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colloidal bismuth subcitrate

Ulcer protective, Anti-H. pylori drug · Drugs for peptic ulcer, Anti-H. pylori

Ulcer protective, Anti-H. pylori drugDrugs for peptic ulcer, Anti-H. pylori
CDSCO approved
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
not curated

Mechanism

The mechanism of action is not entirely clear but probabilities include increasing gastric mucosal PGE2, mucus, and HCO3̄ production. It may precipitate mucus glycoproteins to coat the ulcer base and directly detach and inhibit H. pylori.

Indications

Ulcer healingGastritis associated with H. pyloriNonulcer dyspepsia associated with H. pyloriComponent of triple drug anti-H. pylori regimenQuadruple drug anti-H. pylori regimen (for eradication failure)

Dosing

Adult
120 mg (as Bi2O3) taken ½ hr before 3 major meals and at bedtime for 4–8 weeks. Milk and antacids should not be taken concomitantly. For quadruple therapy: 120 mg QID.

Pharmacokinetics

Excretion
Most ingested CBS passes in the faeces. Small amounts absorbed are excreted in urine.

Side effects

Common
DiarrhoeaHeadacheDizzinessBlackening of tongueBlackening of denturesBlackening of stools

Related guidelines

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Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team