Skip to main content

Compare
Zantac vs. Bismuth subsalicylate

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Ranitidine (Zantac) and bismuth subsalicylate (Pepto-Bismol) are both used to treat stomach-related conditions, but they belong to different medication classes. Ranitidine is a histamine H2 antagonist that was used for heartburn, stomach ulcers, and gastroesophageal reflux disease (GERD) by reducing stomach acid. However, it was discontinued in the U.S. due to concerns about a cancer-causing impurity. Bismuth subsalicylate, on the other hand, is an antidiarrheal medication used to treat diarrhea and symptoms of an upset stomach, such as nausea and gas. It is available over-the-counter in various forms like chewable tablets and oral solutions. While ranitidine was available in oral and injectable forms, bismuth subsalicylate is only taken orally. Common side effects of bismuth subsalicylate include nausea, changes in taste, and dark-colored tongue or stools. Additionally, bismuth subsalicylate should not be used in children under 12 due to the risk of Reye's syndrome, and it can interact with blood thinners and NSAIDs, increasing the risk of bleeding.

Ranitidine

 

Get free coupons

Bismuth subsalicylate

(Pepto-Bismol)

Get free coupons

Summary for Zantac

Prescription only

Ranitidine is an H2 blocker that reduces the amount of acid the stomach produces. It's used to treat conditions like gastroesophageal reflux disease (GERD) and ulcers. It was recalled in 2020 due to safety concerns about a chemical impurity, but it has since been reformulated and is now back on the market. Your dose depends on why you’re taking it, but it’s usually taken by mouth one to four times a day. Side effects include headache, dizziness, and feeling tired.

Indications for Zantac

Pros and Cons for Zantac

Pros

  • Reduces stomach acid for ulcers and GERD
  • Can be used in adults and children
  • Works pretty quickly, within hours for GERD

Cons

  • Might need to take multiple times a day
  • Interacts with many medications
  • Not as strong as PPIs for severe symptoms

Common Side Effects for Zantac

  • Headache
  • Tiredness
  • Dizziness
  • Diarrhea
  • Constipation
  • Stomach pain
  • Nausea

Warnings for Zantac

  • Risk of hiding symptoms of a more serious problem
  • Medication interactions
  • Allergic reactions

Summary for Bismuth subsalicylate

Over-the-counter

Bismuth subsalicylate (Pepto-Bismol) is a salicylate antidiarrheal medication. It's used to ease diarrhea and symptoms of an upset stomach (e.g., gas, nausea) in adults and kids ages 12 years and older. This medication is taken by mouth, typically once every 30 minutes to an hour, as needed. Bismuth subsalicylate (Pepto-Bismol) is found over the counter in several different formulations, such as chewable tablets and oral solutions. Side effects of this medication include nausea, changes in taste, dark-colored tongue, and black stool.

Indications for Bismuth subsalicylate

Pros and Cons for Bismuth subsalicylate

Pros

  • Treats a wide variety of stomach-related symptoms
  • Available as a lower-cost generic medication
  • Available in chewable tablets or liquid for people who have difficulty swallowing pills
  • Can be taken with or without food

Cons

  • Shouldn’t be taken for longer than 2 days
  • Can cause darkening of the tongue or stools
  • Might need to take it multiple times per day
  • Not for children less than 12 years of age due to higher risk of Reye's syndrome

Common Side Effects for Bismuth subsalicylate

  • Nausea
  • Bitter taste in mouth
  • Diarrhea
  • Dark-colored stools

Warnings for Bismuth subsalicylate

  • Reye's syndrome in children
  • Salicylate toxicity
  • Allergic reactions

Prices with our coupons for Zantac vs. Bismuth subsalicylate

Price Card Drug Icon
Ranitidine60 tablets / 150mg of
$17.86$458.13
Get free coupons
More Information
Price Card Drug Icon
Bismuth Subsalicylate112 chewable tablets / 262mg
$17.18-
Get free coupons
More Information

Browse medications by letter

Show All

Browse prescription and over-the-counter medications from A to Z, compare drug prices, and start saving.