Drug & supplement interaction

Bismuth Nitrate + Amphetamine

Amphetamine brand names: Dyanavel XR, Adensys XR-ODT, Mydayis, Adzenys ER.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Bismuth Nitrate and Amphetamine in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first.

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Interaction report

Bismuth Nitrate and Amphetamine

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between Amphetamine and Bismuth Nitrate in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Bismuth Nitrate at all — not against Amphetamine, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Bismuth Nitrate safety at a glance

Bismuth Nitrate overall Use caution Bismuth nitrate is not a standard supplement and can pose toxicity risks, so it should only be used under professional guidance.
Pregnancy Avoid There is not enough safety information, so it is best avoided during pregnancy.
Breastfeeding Avoid Safety while breastfeeding is unknown, so avoid use.

Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining Amphetamine and Bismuth Nitrate? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

What Bismuth Nitrate Itself Has Been Linked To

This is not an interaction — nothing below involves Amphetamine. It is the side-effect record for Bismuth Nitrate on its own, from the licensed Natural Medicines monograph. If something new turns up after you add Bismuth Nitrate, this list is the first place to look. 4 entries are worth acting on rather than waiting out — marked below.

  • Confusion / Low mood Worth acting on Additional detail

    “Orally, bismuth nitrate may cause headache. Long-term use of bismuth nitrate has been associated with bismuth encephalopathy. One report describes a patient who developed confusion, restlessness, convulsions, hypertonia, hypoventilation, and fever after taking 30-40 grams of bismuth nitrate daily for 10-20 years to treat stomach troubles. The patient was comatose upon admission to the hospital.”

    Bismuth Nitrate · Natural Medicines adverse-effect record, reported in cluster headache.

    3 sources cited
    1. 100547. Bismuth nitrate; MSDS No. B3396 [Online]; Mallenckrodt Baker: Phillipsburg, NJ, December 8, 1996. https://hazard.com/msds/mf/baker/baker/files/b3396.htm (accessed December 27, 2019).
    2. 100540. - Jaeger A, Kopferschmitt J, Sauder Ph, Flesch F, Tournoud C. Diagnosis in clinical toxicology. In: Bolt HM, de Wolff FA, Henderson PT (eds) Medical Toxicology. Archives of Toxicology (Supplement). Berlin/Heidelberg, Germany: Springer-Verlag; 1992:29-39. PubMed
    3. 100550. Von Bose MJ, Zaudig M. Encephalopathy resembling Creutzfeldt-Jakob disease following oral, prescribed doses of bismuth nitrate. Br J Psychiatry. 1991;158:278-80. PubMed
  • Seizures Worth acting on Additional detail

    “Orally, bismuth nitrate may be converted to nitrites in the intestines, which may cause methemoglobinemia. Symptoms may include shortness of breath, cyanosis, headache, fatigue, changes in mental status, dizziness, and discoloration of the skin. In severe cases, dysrhythmias, convulsion, coma, or death may occur.”

    Bismuth Nitrate · Natural Medicines adverse-effect record, reported in cluster headache.

    2 sources cited
    1. 100547. Bismuth nitrate; MSDS No. B3396 [Online]; Mallenckrodt Baker: Phillipsburg, NJ, December 8, 1996. https://hazard.com/msds/mf/baker/baker/files/b3396.htm (accessed December 27, 2019).
    2. 101508. Raafat BM, Samir WA, Khader MH. Met-Hemoglobin concentration reduction and methemoglobin reductase enhancement after applying of alpha-tocopherol and selenium combination as a radio protector against ionizing radiation exposure. Wulfenia J. 2012;19(10):37
  • Kidney problems Worth acting on Additional detail

    “Orally, bismuth nitrate may cause loss of appetite, headache, methemoglobinemia, or kidney damage. Chronic use of bismuth nitrate may cause black spots on the gums, bad breath, salivation, and a "bismuth line." In rare cases, chronic use of bismuth may cause bismuth encephalopathy. Orally or topically, bismuth nitrate may cause mild skin irritation.”

    Bismuth Nitrate · Natural Medicines adverse-effect record, reported in cluster headache.

    5 sources cited
    1. 100540. - Jaeger A, Kopferschmitt J, Sauder Ph, Flesch F, Tournoud C. Diagnosis in clinical toxicology. In: Bolt HM, de Wolff FA, Henderson PT (eds) Medical Toxicology. Archives of Toxicology (Supplement). Berlin/Heidelberg, Germany: Springer-Verlag; 1992:29-39. PubMed
    2. 100547. Bismuth nitrate; MSDS No. B3396 [Online]; Mallenckrodt Baker: Phillipsburg, NJ, December 8, 1996. https://hazard.com/msds/mf/baker/baker/files/b3396.htm (accessed December 27, 2019).
    3. 100550. Von Bose MJ, Zaudig M. Encephalopathy resembling Creutzfeldt-Jakob disease following oral, prescribed doses of bismuth nitrate. Br J Psychiatry. 1991;158:278-80. PubMed
    4. 101507. Lewis RJ Sr. Hazardous Chemicals Desk Reference. 6th Edition. Hoboken, NJ: Wiley; 2008.
    5. 101508. Raafat BM, Samir WA, Khader MH. Met-Hemoglobin concentration reduction and methemoglobin reductase enhancement after applying of alpha-tocopherol and selenium combination as a radio protector against ionizing radiation exposure. Wulfenia J. 2012;19(10):37
  • Shortness of breath Worth acting on Additional detail

    “Inhalation of bismuth nitrate may cause respiratory tract irritation, with symptoms including cough and shortness of breath.”

    Bismuth Nitrate · Natural Medicines adverse-effect record, reported in cough.

    1 source cited
    1. 100547. Bismuth nitrate; MSDS No. B3396 [Online]; Mallenckrodt Baker: Phillipsburg, NJ, December 8, 1996. https://hazard.com/msds/mf/baker/baker/files/b3396.htm (accessed December 27, 2019).
  • Trouble concentrating / Sweating / Dry mouth Additional detail

    Recorded for Bismuth Nitrate in the same Natural Medicines adverse-effect record shown under Confusion / Low mood above.

  • Eye irritation or redness Additional detail

    Recorded for Bismuth Nitrate in the same Natural Medicines adverse-effect record shown under Kidney problems above.

  • Mouth irritation or sores Additional detail

    “Orally, bismuth nitrate may cause loss of appetite. Chronic use of bismuth nitrate may cause black spots on the gums, bad breath, salivation, and a "bismuth line," which is a thin, blue-black discoloration along the gum margin. Serious ulcerative stomatitis may occur if bismuth nitrate use is not discontinued when gingivitis appears.”

    Bismuth Nitrate · Natural Medicines adverse-effect record, reported in gingivitis.

    2 sources cited
    1. 100547. Bismuth nitrate; MSDS No. B3396 [Online]; Mallenckrodt Baker: Phillipsburg, NJ, December 8, 1996. https://hazard.com/msds/mf/baker/baker/files/b3396.htm (accessed December 27, 2019).
    2. 101507. Lewis RJ Sr. Hazardous Chemicals Desk Reference. 6th Edition. Hoboken, NJ: Wiley; 2008.

Showing the 10 most notable of 19 recorded effects — ranked by how unusual each one is across medicines generally, with serious effects weighted up.

Everything above comes from the Natural Medicines adverse-effect record for Bismuth Nitrate — expand a row for the licensed statement it rests on. We haven’t matched Amphetamine to its FDA label in our system yet, so we can’t compare its own side-effect list here — the leaflet that comes with your prescription is the authoritative list for Amphetamine.

From our Q&A

Questions About Bismuth Nitrate or Amphetamine

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Bismuth Nitrate or Amphetamine, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Amphetamine

This page covers Bismuth Nitrate only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Amphetamine page lists 130 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Activated Charcoal (major), Beer (major), Bitter Orange (major), Brewer's Yeast (major) and Cowhage (major).

By severity: 16 major · 97 moderate · 17 minor.

From our pharmacist’s overview on the Amphetamine page

“Amphetamine (Dyanavel XR, Adzenys ER, Mydayis) is a prescription stimulant, usually taken for ADHD, and its interaction list is one to approach with genuine care. Of the 130 supplements and herbal ingredients on file, 16 carry a major rating, and many of those work the same way, either inhibiting monoamine oxidase, as yohimbe does, or…”

Reviewed by 2 · Jul 18, 2026

Open the Amphetamine interaction page

One more smart check

Taking Bismuth Nitrate as Part of a Dietary Supplement Product? Check It for Interactions

We hold 1 real supplement products containing Bismuth Nitrate, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Bismuth Nitrate. Even though Bismuth Nitrate itself has no known interaction with Amphetamine, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Bismuth Nitrate and Amphetamine Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Bismuth Nitrate
Top half

#639 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Amphetamine
Top 5%

#46 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Bismuth Nitrate reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Bismuth Nitrate and Amphetamine records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Bismuth Nitrate

What is Bismuth Nitrate?

  • Upset stomach and indigestion
  • Diarrhea
  • Wound and skin protection (topical)
  • Mild antiseptic

Bismuth nitrate is a bismuth-based chemical compound that was historically used for stomach complaints and as a mild topical antiseptic, but it is not a common modern dietary supplement and is rarely used today. Better-studied bismuth products (like bismuth subsalicylate) have largely replaced it, and bismuth nitrate carries safety concerns, so talk with a pharmacist or doctor before using any bismuth product.

Not applicable (a chemical bismuth compound, not a plant) · Compounded powders, topical preparations, and historically in some oral antacid or stomach formulas

An interaction check asks whether these two react with each other — it does not ask whether Bismuth Nitrate is a good idea for someone in your situation. Here is what our Bismuth Nitrate record says about it on its own.

Bismuth Nitrate: dosing

There is no established standard dose of bismuth nitrate as a supplement, and it is not a typical over-the-counter product. Because of this, no specific safe amount can be recommended here.If a product containing bismuth nitrate is available to you, follow the directions on the label exactly and do not exceed them.

From our Bismuth Nitrate monograph — the full record covers uses, side effects and every documented interaction.

Read the full Bismuth Nitrate monograph & all interactions
Medication

About Amphetamine

What Is Amphetamine Used For?

Brand names: Dyanavel XR, Adensys XR-ODT, Mydayis, Adzenys ER

Amphetamine treats Attention Deficit Hyperactivity Disorder (ADHD) in patients 6 years and older. Adzenys XR-ODT, Dyanavel XR, and the amphetamine extended-release orally disintegrating tablet formulations are specifically approved for ADHD in this age group.

Amphetamine Sulfate tablets and Evekeo (amphetamine sulfate tablets) are also approved for narcolepsy (a sleep disorder causing uncontrollable daytime sleepiness) and as a short-term aid in a calorie-restricted weight-loss program for exogenous obesity (weight gain from external factors like overeating) in patients who have not responded to other approaches.

See full Amphetamine drug information
Keep checking

Other Drugs & Bismuth Nitrate

Browse every other medication we’ve checked against Bismuth Nitrate — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Bismuth Nitrate against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Bismuth Nitrate list.

See the full Bismuth Nitrate interactions page
See every supplement checked against Amphetamine, ranked by severity
Evidence & sources

Bismuth Nitrate References

The 6 references that drive our Bismuth Nitrate monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. - Jaeger A, Kopferschmitt J, Sauder Ph, Flesch F, Tournoud C. Diagnosis in clinical toxicology. In: Bolt HM, de Wolff FA, Henderson PT (eds) Medical Toxicology. Archives of Toxicology (Supplement). Berlin/Heidelberg, Germany: Springer-Verlag; 1992:29-39. PubMed
  2. Bismuth nitrate; MSDS No. B3396 [Online]; Mallenckrodt Baker: Phillipsburg, NJ, December 8, 1996. https://hazard.com/msds/mf/baker/baker/files/b3396.htm (accessed December 27, 2019).
  3. Saberi-Firoozi M, Massarrat S, Zare S, et al. Effect of triple therapy or amoxycillin plus omeprazole or amoxycillin plus tinidazole plus omeprazole on duodenal ulcer healing, eradication of Helicobacter pylori, and prevention of ulcer relapse over a 1-ye
  4. Von Bose MJ, Zaudig M. Encephalopathy resembling Creutzfeldt-Jakob disease following oral, prescribed doses of bismuth nitrate. Br J Psychiatry. 1991;158:278-80. PubMed
  5. Lewis RJ Sr. Hazardous Chemicals Desk Reference. 6th Edition. Hoboken, NJ: Wiley; 2008.
  6. Raafat BM, Samir WA, Khader MH. Met-Hemoglobin concentration reduction and methemoglobin reductase enhancement after applying of alpha-tocopherol and selenium combination as a radio protector against ionizing radiation exposure. Wulfenia J. 2012;19(10):37

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Bismuth Nitrate and Amphetamine Together: Common Questions

Is it safe to take Bismuth Nitrate with Amphetamine?
We do not list a known interaction between Bismuth Nitrate and Amphetamine. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Does Amphetamine interact with any supplements?
Yes. Amphetamine has documented interactions with 130 supplements in our database — Bismuth Nitrate is not one of them. The Amphetamine interaction page linked on this page lists every one, ranked by severity.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

Where next

Keep Exploring

Bismuth Nitrate monograph Uses, safety profile, and every drug interaction in one place Amphetamine drug information The full plain-English guide to this medication Amphetamine supplement interactions Every supplement checked against Amphetamine, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 6 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About Amphetamine and Bismuth Nitrate?

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.