Bismuth Subcitrate, Metronidazole, and Tetracycline (Oral Route)

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Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

• Acid or sour stomach
• Belching
• Chills
• Cough
• Diarrhea
• Fever
• General feeling of discomfort or illness
• Headache
• Heartburn
• Indigestion
• Joint pain
• Loss of appetite
• Muscle aches and pains
• Nausea
• Runny nose
• Shivering
• Sore or dry throat
• Stomach discomfort, upset, or pain
• Sweating
• Trouble with sleeping
• Unusual tiredness or weakness
• Vomiting

• Back pain
• Body aches or pain
• Burning feeling in the chest or stomach
• Chest pain
• Congestion
• Dizziness
• Fast, irregular, pounding, or racing heartbeat or pulse
• Hoarseness
• Itching of the vagina or genital area
• Lack or loss of strength
• Lower back or side pain
• Pain during sexual intercourse
• Painful or difficult urination
• Rash with flat lesions or small raised lesions on the skin
• Sneezing
• Stuffy nose
• Tender, swollen glands in the neck
• Tenderness in the stomach area
• Thick, white vaginal discharge with no odor or with a mild odor
• Trouble with swallowing
• Voice changes

• Bloated
• Excess air or gas in the stomach or intestines
• Full feeling
• Pain or tenderness around the eyes and cheekbones
• Passing gas
• Shortness of breath or trouble with breathing
• Skin rash
• Tightness of the chest or wheezing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

• Black or dark tongue
• Black stools

• Change in taste, or bad, unusual, or unpleasant aftertaste
• Dry mouth
• Fear or nervousness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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