Do not take this medication with any of the following:
-Acitretin
-Alcohol or any product that contains alcohol
-Cisapride
-Disulfiram
-Dronedarone
-Pimozide
-Thioridazine
This medication may also interact with the following:
-Antacids, vitamins, or other products that contain aluminum, calcium, iron, magnesium, or zinc
-Busulfan
-Certain medications that treat or prevent blood clots, such as warfarin
-Cimetidine
-Estrogen or progestin hormones
-Lithium
-Other medications that cause heart rhythm changes
-Phenobarbital
-Phenytoin

They need to know if you have any of these conditions:
-Cockayne syndrome
-History of blood diseases, such as sickle cell anemia, anemia, leukemia
-Frequently drink alcohol
-Irregular heartbeat or rhythm
-Kidney disease
-Liver disease
-Low blood counts
-Seizures
-Tingling of the fingers or toes, or other nerve disorder
-An unusual or allergic reaction to bismuth subcitrate potassium, metronidazole, tetracycline, other medications, foods, dyes, or preservatives
-Pregnant or trying to get pregnant
-Breastfeeding

Tell your care team if your symptoms do not start to get better or if they get worse.
Do not treat diarrhea with over the counter products. Contact your care team if you have diarrhea that lasts more than 2 days or if it is severe and watery.
This medication can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and sunscreen. Do not use sun lamps, tanning beds, or tanning booths.
Estrogen and progestin hormones may not work as well while you are taking this medication. Contraception is recommended while taking this medication. Your care team can help you find the option that works for you.
Some products may contain alcohol. Ask your care team if this medication contains alcohol. Be sure to tell all care teams you are taking this medication. Certain medications, such as metronidazole and disulfiram, can cause an unpleasant reaction when taken with alcohol. The reaction includes flushing, headache, nausea, vomiting, sweating, and increased thirst. The reaction can last from 30 minutes to several hours.

Keep out of the reach of children and pets.
Store at room temperature between 20 and 25 degrees C (68 and 77 degrees F). Get rid of any unused medication after the expiration date.
To get rid of medications that are no longer needed or have expired:
-Take the medication to a medication take-back program. Check with your pharmacy or law enforcement to find a location.
-If you cannot return the medication, check the label or package insert to see if the medication should be thrown out in the garbage or flushed down the toilet. If you are not sure, ask your care team. If it is safe to put it in the trash, empty the medication out of the container. Mix the medication with cat litter, dirt, coffee grounds, or other unwanted substance. Seal the mixture in a bag or container. Put it in the trash.