Pepto-Bismol is commonly used to treat gastrointestinal ailments such as gastroesophageal reflux, nausea, bloating, upset stomach, belching, and diarrhea. However, some parents may wonder if it is safe to use Pepto-Bismol while breastfeeding. If you suffer from diarrhea or acidity while breastfeeding, dietary and lifestyle changes are recommended to resolve the problem. However, if these changes don’t alleviate the issue, you may consider taking Pepto-Bismol after consulting your doctor. Read this post to learn more about the ingredients of Peto-Bismol, if it is safe for nursing mothers, possible side effects, and alternative remedies while breastfeeding.

What Is Pepto-Bismol?

Pepto-Bismol is an over-the-counter (OTC) antacid used for relief from minor gastrointestinal ailments such as heartburn, nausea, upset stomach, bloated tummy, indigestion, gas, belching, and diarrhea(1). The medicine is available in liquid, capsule, and chewable tablet form.

What Are The Ingredients Of Pepto-Bismol?

The active ingredient of Pepto-Bismol is a compound called bismuth subsalicylate, which plays a significant role in alleviating symptoms of gastrointestinal problems. It forms a coat (protective layer) on the ulcers and helps in the secretion of prostaglandins and mucus that reduce the effects of stomach acid (2). The concentration of the compound varies based on the form of medicine. The manufacturer recommends no more than eight doses in 24 hours (3).

Is It Safe To Have Pepto-Bismol When Breastfeeding?

The US Centers for Disease Control and Prevention recommends lactating mothers avoid bismuth subsalicylate, as it can find its way into breast milk(4). The Journal of Travel Medicine also recommends lactating mothers avoid medication containing bismuth subsalicylate. Though the effects on the infant are unknown, salicylate was observed to be absorbed significantly (5).

What Are The Side Effects Of Pepto-Bismol On Breastfeeding Baby?

The side effects of Pepto-Bismol/Bismuth subsalicylate on the health of the infant are unknown. But there is some research on the impact of the compound salicylate, which is also called salicylic acid. Salicylate is found in Pepto-Bismol as well as in Aspirin, whose effects on the breastfeeding baby have been widely researched(6). Studies suggest that less than 1% of maternal salicylic acid dosage passes into breast milk(7). According to the Drug Principles in Lactation published by The American College of Clinical Pharmacy, “Salicylates should be avoided because of the risk of thrombocytopenia and tinnitus in a nursing infant (8).” The compound also holds the potential to cause the following side effects among breastfeeding infants: Even though there are no studies to prove that the salicylates in Pepto-Bismol have the same side effects as that in Aspirin, it is safe to avoid it during breastfeeding, considering that salicylic acid can pass into breast milk.

What Are The Alternatives To Pepto-Bismol?

There are both medicinal and non-medicinal alternatives to Pepto-Bismol. Did you have to take Pepto-Bismol while breastfeeding? Tell us about your experience in the comment section below.  This post is for informational purposes only and is not a replacement for a doctor’s consultation. Do not use any medication without talking to your doctor.

References: