepto-Bismol out of your system? ›

A few days after you stop using Pepto-Bismol, your tongue discoloration should go away on its own, so you don't really need to do anything. Pepto-Bismol is usually out of your system in one day, but it can take several days for the side effect to go away.

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