Drug overview & main differences | conditions treated | Efficacy | insurance allowance coverage and cost comparison | Side impacts | drug interactions | Warnings | FAQ

Whether you’ve competent mild indigestion or occasional heartburn, you’ve probably come throughout Pepto-Bismol and Tums at some point. This drugs space two of the most typical over-the-counter (OTC) drugs for heartburn.

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Both Pepto-Bismol and also Tums have antacid effects, which aid neutralize stomach acid. Too lot stomach mountain after eating spicy foodstuffs or big meals deserve to sometimes cause a burn sensation or uncomfortable in the chest and upper ab region. Antacids can help relieve these symptoms.

What are the key differences between Pepto-Bismol and also Tums?

Pepto-Bismol is the brand surname for bismuth subsalicylate. Bismuth has antimicrobial impacts against specific diarrhea-causing bacteria if subsalicylate has antisecretory effects versus fluid and also electrolyte loss. Bismuth subsalicylate additionally has anti-inflammatory plot on the stomach and intestinal lining. Because that these reasons, Pepto-Bismol can be used as an antacid or antidiarrheal agent.

Pepto-Bismol is notably found as an oral liquid. However, it additionally comes in continuous tablets and also chewable tablets. It’s vital to note that, if most develops of Pepto-Bismol contain bismuth subsalicylate, children’s Pepto-Bismol often includes calcium carbonate.

Tums is a brand name for calcium carbonate. It’s taken into consideration a potent antacid that directly neutralizes stomach acid. Calcium carbonate reacts v stomach acid to kind calcium chloride, carbon dioxide, and water. Due to the fact that of overfill carbon dioxide manufacturing in the stomach, belching and also gas (flatulence) are common side results of Tums.

Unlike Pepto-Bismol, Tums is mainly uncovered as a chewable tablet in regular-strength and also extra-strength forms. Tums is commonly used by those older than 12 year old, however children’s version of Tums are likewise available. Part versions of children Tums consists of simethicone to aid relieve gas.

RELATED: Pepto-Bismol details | Children’s Pepto-Bismol details | Tums details

Main differences in between Pepto-Bismol and also Tums
Pepto-BismolTums
Drug classAntacidAntidiarrheal agentAntacid
Brand/generic statusBrand and generic version availableBrand and also generic execution available
What is the generic name?Bismuth subsalicylateCalcium carbonate
What form(s) go the medicine come in?Oral suspension liquidOral tabletOral chewable tabletOral chewable tablet
What is the traditional dosage?2 tablespoons of fluid or 2 tablets containing 262 mg (for a full of 524 mg per dose) every 30 to 60 minutes together needed. Maximum of 8 doses per day.2 to 4 chewable 750 mg tablets as required for symptoms. Preferably of 10 tablets in a day.
How long is the common treatment?For occasional short-lived use. Self-treatment need to last no much longer than 14 days of continual use.For occasional temporary use. Self-treatment need to last no longer than 14 job of continuous use.
Who commonly uses the medication?Adults and also children 12 years and also olderAdults and also children 12 years and older

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Conditions treated by Pepto-Bismol and also Tums

Pepto-Bismol is FDA approved to law heartburn, a digestive problem that can also be a symptom of mountain reflux and GERD (gastroesophageal reflux disease). Pepto-Bismol can treat mountain indigestion, which consists of symptoms like ab discomfort, bloating, and also nausea. In addition, Pepto-Bismol have the right to treat traveler’s diarrhea and also occasional diarrhea, as well as peptic ulcer disease caused through Helicobacter pylori. When supplied for H. Pylori, bismuth subsalicylate is bring away with other antibiotics to treat the infection.

Tums is labeled to law heartburn and also indigestion. It help neutralize and also decrease the amount of mountain in the stomach to relax symptoms such as bloating and ab discomfort. Calcium lead carbonate is sometimes merged with simethicone to relax symptoms the gas and flatulence linked with indigestion.

Because Pepto-Bismol have the right to sometimes contain calcium carbonate—the very same ingredient in Tums—it’s crucial to examine the package labeling and also ask your medical care provider come make certain you’re acquisition the appropriate product.

ConditionPepto-BismolTums
HeartburnYesYes
IndigestionYesYes
DiarrheaYesNo

Is Pepto-Bismol or Tums an ext effective?

Currently, there are no considerable reviews straight comparing Pepto-Bismol and Tums. Studies have shown that bismuth subsalicylate and also calcium carbonate are typically used come treat indigestion since of their acid-reducing effects.

Compared through H2 blockers choose Pepcid (famotidine) and Zantac (ranitidine), Tums functions faster and relieves symptoms because that a shorter duration of time. Contrasted with various other antacids favor Alka-Seltzer (sodium bicarbonate) and also Maalox (aluminum hydroxide/magnesium hydroxide), Tums has actually a slightly slower onset that action, but its results may last longer.

Pepto-Bismol is more effective because that other offers such as treating diarrhea and also H. Pylori infections. Bismuth subsalicylate has been shown to help heal peptic ulcers while fighting bacteria, especially when an unified with antibiotics favor metronidazole and clarithromycin.

Consult a medical care provider because that the best treatment alternative for occasional heartburn and also indigestion. An ext serious instances of heartburn, together as acid reflux an illness or GERD, may require other medications like proton pump inhibitors (PPIs). Drugs labeled together PPIs incorporate Prevacid (lansoprazole) and Prilosec (omeprazole).

RELATED: Alka-Seltzer details


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Coverage and cost to compare of Pepto-Bismol vs. Tums

Medicare and also insurance plans rarely cover over-the-counter (OTC) medicines like Pepto-Bismol and also Tums. In instances where a prescription version of one OTC drug is available, insurance allowance plans may decide come cover it.

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The average costs of Pepto-Bismol and Tums vary depending upon which pharmacy you go to. However, these drugs are reasonably inexpensive. Still, girlfriend may be able to save more with a silverlakestyle.com Pepto-Bismol coupon or silverlakestyle.com Tums coupon if prescribed by a doctor.

 Pepto-BismolTums
Typically spanned by insurance?NoNo
Typically covered by Medicare?NoNo
Standard dosage2 262 mg tablets every 30 to 60 minutes together needed2 come 4 500 mg or 750 mg tablet computers as needed
Typical Medicare copayN/AN/A
silverlakestyle.com cost$5+$4+

Common side effects of Pepto-Bismol vs. Tums

Pepto-Bismol can often reason a darkened color of the stool or tongue. This is since bismuth subsalicylate can react with tiny amounts that sulfur to produce bismuth sulfide, a black substance. If darkened stool might be puzzled with bloody stool (a significant condition), this side effect is temporary and harmless. Some people additionally report soft constipation after taking Pepto-Bismol.

Side results of Tums include belching and gas (flatulence). Tums may likewise cause constipation and dry mouth.

Rare yet serious results of Pepto-Bismol may include tinnitus or a constant ringing in the ear that might indicate hearing problems. Other serious side impacts of Tums incorporate symptoms that high calcium levels (hypercalcemia), such together weakness, bone pain, and fatigue.

 Pepto-BismolTums
Side effectApplicable?FrequencyApplicable?Frequency
Black or darkened stoolYes*No*
Black or darkened tongueYes*No*
Belching and also flatulenceNo*Yes*
ConstipationYes*Yes*
Dry mouthNo*Yes*

*not reported

This might not be a finish list that adverse results that deserve to occur. Please refer to your physician or health care provider to learn more.

Source: NIH (Pepto-Bismol), NIH (Tums)


Drug interaction of Pepto-Bismol vs. Tums

Pepto-Bismol can interact with many of the same medications that aspirin interacts with. Bismuth subsalicylate can connect with warfarin and increase the hazard of bleeding. When taken v anti-gout agents prefer probenecid, bismuth subsalicylate have the right to decrease anti-gout effects. Pepto-Bismol can also decrease the absorption and effectiveness that tetracycline and also quinolone antibiotics.

Tums have the right to decrease the impacts of tetracycline and also quinolone antibiotics. Calcium cations can also bind v antifungals, favor itraconazole, and decrease their absorption and also effectiveness. Details antibiotics, antifungal agents, and also iron supplements must be avoided at least two hours prior to or after acquisition calcium carbonate.

DrugDrug classPepto-BismolTums
DoxycyclineMinocyclineCiprofloxacinLevofloxacinAntibioticsYesYes
ItraconazoleKetoconazoleAntifungalsNoYes
WarfarinAnticoagulantsYesNo
ProbenecidAntigoutYesNo
Ferrous sulfateFerrous gluconateFerric citrateIronNoYes

Consult a healthcare professional for other possible drug interactions.

Warnings of Pepto-Bismol and also Tums

Those who room sensitive come aspirin assets should avoid taking Pepto-Bismol and also other salicylate drugs. Otherwise, hypersensitivity reactions, such together rashes, room a potential adverse effect.

Pepto-Bismol must be avoided in kids younger than 12 years old. Kids who space recovering indigenous chickenpox or influenza room at an boosted risk of Reye’s syndrome after taking bismuth subsalicylate. In really rare cases, Pepto-Bismol have the right to lead to neurotoxicity, especially in those through AIDS. Signs and also symptoms that neurotoxicity may encompass tremors, confusion, or seizures.

Since Tums includes calcium carbonate, it need to be avoided or monitored with other calcium-containing products. In significant cases, too much calcium can damage the kidneys, weaken bones, and influence the functions of the mind and heart.

Consult your healthcare provider for other precautions come be mindful of while acquisition Pepto-Bismol or Tums.

Frequently request questions around Pepto-Bismol vs. Tums

What is Pepto-Bismol?

Pepto-Bismol is an over-the-counter medicine that contains bismuth subsalicylate. It’s offered to law mild, infrequent heartburn, indigestion, and diarrhea. Bismuth subsalicylate is also approved to treat H. Pylori infections as soon as used along with other antibiotics. Pepto-Bismol is obtainable in an dental suspension, oral tablet, and also oral chewable tablet.

What is Tums?

Tums is the brand for calcium carbonate. That is supplied to treat occasional heartburn and indigestion. Tums is accessible in regular-strength and also extra-strength chewable tablets.

Are Pepto-Bismol and also Tums the same?

Pepto-Bismol and also Tums are not the same. Castle contain different active ingredients and also come in different formulations. However, part versions that Pepto-Bismol might contain calcium carbonate, the same active ingredient in Tums. Check the brand of the drug prior to purchasing come make certain it has the ingredients you’re looking for.

Is Pepto-Bismol or Tums better?

Pepto-Bismol and Tums space both effective drugs for treating occasional symptoms of heartburn or indigestion. Castle both work relatively quickly and also work because that a brief duration. One might be preferred over the other depending on sugar contents and inactive ingredients, and also whether it comes in a liquid or chewable tablet. Expense may additionally play a role in determining the ideal option.

Can I usage Pepto-Bismol or Tums while pregnant?

Pepto-Bismol is not generally recommended because that pregnant women due to a possible increased danger of bleeding. Tums might be taken sometimes for indigestion in recommended doses. However, it’s essential for pregnant females to be mindful of calcium intake because they may be taking other prenatal vitamin or supplements. Obtain medical advice from your health care provider if you’re experiencing heartburn or indigestion if pregnant.

Can I usage Pepto-Bismol or Tums through alcohol?

Alcohol have to be avoided while acquisition Pepto-Bismol or Tums. Alcohol might irritate the lining that the stomach or intestines and alter the as whole effectiveness of antacids and antidiarrheal agents.

Is Tums great for an upset stomach?

Tums is an affordable, reliable option for dealing with an upset stomach. Chewable Tums tablets begin working within 5 minutes and also can it is in taken as needed. Tums must only be used for mild, occasional heartburn and also indigestion. If you needing to usage Tums consistently for an ext than 14 days, above a health care provider.

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Is Pepto Bismol an antacid?

Pepto-Bismol has mild antacid impacts to help relieve symptom of heartburn and also indigestion. It also works as an antidiarrheal agent the is frequently used to treat traveler’s diarrhea. Pepto-Bismol functions by coating the lining of the digestive street while staying clear of fluid and also electrolyte loss.