Bispep 200ml - Suspension Bismuth subsalicylate - 17.5mg/ml 1 200ml bot(s) / 200ml bot Benham Pharmaceuticals Ltd. Indication: Diarrhea, nausea, heartburn, indigestion, upset stomach. Administration: Drink plenty of clear fluids to prevent dehydration caused by diarrhea Do not use for >2 days Adult Dose: Adult: 30 ml 3-4 times daily 30 mintues before meal. Child Dose: Child: 3-12 years: 5-15 ml <3 years: Safety and efficacy not established Contraindication: Hypersensitivity to bismuth, aspirin, other salicylates. Infectious diarrhea, high fever, von Willebrand disease, hemorrhage, ulcer or GI bleeding with black or bloody stool, hemophilia. In pediatric patients, chicken pox or influenza (risk of Reye syndrome); changes in behavior with nausea and vomiting may be early sign of Reye syndrome. Mode of Action: Antimicrobial anti-inflammatory action (bismuth); antisecretory effect (salicylate). Precaution: May cause black tongue and/or black stool. Side Effect: >10% Nausea (12%) 1-10% Diarrhea (7%),Abdominal pain (7%),Melena (3%),Upper respiratory tract infection (2%),Constipation (2%),Anorexia (2%),Vomiting (2%),Asthenia (2%),Discolored tongue (2%),Headache (2%),Dyspepsia (2%),Dizziness (2%),Stool abnormality (1%),Duodenal ulcer (1%),Sinusitis (1%),Taste perversion (1%),Flatulence (1%),GI hemorrhage (1%),Pain (1%),Insomnia (1%),Anal discomfort (1%),Paresthesia (1%) Frequency Not Defined Anxiety,Confusion,Depression,Tinnitus,Weakness,Gray-black stool,Impaction,Muscle spasm,Neurotoxicity (rare) Pregnancy Category Note: Pregnancy category: C; D in 3rd trimester Lactation: Salicylates enter breast milk; use with caution