{"id":12378,"date":"2020-07-01T15:14:51","date_gmt":"2020-07-01T19:14:51","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=12378"},"modified":"2026-03-03T15:43:43","modified_gmt":"2026-03-03T20:43:43","slug":"pepto-bismol-vs-tums","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/pepto-bismol-vs-tums\/","title":{"rendered":"Pepto-Bismol vs. Tums: Which works better?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">If you deal with occasional heartburn, indigestion, or an upset stomach, you\u2019ve likely seen <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/pepto-bismol\"><span style=\"font-weight: 400;\">Pepto-Bismol<\/span><\/a><span style=\"font-weight: 400;\"> (the pink liquid) and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tums\"><span style=\"font-weight: 400;\">Tums<\/span><\/a><span style=\"font-weight: 400;\"> (the chewable tablets) at your local pharmacy or supermarket. Both are over-the-counter (OTC) options, but they work differently and are best for different symptoms.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/best-heartburn-medicine\/\"><b>What\u2019s the best heartburn medicine for you?<\/b><\/a><\/p>\n<table class=\" singlecare-table\" role=\"table\">\n<thead>\n<tr>\n<th>\n<h2 style=\"text-align: center;\"><span class=\"title\">Pepto-Bismol vs. Tums: Quick comparison chart<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Feature<\/b><\/td>\n<td><b>Pepto-Bismol<\/b><\/td>\n<td><b>Tums<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Active ingredient<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Bismuth subsalicylate<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Calcium carbonate<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Drug class<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Antacid + antidiarrheal<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Antacid<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Forms<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Liquid, tablets, chewables<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Chewable tablets<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Works for heartburn?<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Works for diarrhea?<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Works for <\/span><i><span style=\"font-weight: 400;\">H. pylori<\/span><\/i><span style=\"font-weight: 400;\"> ulcers?<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Yes (with antibiotics)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Typical adult dose<\/span><\/td>\n<td><span style=\"font-weight: 400;\">262-524 mg every 30 min as needed (max 4,200 mg\/day)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">1,000-3,000 mg as needed (max 7,500 mg\/day)<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Treatment length<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No more than 2 days (unless using for <\/span><i><span style=\"font-weight: 400;\">H. pylori<\/span><\/i><span style=\"font-weight: 400;\"> treatment)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No more than 14 days<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">How they work<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Pepto-Bismol<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Pepto-Bismol contains bismuth subsalicylate. It:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coats your stomach lining<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduces inflammation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Fights certain bacteria\/neutralizes bacterial toxins<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Decreases fluid loss in diarrhea<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">That\u2019s why it helps with:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heartburn<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Upset stomach<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nausea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Diarrhea (including traveler\u2019s diarrhea)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">It\u2019s also part of combination therapy to treat <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/h-pylori-symptoms\"><i><span style=\"font-weight: 400;\">Helicobacter pylori<\/span><\/i><span style=\"font-weight: 400;\"> infections<\/span><\/a><span style=\"font-weight: 400;\">, a common cause of stomach ulcers.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Tums<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Tums contains calcium carbonate, which:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.tums.com\/faqs\/\"><span style=\"font-weight: 400;\">Directly neutralizes stomach acid<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Works fast (often within five minutes)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Because it creates carbon dioxide when neutralizing acid, you may notice belching or gas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tums is best for:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Occasional heartburn<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Indigestion<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sour stomach<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tums is not meant to treat diarrhea; however, it may indirectly help diarrhea by slowing down stools due to its calcium component.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Efficacy<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Both Pepto-Bismol and Tums are approved by the U.S. Food and Drug Administration to relieve heartburn, indigestion, and upset stomach. There are no major head-to-head clinical trials directly comparing Pepto vs. Tums. Choosing the best medication depends on your symptoms.<\/span><\/p>\n<table class=\" singlecare-table\" role=\"table\">\n<thead>\n<tr>\n<th colspan=\"2\">\n<h3 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Which one works better?<\/span><\/h3>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Symptom<\/b><\/td>\n<td><b>Better choice<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Quick heartburn relief<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Tums<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Upset stomach with nausea<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Pepto-Bismol<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Diarrhea<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Pepto-Bismol<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Suspected ulcer from<\/span><i><span style=\"font-weight: 400;\"> H.pylori<\/span><\/i><\/td>\n<td><span style=\"font-weight: 400;\">Pepto-Bismol (with antibiotics)<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">How long do they last?<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Tums:<\/b><span style=\"font-weight: 400;\"> Works fast but lasts about 30-60 minutes.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Pepto-Bismol:<\/b><span style=\"font-weight: 400;\"> Slightly slower onset, but symptom relief can last a few hours.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">If you have frequent heartburn (more than twice weekly), you may need a different medication like:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/h2-antagonists\"><span style=\"font-weight: 400;\">H2 blockers<\/span><\/a><span style=\"font-weight: 400;\"> (famotidine\/Pepcid)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/drug-classes\/proton-pump-inhibitors\"><span style=\"font-weight: 400;\">Proton pump inhibitors (PPIs<\/span><b>)<\/b><\/a><span style=\"font-weight: 400;\"> like omeprazole (Prilosec)<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/gi.org\/topics\/acid-reflux\/\"><span style=\"font-weight: 400;\">Updated clinical guidance from the American College of Gastroenterology<\/span><\/a><span style=\"font-weight: 400;\">: For frequent GERD symptoms, PPIs are considered first-line therapy over antacids because they reduce acid production rather than just neutralizing it.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/conditions\/gerd-treatment-and-medications\"><b>See more GERD medications<\/b><\/a><\/p>\n<table class=\" singlecare-table\" role=\"table\">\n<thead>\n<tr>\n<th colspan=\"3\">\n<h2 style=\"text-align: center;\"><span style=\"font-weight: 400;\">Side effects of Pepto-Bismol vs. Tums<\/span><\/h2>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Side effect<\/b><\/td>\n<td><b>Pepto-Bismol<\/b><\/td>\n<td><b>Tums<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Constipation<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Common<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Common<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Black stool\/tongue<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Common and harmless<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Dry mouth<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Common<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Tinnitus (ringing in ears)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rare<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Gas<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Common<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">High calcium levels<\/span><\/td>\n<td><span style=\"font-weight: 400;\">No<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Rare but possible<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><i><span style=\"font-weight: 400;\">This may not be a complete list of adverse effects that can occur. Please refer to your doctor or healthcare provider to learn more.<\/span><\/i><\/p>\n<p><span style=\"font-weight: 400;\">Source: NIH (<\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a607040.html#side-effects\"><span style=\"font-weight: 400;\">Pepto-Bismol<\/span><\/a><span style=\"font-weight: 400;\">), NIH (<\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a601032.html#side-effects\"><span style=\"font-weight: 400;\">Tums<\/span><\/a><span style=\"font-weight: 400;\">)\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Important notes<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/conditions\/black-stool-causes\"><span style=\"font-weight: 400;\">Black stool<\/span><\/a><span style=\"font-weight: 400;\"> from Pepto is temporary and not dangerous.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tums overuse can cause <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/high-calcium-causes\"><span style=\"font-weight: 400;\">hypercalcemia<\/span><\/a><span style=\"font-weight: 400;\"> or <\/span><a href=\"https:\/\/medlineplus.gov\/ency\/article\/000332.htm\"><span style=\"font-weight: 400;\">milk-alkali syndrome<\/span><\/a><span style=\"font-weight: 400;\">, especially if you:<\/span>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Take calcium supplements<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Have kidney disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"2\"><span style=\"font-weight: 400;\">Use high doses long-term<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">How to prevent constipation from Tums and Pepto-Bismol<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Some <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/home-remedies-for-constipation\/\"><span style=\"font-weight: 400;\">natural remedies for constipation<\/span><\/a><span style=\"font-weight: 400;\"> include drinking more water, slowly eating more fiber-rich foods, and exercising regularly. Taking these medications for a short period of time can also help prevent side effects.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Drug interactions<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Both medications can interfere with certain medications. Avoid taking them close together with:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tetracycline antibiotics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Quinolone antibiotics (like ciprofloxacin)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Iron supplements<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antifungals like itraconazole<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">These medications should be spaced at least two hours apart from the Pepto-Bismol and Tums.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Use extra caution with Pepto-Bismol because it\u2019s related to aspirin, which can:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Increase bleeding risk with warfarin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Interact with gout medications<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trigger salicylate sensitivity<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Can you take Pepto-Bismol and Tums together?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Yes, generally you can. They work differently and do not have a known direct interaction. However, don\u2019t exceed maximum doses and ask your pharmacist if you take other medications.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Can you take Imodium and Pepto-Bismol together?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">You can take Imodium and Pepto together, but it\u2019s not recommended since it can increase your risk of constipation.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Who should avoid these medications?<\/span><\/h2>\n<p><b>Avoid Pepto-Bismol if:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You\u2019re allergic to aspirin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You\u2019re taking blood thinners<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Your child is younger than 12 years old, especially those recovering from the flu or chickenpox (due to the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/reyes-syndrome\/\"><span style=\"font-weight: 400;\">risk of Reye\u2019s syndrome<\/span><\/a><span style=\"font-weight: 400;\">)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You\u2019re pregnant (generally not recommended)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Note: Some versions labeled \u201c<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/childrens-pepto\"><span style=\"font-weight: 400;\">Children\u2019s Pepto<\/span><\/a><span style=\"font-weight: 400;\">\u201d contain calcium carbonate (the active ingredient in Tums), not bismuth. Always check the label.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201dWhat\u2019s ironic is that \u2018Kids Pepto\u2019 is nothing more than Tums (calcium carbonate), as the real Pepto-Bismol should be used with caution in children with viral symptoms, due to the rare but serious risk of Reye\u2019s syndrome,\u201d says <\/span><a href=\"https:\/\/www.facebook.com\/gastrodoc1\"><span style=\"font-weight: 400;\">Jesse Houghton<\/span><\/a><span style=\"font-weight: 400;\">, MD, FACG, senior medical director of Gastroenterology at Southern Ohio Medical Center.<\/span><\/p>\n<p><b>Use caution with Tums if:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You have kidney disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You take calcium supplements<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">You\u2019re prone to kidney stones<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Pregnant women often use Tums occasionally for heartburn, but check with your provider first if you\u2019re experiencing <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/acid-reflux-pregnancy\/\"><span style=\"font-weight: 400;\">heartburn or indigestion while pregnant<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/home-remedies-for-heartburn\/\"><b>Home remedies for heartburn<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Cost and savings<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">These medications are generally affordable over-the-counter options.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Average prices:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/pepto-bismol\"><span style=\"font-weight: 400;\">Pepto-BIsmol<\/span><\/a><span style=\"font-weight: 400;\">: $10-$15<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/tums#coupons\"><span style=\"font-weight: 400;\">Tums<\/span><\/a><span style=\"font-weight: 400;\">: $5-$12<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Insurance, Medicare, and Medicaid usually do not cover OTC products unless prescribed.<\/span><\/p>\n<p><b>Money-saving tips:<\/b><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Store brands and generics often contain the same active ingredient for less.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ask your healthcare provider for a prescription and use SingleCare to save up to 80% without insurance.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">If you need long-term treatment, ask your doctor about prescription-strength options that may be covered by insurance.<\/span><\/li>\n<\/ul>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/prescription-discount-card\"><b>Get the SingleCare discount card<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">Frequently asked questions<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Does Pepto-Bismol help with acid reflux?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Pepto can help with acid reflux by coating the stomach and esophagus, but it does not treat the root cause of acid reflux.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Can Tums help with gas?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There is a specific form of <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/tums-gas-relief-chewy-bites\"><span style=\"font-weight: 400;\">Tums with simethicone<\/span><\/a><span style=\"font-weight: 400;\"> that can relieve gas, but the standard product of Tums does not, and can even cause gas as a side effect.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Can I use Pepto-Bismol or Tums with alcohol?<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/alcohol-and-heartburn-medication\/\"><span style=\"font-weight: 400;\">Alcohol in moderation may be safe while taking Pepto-Bismol or Tums.<\/span><\/a><span style=\"font-weight: 400;\"> However, excessive or chronic alcohol use may irritate the lining of the stomach or intestines, which may worsen the stomach problems that Pepto-Bismol and Tums are designed to relieve. For this reason, you may want to avoid drinking alcohol while taking Pepto-Bismol or Tums.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How long does it take for them to work?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Tums start working within five minutes and can be taken as needed. Pepto-Bismol starts working within 30-60 minutes. Do not exceed more than eight doses in 24 hours.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Is Pepto Bismol an antacid?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Pepto-Bismol has mild antacid effects that help relieve uncomfortable symptoms of heartburn and indigestion. It also acts as an antidiarrheal agent, commonly used to treat traveler\u2019s diarrhea. Pepto-Bismol works by coating the lining of the digestive tract while preventing fluid and electrolyte loss. It also has antibacterial properties.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">How long can I take them?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Use Pepto-Bismol for no more than two days, unless instructed otherwise by your provider. Tums should be taken for no more than 14 days.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you feel the need to use them consistently, consult a healthcare provider, as persistent heartburn may be a sign of a more serious underlying condition.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Expert takeaway<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u201cTums and Pepto-Bismol are both commonly recommended over-the-counter medications for mild heartburn and stomach upset, with Pepto-Bismol having the added benefit of helping with nausea and diarrhea. I always warn my patients that taking Pepto-Bismol can make the stool black, which is often confused with an upper GI bleed. This is nothing to be concerned about,\u201d says <\/span><a href=\"https:\/\/www.facebook.com\/gastrodoc1\"><span style=\"font-weight: 400;\">Jesse Houghton<\/span><\/a><span style=\"font-weight: 400;\">, MD, FACG, a member of the <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/author\/jesse-p-houghton\/\"><span style=\"font-weight: 400;\">SingleCare Medical Review Board<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>If you deal with occasional heartburn, indigestion, or an upset stomach, you\u2019ve likely seen Pepto-Bismol (the pink liquid) and Tums (the chewable tablets) at your local pharmacy or supermarket. Both are over-the-counter (OTC) options, but they work differently and are best for different symptoms. RELATED: What\u2019s the best heartburn medicine for you? Pepto-Bismol vs. Tums: [&hellip;]<\/p>\n","protected":false},"author":87,"featured_media":59355,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8313],"tags":[16414,737,20950,10708],"coauthors":[8669],"class_list":["post-12378","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-vs-drug","tag-digestive-health","tag-heart-health","tag-heartburn","tag-over-the-counter-medications","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Pepto-Bismol vs. Tums: Which works better?<\/title>\n<meta name=\"description\" content=\"Tums works fastest for heartburn, while Pepto-Bismol treats diarrhea too. Bismuth subsalicylate and calcium risks differ. 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