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Panmycin and Up & Up Bismuth - Regular Strength

Determining the interaction of Panmycin and Up & Up Bismuth - Regular Strength and the possibility of their joint administration.

Check result:
Panmycin <> Up & Up Bismuth - Regular Strength
Relevance: 09.12.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using bismuth subsalicylate together with tetracycline may decrease the effects of tetracycline. Administration of tetracycline and bismuth subsalicylate should be separated by two to three hours. If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

ADJUST DOSING INTERVAL: Administration of a bismuth-containing preparation within two to three hours of a tetracycline may significantly decrease serum tetracycline concentrations. Data are available for tetracycline and doxycycline. The proposed mechanism is chelation of tetracycline by bismuth.

MANAGEMENT: Administration of a tetracycline and bismuth-containing preparation should be separated by two to three hours. Patients should be monitored for diminished tetracycline efficacy.

References
  • "Product Information. Nuzyra (omadacycline)." Paratek Pharmaceuticals, Inc., Boston, MA.
  • Albert KS, Welch RD, DeSante KA, DiSanto AR "Decreased tetracycline bioavailability caused by a bismuth subsalicylate antidiarrheal mixture." J Pharm Sci 68 (1979): 586-8
  • Ericsson CD, Feldman S, Pickering LK, Cleary TG "Influence of subsalicylate bismuth on absorption of doxycycline." JAMA 247 (1982): 2266-7
  • "Product Information. Seysara (sarecycline)." Allergan Inc, Irvine, CA.
Panmycin

Generic Name: tetracycline

Brand name: Ala-Tet, Brodspec, Panmycin, Sumycin, Tetracap, Tetracon, Robitet 500, Emtet-500

Synonyms: n.a.

Up & Up Bismuth - Regular Strength

Generic Name: bismuth subsalicylate

Brand name: Bismarex, Bismatrol, Bismatrol Maximum Strength, Kaopectate, Kola-Pectin DS, Maalox Total Stomach Relief, Peptic Relief, Pepto-Bismol, Pink Bismuth, Pepto-Bismol Maximum Strength, Maximum Strength Stress, Stress Maximum Strength, Kaopectate Extra Strength, Childrens Kaopectate, Kapectolin, Kao-Tin Bismuth Subsalicylate Formula, Kaopectate Anti-Diarrheal Upset Stomach Reliever, K-Pek, Soothe Chewable, Soothe Regular Strength, Soothe Maximum Strength, Soothe Caplets, Percy Medicine, Pepto-Bismol InstaCool

Synonyms: Bismuth subsalicylate, Bismuth Subsalicylate Suspension

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle