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Bismuth Subsalicylate, Metronidazole, and Tetracycline Combination

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(biz' muth sub sal i' sil ate), (me troe ni' da zole), (tet ra sye' kleen)

Brand name(s): Helidac

Contents of this page:

IMPORTANT WARNING:

Metronidazole can cause cancer in laboratory animals. However, it is very important to heal ulcers. Talk to your doctor about the risks and benefits of using this combination containing metronidazole in the treatment of your ulcers.

Why is this medication prescribed?

Bismuth subsalicylate, metronidazole, and tetracycline combination is used to treat duodenal ulcers. It fights infection by Helicobacter pylori bacteria, which often occurs with ulcers. Treating this infection keeps ulcers from coming back. It usually is used in combination with other ulcer medicines.

This medication is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How should this medicine be used?

Bismuth subsalicylate, metronidazole, and tetracycline combination comes as four pills: two pink, round, chewable tablets (bismuth subsalicylate), one white tablet (metronidazole), and one pale orange and white capsule (tetracycline). It usually is taken four times a day at meals and bedtime. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take this medication exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Chew and swallow the bismuth subsalicylate tablets. Swallow the metronidazole tablet and tetracycline capsule whole with a full glass of water (8 ounces). Avoid taking this medication with dairy products or milk. Take the bedtime dose with plenty of fluid to prevent irritation of your throat and stomach.

Continue to take this medication even if you feel well. Most people will take it for 14 days. Do not stop taking it without talking to your doctor.

What special precautions should I follow?

Before taking bismuth subsalicylate, metronidazole, and tetracycline combination,

What should I do if I forget a dose?

Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one. If you miss more than four doses, call your doctor.

What side effects can this medication cause?

Although side effects from bismuth subsalicylate, metronidazole, and tetracycline combination are not common, they can occur. Darkening of the tongue and stool is temporary and harmless. Tell your doctor if any of these symptoms are severe or do not go away:

If you have any of the following symptoms, stop taking this medication and call your doctor immediately:

What storage conditions are needed for this medicine?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.

In case of emergency/overdose

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

What other information should I know?

Keep all appointments with your doctor and the laboratory. Your doctor may order certain lab tests to check your response to this medication.

Do not let anyone else take your medicine. Ask your pharmacist any questions you have about refilling your prescription.

Last Revised - 01/01/2003


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