Bismarex is used to treat diarrhea, nausea, heartburn, indigestion, gas, or upset stomach.

Bismarex may also be used for purposes not listed in this medication guide.

You should not use this medicine if you have bleeding problems, a stomach ulcer, blood in your stools, or if you are allergic to aspirin or other salicylates.

Do not give this medicine to a child or teenager with a fever, flu symptoms, or chickenpox.

Use exactly as directed on the label, or as prescribed by your doctor.

Shake the oral suspension (liquid) before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).

You must chew the chewable tablet before you swallow it.

Drink plenty of liquids while you are taking Bismarex.

Do not take more than 8 doses in one day (24 hours).

Call your doctor if you still have diarrhea after 2 days of using this medicine.

This medicine can affect the results of certain medical tests. Tell any doctor who treats you that you are using Bismarex.

Store at room temperature away from moisture and heat. Do not freeze.

You should not use Bismarex if you are allergic to it, or if you have:

• black or bloody stools;

• a stomach ulcer;

• bleeding problems; or

• if you are allergic to salicylates such as aspirin, Doan's Extra Strength, Salflex, Tricosal, and others.

Do not give Bismarex to a child or teenager with a fever, flu symptoms, or chickenpox. Salicylates can cause Reye's syndrome, a serious and sometimes fatal condition in children.

Ask a doctor or pharmacist if this medicine is safe to use if you have:

• mucus in your stools; or

• if you currently have a fever.

Ask a doctor before using this medicine if you are pregnant or breastfeeding.

Do not give this medicine to a child younger than 12 years old without medical advice.

Since Bismarex is used when needed, you may not be on a dosing schedule. Skip any missed dose if it's almost time for your next dose. Do not use two doses at one time.

Do not take more than 8 doses per day.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Overdose symptoms may include weakness, depression, anxiety, feeling irritable, problems with balance or coordination, confusion, tremors, or jerky muscle movements.

Ask a doctor or pharmacist before taking other antacids or diarrhea medicine, or taking medicine that may contain a salicylate (such as aspirin, salsalate, magnesium salicylate, choline salicylate, diflunisal, Ecotrin, Tricosal, Trilisate, and others).

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop taking Bismarex and call your doctor at once if you have:

• changes in behavior with nausea and vomiting;

• hearing loss or ringing in your ears;

• diarrhea lasting longer than 2 days; or

• worsened stomach symptoms.

Bismarex can cause you to have a black or darkened tongue. This is a harmless side effect.

Common side effects include:

• constipation; or

• dark colored stools.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Ask a doctor or pharmacist before using Bismarex with any other medications, especially:

• arthritis medicine;

• gout medicine;

• insulin or oral diabetes medications; or

• a blood thinner--warfarin, Coumadin, Jantoven.

This list is not complete. Other drugs may affect Bismarex, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.