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Bismuth subcitrate

From Wikipedia, the free encyclopedia
Pharmaceutical drug
Pharmaceutical compound
Bismuth subcitrate
Clinical data
Routes of
administration
Oral
ATC code
Identifiers
  • Bismuth(3+) potassium 2-olato-1,2,3-propanetricarboxylate (1:5:2)
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
KEGG
ECHA InfoCard100.055.320Edit this at Wikidata
Chemical and physical data
FormulaC12H8BiK5O14
Molar mass780.654 g·mol−1
3D model (JSmol)
  • C(C(=O)[O-])C(CC(=O)[O-])(C(=O)[O-])[O-].C(C(=O)[O-])C(CC(=O)[O-])(C(=O)[O-])[O-].[K+].[K+].[K+].[K+].[K+].[Bi+3]

Bismuth subcitrate potassium is abismuth salt used in combination with antibiotics and aproton pump inhibitor for the treatment ofHelicobacter pylori infections.[1][2]

A fixed-dose combination with the antibioticsmetronidazole andtetracycline is sold under the trade namePylera.[3]

Contraindications

[edit]
Further information:Bismuth subcitrate/metronidazole/tetracycline § Contraindications
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Side effects

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Further information:Bismuth subcitrate/metronidazole/tetracycline § Adverse effects

A known side effect of bismuth salts is harmless and reversible darkening of tongue and stool by formation of bismuthsulfite.[3] Other side effects of bismuth containing combination therapies are often difficult to assign to a specific component.[citation needed]

Interactions

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Bismuth absorption is increased byranitidine andomeprazole.[3]

Pharmacology

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Mechanism of action

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The mechanism of action of bismuth is not known. It has been reasoned to interfere with the function of the bacterialcell membrane,protein andcell wall synthesis, the enzymeurease,cell adhesion,ATP synthesis, and iron transport mechanisms.[3]

Chemical properties

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Bismuth subcitrate potassium is a salt ofbismuth (Bi3+),potassium (K+) andcitrate (C6H4O4−7) in amolar ratio of about 1:5:2, with 3 moles of water. It contains about 25.6% (mass percent) bismuth, which is the activemoiety, and 22.9% potassium.[3][4] Other sources give somewhat different ratios of the constituents.

See also

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References

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  1. ^"P/74/2009: European Medicines Agency decision of 20 April 2009 on the granting of a product specific waiver for Bismuth subcitrate potassium / Metronidazole / Tetracycline hydrochloride (EMEA-000382-PIP01-08) in accordance with Regulation (EC) No 1901/2006 of the European Parliament and of the Council as amended"(PDF).European Medicines Agency. 2009-06-10. Archived fromthe original(PDF) on 2017-10-24. Retrieved2017-10-24.
  2. ^Urgesi R, Cianci R, Riccioni ME (2012)."Update on triple therapy for eradication of Helicobacter pylori: current status of the art".Clinical and Experimental Gastroenterology.5:151–7.doi:10.2147/CEG.S25416.PMC 3449761.PMID 23028235.
  3. ^abcdeAustria-Codex (in German). Vienna: Österreichischer Apothekerverlag. 2017. Pylera 140 mg/125 mg/125 mg-Hartkapseln.
  4. ^Drugs.com:FDA Professional Drug Information for Pylera. Accessed 2017-10-27.
H2 antagonists ("-tidine")
Prostaglandins (E)/
analogues ("-prost-")
Proton-pump inhibitors
("-prazole")
Potassium-competitive
acid blockers
("-prazan")
Others
Combinations
Bismuth(III)
Organobismuth(III)
Bismuth(V)
Organobismuth(V)
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