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Over the counter equivalent of pantoprazole as an alternative. There is some evidence, albeit in small clinical trials, that the combination works better than either drug alone but there is no proof that it a superior treatment for wide variety of gastrointestinal problems including IBS. Bismuth subsalicylate (BPS) is a type of anticoagulant which acts by changing the structure of Azithromycin $0.7 - pills Per pill coagulation component proteins Diflucan o generico in blood cells. This prevents clots from forming and may lead to a reduction in the risk of strokes and heart disease. BPS is not approved by the FDA for treatment of SIBO but it has been used at various points in the past for treatment of other conditions. More recent evidence suggests there may be a causal relationship between the presence of SIBO and an increased risk of stroke. For this reason it might be worth testing a BPS drug for this indication. References Levin D, Dolan A. The intestinal pathogenome: a view through the microscope Science of Molecu