tell your doctor and pharmacist if you are allergic to bismuth, metronidazole (Flagyl), aspirin or salicylates, doxycycline (Doryx, Vibramycin), minocycline (Dynacin, Minocin), tetracycline (Sumycin), tinidazole (Tindamax), any other medications, or any of the ingredients in bismuth, metronidazole, and tetracycline combination. If you stop taking this medication too soon or skip doses, your infection may not be completely treated and the bacteria may become resistant to antibiotics.Īsk your pharmacist or doctor for a copy of the manufacturer's information for the patient.īefore taking bismuth, metronidazole, and tetracycline, Do not stop taking it without talking to your doctor. Take bismuth, metronidazole, and tetracycline at least 1 hour before or 2 hours after you eat or drink foods that contain calcium, such as dairy products and calcium-fortified juices and foods.Ĭontinue to take this medication even if you feel well. It is especially important to take the bedtime dose with plenty of fluid to prevent irritation of your throat and stomach. If you are taking bismuth, metronidazole, and tetracycline (Pylera), swallow the capsules whole with a full glass of water (8 ounces ). Swallow the metronidazole tablet and tetracycline capsule whole with a full glass of water (8 ounces ). If you are taking bismuth, metronidazole, and tetracycline (Helidac), chew and swallow the bismuth tablets. Do not take more or less of it or take it more often than prescribed by your doctor. 
Take this medication exactly as directed. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. It usually is taken four times a day, at meals and at bedtime for 10 days (Pylera) or 14 days (Helidac). Bismuth, metronidazole, and tetracycline (Pylera) come as a capsule to take by mouth. Bismuth, metronidazole, and tetracycline (Helidac) comes as two chewable bismuth tablets, one metronidazole tablet, and one tetracycline capsule to take together by mouth.
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