Bismuth subcitrate potassium is a mineral.

Metronidazole and tetracycline are antibiotics that fight bacteria in the body.

Bismuth subcitrate potassium, metronidazole, and tetracycline (Pylera) is a combination medicine used to treat peptic ulcer (duodenal ulcer) with H pylori infection. Pylera is usually given together with omeprazole (Prilosec).

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  • Pylera
  • Severity: Major
    You should check with your doctor immediately if any of these side effects occur when taking bismuth subcitrate potassium / metronidazole / tetracycline:

    More common:
    Acid or sour stomach
    belching
    chills
    cough
    diarrhea
    fever
    general feeling of discomfort or illness
    headache
    heartburn
    indigestion
    joint pain
    loss of appetite
    muscle aches and pains
    nausea
    runny nose
    shivering
    sore or dry throat
    stomach discomfort, upset, or pain
    sweating
    trouble with sleeping
    unusual tiredness or weakness
    vomiting
    Less common:
    Back pain
    body aches or pain
    burning feeling in the chest or stomach
    chest pain
    congestion
    dizziness
    fast, irregular, pounding, or racing heartbeat or pulse
    hoarseness
    itching of the vagina or genital area
    lack or loss of strength
    lower back or side pain
    pain during sexual intercourse
    painful or difficult urination
    rash with flat lesions or small raised lesions on the skin
    sneezing
    stuffy nose
    tender, swollen glands in the neck
    tenderness in the stomach area
    thick, white vaginal discharge with no odor or with a mild odor
    trouble with swallowing
    voice changes
    Rare:
    Bloated
    excess air or gas in the stomach or intestines
    full feeling
    pain or tenderness around the eyes and cheekbones
    passing gas
    shortness of breath or trouble with breathing
    skin rash
    tightness of the chest or wheezing
    Severity: Minor
    Some of the side effects that can occur with bismuth subcitrate potassium / metronidazole / tetracycline may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:

    More common:
    Black or dark tongue
    black stools
    Less common:
    Change in taste, or bad, unusual, or unpleasant aftertaste
    dry mouth
    fear or nervousness
  • (oral capsule)