Drug summary & main distinctions | problems treated | Efficacy | insurance money coverage and also cost compare | Side impacts | medicine interactions | Warnings | FAQ

Whether you’ve skilled mild indigestion or occasional heartburn, you’ve probably come across Pepto-Bismol and also Tums at part point. This drugs space two the the most common over-the-counter (OTC) drugs for heartburn.

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Both Pepto-Bismol and also Tums have actually antacid effects, which assist neutralize stomach acid. Too lot stomach mountain after eat spicy foods items or huge meals deserve to sometimes cause a burning sensation or uncomfortable in the chest and upper abdominal muscle region. Antacids can aid relieve these symptoms.

What are the main differences in between Pepto-Bismol and also Tums?

Pepto-Bismol is the brand name for bismuth subsalicylate. Bismuth has actually antimicrobial impacts against particular diarrhea-causing bacteria when subsalicylate has antisecretory effects versus fluid and electrolyte loss. Bismuth subsalicylate likewise has anti-inflammatory plot on the stomach and intestinal lining. For these reasons, Pepto-Bismol deserve to be offered as one antacid or antidiarrheal agent.

Pepto-Bismol is notably discovered as an dental liquid. However, it likewise comes in continual tablets and also chewable tablets. It’s vital to keep in mind that, while most forms of Pepto-Bismol contain bismuth subsalicylate, children’s Pepto-Bismol often includes calcium carbonate.

Tums is a brand name for calcium carbonate. It’s taken into consideration a potent antacid that straight neutralizes stomach acid. Calcium carbonate reacts v stomach mountain to kind calcium chloride, carbon dioxide, and water. Since of overfill carbon dioxide manufacturing in the stomach, belching and also gas (flatulence) are typical side effects of Tums.

Unlike Pepto-Bismol, Tums is mainly discovered as a chewable tablet computer in regular-strength and also extra-strength forms. Tums is commonly used by those older than 12 years old, but children’s execution of Tums are additionally available. Part versions of children’s Tums includes simethicone to help relieve gas.

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

Main differences between Pepto-Bismol and Tums
Drug classAntacidAntidiarrheal agentAntacid
Brand/generic statusBrand and also generic versions availableBrand and generic versions available
What is the share name?Bismuth subsalicylateCalcium carbonate
What form(s) walk the medicine come in?Oral suspension liquidOral tabletOral chewable tabletOral chewable tablet
What is the traditional dosage?2 tablespoons of fluid or 2 tablet computers containing 262 mg (for a full of 524 mg per dose) every 30 come 60 minutes as needed. Preferably of 8 doses every day.2 come 4 chewable 750 mg tablets as needed for symptoms. Maximum of 10 tablets in a day.
How lengthy is the usual treatment?For occasional momentary use. Self-treatment need to last no longer than 14 work of continual use.For occasional short-lived use. Self-treatment should last no much longer than 14 job of regular use.
Who frequently uses the medication?Adults and children 12 years and also olderAdults and children 12 years and also older

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Conditions treated by Pepto-Bismol and also Tums

Pepto-Bismol is FDA approved to treat heartburn, a digestive trouble that can additionally be a symptom of acid reflux and also GERD (gastroesophageal reflux disease). Pepto-Bismol can treat acid indigestion, which has symptoms like abdominal discomfort, bloating, and also nausea. In addition, Pepto-Bismol have the right to treat traveler’s diarrhea and occasional diarrhea, and also peptic ulcer disease caused through Helicobacter pylori. When offered for H. Pylori, bismuth subsalicylate is take away with various other antibiotics come treat the infection.

Tums is labeled to treat heartburn and indigestion. It help neutralize and also decrease the quantity of acid in the stomach to relieve symptoms such as bloating and abdominal muscle discomfort. Calcium carbonate is sometimes an unified with simethicone to relieve symptoms of gas and flatulence connected with indigestion.

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


Is Pepto-Bismol or Tums more effective?

Currently, there are no substantial reviews straight comparing Pepto-Bismol and Tums. Researches have displayed that bismuth subsalicylate and calcium lead carbonate are generally used come treat indigestion because of your acid-reducing effects.

Compared v H2 blockers favor Pepcid (famotidine) and also Zantac (ranitidine), Tums works faster and also relieves symptoms for a shorter duration of time. Compared with other antacids favor Alka-Seltzer (sodium bicarbonate) and also Maalox (aluminum hydroxide/magnesium hydroxide), Tums has a slightly slow onset the action, however its impacts may last longer.

Pepto-Bismol is more effective because that other uses such as dealing with diarrhea and H. Pylori infections. Bismuth subsalicylate has been shown to help heal peptic ulcers when fighting bacteria, specifically when an unified with antibiotics choose metronidazole and also clarithromycin.

Consult a health care provider for the ideal treatment choice for occasional heartburn and also indigestion. More serious situations of heartburn, such as mountain reflux condition or GERD, may require other drugs like proton pump inhibitors (PPIs). Drugs labeled together PPIs encompass Prevacid (lansoprazole) and also Prilosec (omeprazole).

RELATED: Alka-Seltzer details

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Coverage and cost comparison of Pepto-Bismol vs. Tums

Medicare and also insurance plans rarely cover over-the-counter (OTC) drugs like Pepto-Bismol and also Tums. In instances where a prescription variation of an OTC medicine is available, insurance money plans may decide come cover it.

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The average prices of Pepto-Bismol and also Tums vary depending on which pharmacy you walk to. However, these drugs are fairly inexpensive. Still, girlfriend may be able to save more with a gendergeek.org Pepto-Bismol coupon or gendergeek.org Tums coupon if prescribed by a doctor.

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

Common side results of Pepto-Bismol vs. Tums

Pepto-Bismol have the right to often reason a darkened shade of the stool or tongue. This is because bismuth subsalicylate have the right to react with tiny amounts that sulfur to develop bismuth sulfide, a black color substance. If darkened stool might be perplexed with bloody stool (a severe condition), this side effect is temporary and harmless. Some people additionally report soft constipation after taking Pepto-Bismol.

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

Rare however serious effects of Pepto-Bismol may include tinnitus or a consistent ringing in the ear that can indicate hearing problems. Various other serious side impacts of Tums incorporate symptoms of high calcium levels (hypercalcemia), such together weakness, bone pain, and fatigue.

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

*not reported

This might not it is in a finish list of adverse effects that can occur. Please describe your doctor or healthcare provider to discover more.

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

Drug interactions of Pepto-Bismol vs. Tums

Pepto-Bismol can interact with many of the same medications that aspirin interacts with. Bismuth subsalicylate can communicate with warfarin and also 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 of tetracycline and also quinolone antibiotics.

Tums have the right to decrease the effects of tetracycline and quinolone antibiotics. Calcium cations can additionally bind through antifungals, favor itraconazole, and also decrease their absorption and effectiveness. Particular antibiotics, antifungal agents, and also iron supplements should 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 also Tums

Those who space sensitive come aspirin products should protect against taking Pepto-Bismol and other salicylate drugs. Otherwise, hypersensitivity reactions, such as rashes, space a potential disadvantage effect.

Pepto-Bismol should be avoided in kids younger than 12 years old. Children who space recovering from chickenpox or influenza space at an boosted risk the Reye’s syndrome after acquisition bismuth subsalicylate. In very rare cases, Pepto-Bismol deserve to lead to neurotoxicity, particularly in those v AIDS. Signs and symptoms of neurotoxicity may include tremors, confusion, or seizures.

Since Tums includes calcium carbonate, it have to be avoided or monitored with other calcium-containing products. In serious cases, too lot calcium can damage the kidneys, undermine bones, and influence the attributes of the brain and heart.

Consult your medical care provider for other precautions come be aware of while taking 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 contains bismuth subsalicylate. It’s offered to treat mild, infrequent heartburn, indigestion, and diarrhea. Bismuth subsalicylate is likewise approved to treat H. Pylori infections as soon as used together with other antibiotics. Pepto-Bismol is accessible in an dental suspension, dental tablet, and oral chewable tablet.

What is Tums?

Tums is the brand for calcium carbonate. The 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 Tums the same?

Pepto-Bismol and also Tums room not the same. Lock contain different energetic ingredients and come in different formulations. However, part versions that Pepto-Bismol might contain calcium carbonate, the same energetic ingredient in Tums. Inspect the brand of the drug prior to purchasing come make certain it consists of the ingredient you’re looking for.

Is Pepto-Bismol or Tums better?

Pepto-Bismol and Tums space both efficient drugs for dealing with occasional symptom of heartburn or indigestion. Castle both work fairly quickly and work because that a brief duration. One might be wanted over the other depending on sugar contents and also inactive ingredients, and also whether it come in a liquid or chewable tablet. Cost may additionally play a role in determining the finest option.

Can I use Pepto-Bismol or Tums when pregnant?

Pepto-Bismol is not normally recommended because that pregnant women due to a possible increased risk of bleeding. Tums may be taken periodically for indigestion in recommended doses. However, it’s crucial for pregnant ladies to be mindful of calcium intake because they may be taking other prenatal vitamins or supplements. Gain medical advice indigenous your health care provider if you’re suffering heartburn or indigestion while pregnant.

Can I use Pepto-Bismol or Tums v alcohol?

Alcohol must be avoided while acquisition Pepto-Bismol or Tums. Alcohol may irritate the lining of the stomach or intestines and alter the in its entirety effectiveness the antacids and also antidiarrheal agents.

Is Tums an excellent for an upset stomach?

Tums is one affordable, efficient option for treating an upset stomach. Chewable Tums tablets start working within 5 minutes and also can be taken as needed. Tums have to only be offered for mild, sometimes heartburn and also indigestion. If she needing to use Tums repetitively for an ext than 14 days, top a health care provider.

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Is Pepto Bismol an antacid?

Pepto-Bismol has actually mild antacid effects to assist relieve symptom of heartburn and indigestion. It also works as an antidiarrheal agent the is generally used come treat traveler’s diarrhea. Pepto-Bismol functions by coating the lining the the digestive street while staying clear of fluid and also electrolyte loss.