Drug reference
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