Label: STOMACH RELIEF- bismuth subsalicylate liquid

  • NDC Code(s): 0121-0910-30, 0121-0910-40
  • Packager: PAI Holdings, LLC
  • Category: HUMAN OTC DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: OTC monograph final

DISCLAIMER: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

Drug Label Information

Updated July 7, 2023

If you are a consumer or patient please visit this version.

  • Active ingredient (in each 30 mL dose )

    Bismuth subsalicylate 525 mg

  • Purpose

    Upset stomach reliever/Antidiarrheal

  • Uses

    relieves

    • diarrhea
    • travelers’ diarrhea
    • upset stomach due to overindulgence in food and drink, including
    • heartburn
    • gas
    • indigestion
    • nausea
    • fullness
    • belching
  • Warnings

    Reye's syndrome: Children and teenagers who have or are recovering from chicken pox or flu-like symptoms should not use this product. When using this product, if changes in behavior with nausea and vomiting occur, consult a doctor because these symptoms could be an early sign of Reye's syndrome, a rare but serious illness.

    Allergy alert: Contains salicylate. Do not take if you are:

    • allergic to salicylates (including aspirin)
    • taking other salicylate products

    Do not use

    if you have

    • an ulcer
    • a bleeding problem
    • bloody or black stool

    Ask a doctor before use if you have

    • fever
    • mucus in the stool

    Ask a doctor or pharmacist before use if you are

    taking any drug for

    • diabetes
    • gout
    • arthritis
    • anticoagulation (thinning the blood)

    When using this product

    a temporary, but harmless, darkening of the stool and/or tongue may occur.

    Stop use and ask a doctor if

    • symptoms get worse or last more than 2 days
    • ringing in the ears or loss of hearing occurs
    • diarrhea lasts more than 2 days

    If pregnant or breast-feeding,

    ask a health professional before use.

    Keep out of reach of childen.

    In case of overdose, get medical help or contact a Posion Control Center (1-800-222-1222) right away.

  • Directions

    • mL = milliliter
    • shake well before using
    • only use dose ready dosing cup provided. Do not use any other dosing device
    • adults and children 12 years and over:
    • 30 mL (1 dose) every 1/2 hour or 60 mL (2 doses) every hour as needed for diarrhea/traveler's diarrhea
    • 30 mL (1 dose) every 1/2 hour as needed for overindulgence (upset stomach, heartburn, indigestion, nausea)
    • do not exceed 8 doses (240 mL ) in 24 hours
    • use until diarrhea stop but not more than 2 days
    • children under 12 years of age: ask a doctor
    • drink plenty of clear fluids to help prevent dehydration cause by diarrhea
  • Other information

    • each 30 mL contains: potassium 8 mg, sodium 9 mg
    • each 30 mL contains: salicylate 206 mg
    • low sodium
    • protect from freezing
    • avoid excessive heat (over 104ºF or 40ºC)
    • supplied in the following oral dosage forms

    NDC 0121-0910-30: 30 mL unit dose cup, in a tray of ten cups.

  • Inactive ingredients

    benzoic acid, D&C red #22, D&C red #28, flavor, glycerin, purified water, sucralose, xanthan gum

  • Questions or comments?

    Call 1-800-845-8210.

    PACKAGED BY:

    Pharmaceutical Associates, Inc.

    Greenville, SC 29605

    www.paipharma.com

    R11/20

  • Principal Display Panel

    Delivers 30 mL

    NDC 0121-0910-30

    Bismuth Subsalicylate

    525 mg/30 mL

    Upset stomach reliever/Antidiarrheal

    Package Not Child-Resistant

    Pkg by: Pharmaceutical Associates, Inc.

    Greenville, SC 29605

    SEE INSERT

    15 mL - Unit Dose Cup

  • INGREDIENTS AND APPEARANCE
    STOMACH RELIEF 
    bismuth subsalicylate liquid
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0121-0910
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    BISMUTH SUBSALICYLATE (UNII: 62TEY51RR1) (BISMUTH CATION - UNII:ZS9CD1I8YE, SALICYLIC ACID - UNII:O414PZ4LPZ) BISMUTH SUBSALICYLATE525 mg  in 30 mL
    Inactive Ingredients
    Ingredient NameStrength
    BENZOIC ACID (UNII: 8SKN0B0MIM)  
    D&C RED NO. 22 (UNII: 1678RKX8RT)  
    D&C RED NO. 28 (UNII: 767IP0Y5NH)  
    GLYCERIN (UNII: PDC6A3C0OX)  
    WATER (UNII: 059QF0KO0R)  
    SUCRALOSE (UNII: 96K6UQ3ZD4)  
    XANTHAN GUM (UNII: TTV12P4NEE)  
    Product Characteristics
    ColorpinkScore    
    ShapeSize
    FlavorWINTERGREENImprint Code
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:0121-0910-404 in 1 CASE07/17/2020
    110 in 1 TRAY
    1NDC:0121-0910-3030 mL in 1 CUP, UNIT-DOSE; Type 0: Not a Combination Product
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC monograph finalpart33507/17/2020
    Labeler - PAI Holdings, LLC (044940096)
    Establishment
    NameAddressID/FEIBusiness Operations
    PAI Holdings, LLC dba Pharmaceutical Associates, Inc. and dba PAI Pharma097630693label(0121-0910) , manufacture(0121-0910)