Page 143 - COMMUNITY PHARMACY PRACTICE
P. 143

02/04/2024

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     Side effects :

     ü black tongue and black stools in some users of
         the drug, when it combines with trace amounts
         of sulfur in saliva and the gastrointestinal tract

         to form bismuth sulfide

     ü Some of the risks of salicylism
     ü Also ear ringing which is known as

           tinnitus

                  Contraindications and drug
                  interactions?

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     Others

     • Polycarbophil

       • Bulk laxative
       • ( not approved by FDA in diarrhea)

     • Lactobacillus: (probiotic) help maintain flora by
      inhibiting bacterial overgrowth (no suff evidence)

     • Zinc: (10-40mg daily in diarrhea) reduces total
      stool output, frequency of watery stools, duration
      and severity of diarrhea.

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