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- 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
- CLINICALLY IMPORTANT, POTENTIALLY HAZARDOUS INTERACTIONS WITH:
Aspirin, Ciprofloxacin, Demeclocycline, Doxycycline, Hypoglycemics, Lomefloxacin, Lymecycline, Methotrexate, Minocycline, Tetracycline, Warfarin - PREGNANCY: category C in first and second trimesters; category D in third trimester
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Page last updated 03/24/2026
