 [ Symptoms ] i just had my gallbladder removed today and i am asking can i take gas x and pepto bismol at the same time  i do not think the gas x is working enough because i still have these really bad air bubbles and the box says you can only take 4 within a 24 hour period so is there something else i can take with it also something made me throw up and i do not know if it was something i ate earlier today or the water that is in the tea please help [ Disease ] it is okay to wait adjust it by four hours this will not change the effectiveness no its very important to be consistant with the time you take bcp everyday if you take it at 9pm est normally then set the alarm on your cell phone so it goes off at 9pm est regardless of what time of day it is whereever you are located unless you are moving there permanently its ok if you wait for those extra hours of difference it will not really have any problem with its effectiveness