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BISMUTH SUBCITRATE POTASSIUM; METRONIDAZOLE; TETRACYCLINE (BIZ muth sub SIH trayt poe TAS ee um; me troe NI da zole; tet ra SYE kleen) treats ulcers caused by H. pylori bacteria. It works by killing or preventing the growth of bacteria. It is a combination medication that contains a tetracycline antibiotic.
This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.
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Take this medication by mouth with a full glass of water. Take it as directed on the prescription label at the same time every day. Take all of this medication unless your care team tells you to stop it early. Keep taking it even if you think you are better.
Take products with aluminum, calcium, iron, magnesium, or zinc in them at a different time of day than this medication. Talk to your care team if you have questions.
Talk to your care team about the use of this medication in children. It is not approved for use in children.
Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.
NOTE: This medicine is only for you. Do not share this medicine with others.
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Do not take this medication with any of the following:
-Acitretin
-Alcohol or any product that contains alcohol
-Cisapride
-Disulfiram
-Dronedarone
-Pimozide
-Thioridazine
This medication may also interact with the following:
-Antacids, vitamins, or other products that contain aluminum, calcium, iron, magnesium, or zinc
-Busulfan
-Certain medications that treat or prevent blood clots, such as warfarin
-Cimetidine
-Estrogen or progestin hormones
-Lithium
-Other medications that cause heart rhythm changes
-Phenobarbital
-Phenytoin
This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.
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Tell your care team if your symptoms do not start to get better or if they get worse.
Do not treat diarrhea with over the counter products. Contact your care team if you have diarrhea that lasts more than 2 days or if it is severe and watery.
This medication can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and sunscreen. Do not use sun lamps, tanning beds, or tanning booths.
Estrogen and progestin hormones may not work as well while you are taking this medication. Contraception is recommended while taking this medication. Your care team can help you find the option that works for you.
Some products may contain alcohol. Ask your care team if this medication contains alcohol. Be sure to tell all care teams you are taking this medication. Certain medications, such as metronidazole and disulfiram, can cause an unpleasant reaction when taken with alcohol. The reaction includes flushing, headache, nausea, vomiting, sweating, and increased thirst. The reaction can last from 30 minutes to several hours.
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If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
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Side effects that you should report to your care team as soon as possible:
-Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
-Increased pressure around the brain—severe headache, blurry vision, change in vision, nausea, vomiting
-Pain, tingling, or numbness in the hands or feet, muscle weakness, change in vision, confusion or trouble speaking, loss of balance or coordination, trouble walking, seizures
-Rash, fever, and swollen lymph nodes
-Redness, blistering, peeling, or loosening of the skin, including inside the mouth
-Seizures
-Severe diarrhea, fever
-Unusual vaginal discharge, itching, or odor
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
-Black stools
-Change in tooth color
-Dark or black tongue
-Diarrhea
-Metallic taste in mouth
-Nausea
-Sensitivity to light
This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
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Keep out of the reach of children and pets.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Get rid of any unused medication after the expiration date.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, empty the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.
NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.
DISCLAIMER: This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment. Drug information is sourced from GSDD (Gold Standard Drug Database ) provided by Elsevier.
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