• TRADE NAMES: Bismatrol; Bismuth Iodoform Paraffin Paste (BIPP); Bismuth subcitrate; Bismuth subgallate; Bismuth sucralfate; Caved-S; Colo-Fresh; De-Nol; Devrom; Diotame; Helidac (Prometheus); Pepto-Bismol (Procter & Gamble); Pink Bismuth
  • INDICATIONS: As part of ‘triple therapy’ (antibiotics + bismuth) for eradication of H. pylori. Bismuth subgallate initiates clotting via activation of factor XII, and is used for bleeding during tonsillectomy and adenoidectomy. BIPP impregnated ribbon gauze is used for packing following ear surgery. Bismuth subsalicylate is in OTC products for gastrointestinal complaints and peptic ulcer disease.
  • CLASS: Disinfectant, Heavy metal
  • HALF-LIFE: 21–72 days

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Page last updated 07/31/2023

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Incidence

<1% 1‑5% 5‑10% 10‑15% 15‑20% 20‑30% >30%

Seriousness

Hospitalization possible
Life threatening
Fatal

Warnings in other populations

BreastfeedingBreast feeding

GeriatricGeriatric

PediatricPediatric