The most commonly used over-the-counter preparations are Pepto-Bismol (bismuth subsalicylate) and Kaopectate (attapulgite). Kaopectate has changed its traditional formulation of kaolin and pectin; I don’t have much experience with the new formulation, but both medications appear safe and effective. Pepto-Bismol is also helpful with upset stomach and heartburn.
Dosage
Follow label directions. A general principle is to increase dosage as required so that more sever diarrhea is treated more vigorously and minor problems require less medication.
Side Effects
Bismuth subsalicylate may cause harmless darkening of the tongue and/or stool. In extremely high doses, aspirin-like side effects such as ringing of the ears may be noted.
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