Drug synopsis & main distinctions | conditions treated | Efficacy | insurance coverage and cost comparison | Side impacts | drug interactions | Warnings | FAQ

Whether you’ve experienced mild indigestion or occasional heartburn, you’ve more than likely come across Pepto-Bismol and also Tums at part point. These drugs space two of the most usual over-the-counter (OTC) medications 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 eat spicy foodstuffs or big meals can sometimes cause a burning sensation or discomfort in the chest and also upper ab region. Antacids can help relieve this symptoms.

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

Pepto-Bismol is the brand surname for bismuth subsalicylate. Bismuth has antimicrobial impacts against particular diarrhea-causing bacteria when subsalicylate has antisecretory effects against fluid and also electrolyte loss. Bismuth subsalicylate also has anti-inflammatory plot on the stomach and also intestinal lining. For these reasons, Pepto-Bismol have the right to be provided as an antacid or antidiarrheal agent.

Pepto-Bismol is notably discovered as an oral liquid. However, it also comes in continuous tablets and chewable tablets. It’s crucial to note that, if most forms of Pepto-Bismol save bismuth subsalicylate, children’s Pepto-Bismol often contains calcium carbonate.

Tums is a brand name for calcium carbonate. It’s taken into consideration a potent antacid that directly neutralizes stomach acid. Calcium lead carbonate reacts with stomach mountain to type calcium chloride, carbon dioxide, and also water. Because of overfill carbon dioxide production in the stomach, belching and also gas (flatulence) are usual side effects of Tums.

Unlike Pepto-Bismol, Tums is mainly uncovered as a chewable tablet in regular-strength and also extra-strength forms. Tums is frequently used by those older 보다 12 years old, but children’s execution of Tums are additionally available. Some versions of children’s Tums includes simethicone to aid relieve gas.

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

Main differences in between Pepto-Bismol and Tums
Drug classAntacidAntidiarrheal agentAntacid
Brand/generic statusBrand and also generic version availableBrand and also generic versions available
What is the generic name?Bismuth subsalicylateCalcium carbonate
What form(s) does the medicine come in?Oral suspension liquidOral tabletOral chewable tabletOral chewable tablet
What is the typical dosage?2 tablespoons of fluid or 2 tablets containing 262 mg (for a full of 524 mg per dose) every 30 come 60 minutes as needed. Preferably of 8 doses per day.2 come 4 chewable 750 mg tablets as needed for symptoms. Maximum of 10 tablet computers in a day.
How long is the usual treatment?For occasional temporary use. Self-treatment have to last no much longer than 14 work of continual use.For occasional temporary use. Self-treatment should last no much longer than 14 days of consistent use.
Who frequently uses the medication?Adults and children 12 years and 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 difficulty that can likewise be a symptom of acid reflux and GERD (gastroesophageal reflux disease). Pepto-Bismol deserve to treat acid indigestion, which includes symptoms like ab discomfort, bloating, and nausea. In addition, Pepto-Bismol have the right to treat traveler’s diarrhea and also occasional diarrhea, and also peptic ulcer disease caused by Helicobacter pylori. When offered for H. Pylori, bismuth subsalicylate is bring away with other antibiotics to treat the infection.

Tums is labeled to act heartburn and also indigestion. It help neutralize and also decrease the quantity of acid in the stomach to relax symptoms such together bloating and abdominal discomfort. Calcium carbonate is sometimes merged with simethicone to relieve symptoms that gas and flatulence linked with indigestion.

Because Pepto-Bismol have the right to sometimes save calcium carbonate—the exact same ingredient in Tums—it’s vital to check the parcel labeling and also ask your medical care provider come make certain you’re taking the appropriate product.


Is Pepto-Bismol or Tums more effective?

Currently, there room no considerable reviews directly comparing Pepto-Bismol and also Tums. Researches have shown that bismuth subsalicylate and calcium lead carbonate are typically used to treat indigestion since of your acid-reducing effects.

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

Pepto-Bismol is an ext effective because that other offers such as treating diarrhea and H. Pylori infections. Bismuth subsalicylate has actually been presented to assist heal peptic ulcers when fighting bacteria, particularly when an unified with antibiotics choose metronidazole and also clarithromycin.

Consult a health care provider for the finest treatment option for occasional heartburn and also indigestion. More serious cases of heartburn, such as acid reflux condition or GERD, may require other medicines like proton pump inhibitors (PPIs). Drugs labeled as PPIs incorporate Prevacid (lansoprazole) and Prilosec (omeprazole).

RELATED: Alka-Seltzer details

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Coverage and also cost comparison of Pepto-Bismol vs. Tums

Medicare and insurance plans seldom cover over-the-counter (OTC) drugs like Pepto-Bismol and Tums. In situations where a prescription variation of one OTC medicine is available, insurance allowance plans might decide to cover it.

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The average prices of Pepto-Bismol and Tums vary depending upon which pharmacy you walk to. However, this drugs are relatively inexpensive. Still, you may be able to save an ext with a aramuseum.org Pepto-Bismol coupon or aramuseum.org Tums coupon if prescribed through a doctor.

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

Common side effects of Pepto-Bismol vs. Tums

Pepto-Bismol deserve to often reason a darkened shade of the stool or tongue. This is due to the fact that bismuth subsalicylate deserve to react with little amounts the sulfur to produce bismuth sulfide, a black substance. If darkened stool may be confused with bloody stool (a significant condition), this side impact is temporary and harmless. Part people likewise report soft constipation after taking Pepto-Bismol.

Side impacts of Tums incorporate belching and gas (flatulence). Tums may also cause constipation and dry mouth.

Rare yet serious effects of Pepto-Bismol may encompass tinnitus or a continuous ringing in the ear that could indicate hear problems. Various other serious side effects of Tums include symptoms that high calcium levels (hypercalcemia), such as weakness, bone pain, and fatigue.

Side effectApplicable?FrequencyApplicable?Frequency
Black or darkened stoolYes*No*
Black or darkened tongueYes*No*
Belching and flatulenceNo*Yes*
Dry mouthNo*Yes*

*not reported

This may not it is in a finish list of adverse effects that have the right to occur. Please describe your doctor or healthcare provider to find out more.

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

Drug interaction of Pepto-Bismol vs. Tums

Pepto-Bismol can communicate with numerous of the same medications that aspirin interacts with. Bismuth subsalicylate can interact with warfarin and increase the danger of bleeding. As soon as taken through anti-gout agents like probenecid, bismuth subsalicylate have the right to decrease anti-gout effects. Pepto-Bismol can also decrease the absorption and also effectiveness that tetracycline and quinolone antibiotics.

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

DrugDrug classPepto-BismolTums
Ferrous sulfateFerrous gluconateFerric citrateIronNoYes

Consult a healthcare experienced for other feasible drug interactions.

Warnings that Pepto-Bismol and Tums

Those who are sensitive to aspirin products should stop taking Pepto-Bismol and also other salicylate drugs. Otherwise, hypersensitivity reactions, such as rashes, room a potential disadvantage effect.

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

Since Tums includes calcium carbonate, it must be avoided or monitored with various other calcium-containing products. In severe cases, too lot calcium can damages the kidneys, undermine bones, and affect the features of the brain and heart.

Consult your health care provider for various other precautions to be aware of while acquisition Pepto-Bismol or Tums.

Frequently asked questions around Pepto-Bismol vs. Tums

What is Pepto-Bismol?

Pepto-Bismol is an over-the-counter drug that has bismuth subsalicylate. It’s offered to treat mild, infrequent heartburn, indigestion, and diarrhea. Bismuth subsalicylate is also approved come treat H. Pylori infections once used together with other antibiotics. Pepto-Bismol is accessible in an oral suspension, dental tablet, and also oral chewable tablet.

What is Tums?

Tums is the brand because that calcium carbonate. That is provided to treat occasional heartburn and also indigestion. Tums is easily accessible in regular-strength and also extra-strength chewable tablets.

Are Pepto-Bismol and also Tums the same?

Pepto-Bismol and Tums room not the same. They contain different energetic ingredients and come in various formulations. However, some versions the Pepto-Bismol may contain calcium carbonate, the same active ingredient in Tums. Check the brand of the drug prior to purchasing come make certain it contains the ingredient you’re looking for.

Is Pepto-Bismol or Tums better?

Pepto-Bismol and also Tums room both reliable drugs for dealing with occasional symptoms of heartburn or indigestion. Lock both work fairly quickly and work because that a brief duration. One may be desired over the other depending on sugar contents and also inactive ingredients, and whether it come in a liquid or chewable tablet. Price may also play a function in determining the finest option.

Can I use Pepto-Bismol or Tums while pregnant?

Pepto-Bismol is not usually recommended because that pregnant women because of a possible increased danger of bleeding. Tums may be taken occasionally for indigestion in encourage doses. However, it’s crucial for pregnant women to be conscious of calcium intake since they may be taking various other prenatal vitamin or supplements. Acquire medical advice indigenous your healthcare provider if you’re enduring heartburn or indigestion if pregnant.

Can I use Pepto-Bismol or Tums v alcohol?

Alcohol should be avoided while taking Pepto-Bismol or Tums. Alcohol may irritate the lining the the stomach or intestines and alter the all at once effectiveness the antacids and also antidiarrheal agents.

Is Tums great for an upset stomach?

Tums is one affordable, effective option for treating an upset stomach. Chewable Tums tablets start working within five minutes and also can be taken as needed. Tums need to only be used for mild, sometimes heartburn and indigestion. If she needing to use Tums repeatedly for an ext than 14 days, consult a health care provider.

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Is Pepto Bismol an antacid?

Pepto-Bismol has mild antacid results to help relieve symptoms of heartburn and also indigestion. It likewise works together an antidiarrheal agent that is frequently used come treat traveler’s diarrhea. Pepto-Bismol works by coating the lining that the digestive tract while staying clear of fluid and also electrolyte loss.