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In this Article

• What is bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera Capsules)?
• What are the possible side effects of bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera Capsules)?
• What is the most important information I should know about bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera Capsules)?
• What should I discuss with my health care provider before taking bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera Capsules)?
• How should I take bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera Capsules)?
• What happens if I miss a dose (Pylera Capsules)?
• What happens if I overdose (Pylera Capsules)?
• What should I avoid while taking bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera Capsules)?
• What other drugs will affect bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera Capsules)?
• Where can I get more information?

What happens if I miss a dose (Pylera Capsules)?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

If you miss more than 4 doses, call your doctor for instructions.

What happens if I overdose (Pylera Capsules)?

Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of a bismuth subcitrate potassium, metronidazole, and tetracycline overdose are not known.

What should I avoid while taking bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera Capsules)?

Do not drink alcohol while you are taking this medication and for at least 1 day after you stop taking it. You may have unpleasant side effects such as fast heartbeats, warmth or redness under your skin, tingly feeling, nausea, and vomiting.

Check the labels of any medicines or food products you use to make sure they do not contain alcohol.

Avoid taking this medication with milk or other dairy products. Also avoid taking iron supplements, multivitamins, calcium supplements, or antacids. These products can make it harder for your body to absorb tetracycline.

Antibiotic medicines can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or has blood in it, call your doctor. Do not use any medicine to stop the diarrhea unless your doctor has told you to.

Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Tetracycline can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.

What other drugs will affect bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera Capsules)?

The following drugs can interact with bismuth subcitrate potassium, metronidazole, and tetracycline. Tell your doctor if you are using any of these:

• cimetidine (Tagamet);
• lithium (Lithobid, Eskalith, others);
• a blood thinner such as warfarin (Coumadin);
• seizure medication such as phenytoin (Dilantin) or phenobarbital (Luminal, Solfoton); or
• a penicillin antibiotic such as amoxicillin (Amoxil, Trimox, others), penicillin (BeePen-VK, Pen-Vee K, Veetids, others), dicloxacillin (Dynapen), carbenicillin (Geocillin), oxacillin (Bactocill), and others.

This list is not complete and there may be other drugs that can interact with bismuth subcitrate potassium, metronidazole, and tetracycline. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Where can I get more information?

Your pharmacist can provide more information about bismuth subcitrate potassium, metronidazole, and tetracycline.

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

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