Bismuth subsalicylate may cause ringing in the ears, but that side effect is rare. Possible side effects from loperamide include skin rash, constipation, drowsiness, dizziness, tiredness, dry mouth, nausea, vomiting, and swelling, pain, and discomfort in the abdomen.
In the United States, the annual cost of soil erosion for both on-site and off-site effects has been estimated at 44 billion dollars a year (Pimentel et al., 1995). In the European Union, the figure is 38 billion Euros a year (Montanarella, 2007).
Tax rates and insurance costs also affect how much you can buy depending on where you live. Not everyone chooses to purchase a new car, but Americans spend an average of $5,000 per year on gas and maintenance alone, as well as an average of $250 per month for a car payment. Vacations are another common expense that Americans rack up.