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Regular Pepto-Bismol (pink liquid/tablets) contains BISMUTH SUBSALICYLATE and is NOT safe for children under 12 due to Reye's syndrome risk.
Children's Pepto/Pepto Kids uses CALCIUM CARBONATE (antacid) and is the ONLY Pepto product designed for children.
Calculate dosing for Children's Pepto (calcium carbonate) antacid products only
| Product | Active Ingredient | Safe for Kids? | Age Limit |
|---|---|---|---|
| Regular Pepto-Bismol | Bismuth Subsalicylate | ❌ NO | 12+ years only |
| Pepto-Bismol Chewables | Bismuth Subsalicylate | ❌ NO | 12+ years only |
| Children's Pepto | Calcium Carbonate | ✅ YES | 2+ years |
| Pepto Kids | Calcium Carbonate | ✅ YES | 2+ years |
Bismuth subsalicylate contains salicylate, which is similar to aspirin. In children with viral infections (flu, chickenpox), salicylates can trigger Reye's syndrome - a rare but potentially fatal condition affecting the brain and liver. This is why regular Pepto-Bismol is contraindicated for anyone under 12.
| Age | Chewable Tablets | Max Doses/Day |
|---|---|---|
| Under 2 years | Ask Doctor - Not Recommended | |
| 2-5 years | 1 tablet | 3 |
| 6-11 years | 1 tablet | 3 |
| 12+ years | 2 tablets | 4 |
Always follow the specific product label instructions. Formulations may vary.
NO. The issue isn't the dose—it's the ingredient. Bismuth subsalicylate (in regular Pepto-Bismol) should NEVER be given to children under 12 regardless of dose. The salicylate component can trigger Reye's syndrome, a potentially fatal condition. Always use Children's Pepto (calcium carbonate) instead.
Reye's syndrome is a rare but serious condition that causes swelling in the liver and brain. It primarily affects children recovering from viral infections (like flu or chickenpox) who take aspirin or aspirin-like compounds (salicylates). It can cause permanent brain damage or death. This is why all salicylate products are avoided in children.
Not really. Children's Pepto is an antacid that neutralizes stomach acid—helpful for heartburn or overeating. Stomach bugs (gastroenteritis) are caused by viruses and require time, rest, and fluids to resolve. The best treatment is staying hydrated with Pedialyte or clear fluids.
Antacids can interfere with the absorption of some medications. Give other medicines 1-2 hours before or after the antacid. Specifically, don't give with iron supplements, certain antibiotics, or thyroid medications. Check with your pharmacist if your child takes prescription medications.
Children's Pepto is designed for occasional use. If your child needs it for more than 2 weeks, or needs it frequently, consult your pediatrician. Ongoing stomach issues may need proper diagnosis rather than continued antacid use.
Calcium carbonate antacids are generally safe but can cause constipation with frequent use. In rare cases, too much calcium can lead to problems. Stick to recommended doses and don't use daily long-term without doctor guidance.
Seek medical attention if your child has: