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Repeat Collagenous Colitis "flare"

Digestive Health | Last Active: Aug 16 10:17am | Replies (27)

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@fdixon63

pb50 - Did you come up with the effects of taking Pepto Bismol capsules by trial and error or did your doc or someone else suggest it. I've been taking imodium PRN but will try the Pepto caps. Thanks. Faye

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Replies to "pb50 - Did you come up with the effects of taking Pepto Bismol capsules by trial..."

I researched National Institutes of Health to see what might have been studied as a treatment when relapsing after Budesonide

I will find the link and post it

Here you go. I have copied
The key points and insert here first. Then i included the link to the study. Lots of reading but I found it interesting

3 × 262 mg tablets po tid × eight weeks

Antidiarrheals

Bismuth subsalicylate
Bismuth subsalicylate is an over-the-counter agent used for various gastrointestinal complaints. It has been studied for the treatment of microscopic colitis, and been found to improve both clinical and histological activity of the disease over the short term, without significant adverse events (6,7). The long-term benefits of this medication are unproven, but it likely can be used effectively to treat patients with relapsing disease. There is a theoretical potential for bismuth toxicity with continuous use, so a regimen of intermittent use is preferred (8).
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2661290/