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DICYCLOMINE


Brand & Generic Names

A-Spas Forulex
Antispas Lomine
Bentyl Neoquess
Bentylol Or-Tyl
Byclomine Protylol
Dibent Spasmoban
Di-Cyclonex Spasmoject
Dilomine Viscerol
Di-Spaz


Basic Information

  • Habit forming? No
  • Prescription needed? Yes
  • Available as generic? Yes
  • Drug class: Antispasmodic, anticholinergic

Uses

    Reduces spasms of digestive system, bladder and urethra.

Dosage & Usage Information

How to take:
Tablet, syrup or capsule--Swallow with liquid or food to lessen stomach irritation.

When to take:
30 minutes before meals (unless directed otherwise by doctor).

If you forget a dose:
Take as soon as you remember up to 2 hours late. If more than 2 hours, wait for next scheduled dose (don't double this dose).

What drug does:
Blocks nerve impulses at parasympathetic nerve endings, preventing muscle contractions and gland secretions of organs involved.

Time lapse before drug works:
15 to 30 minutes.

Don't take with:
Any other medicine without consulting your doctor or pharmacist.


Overdose

SYMPTOMS:
Dilated pupils, blurred vision, rapid pulse and breathing, dizziness, fever, hallucinations, confusion, slurred speech, agitation, flushed face, convulsions, coma.

WHAT TO DO:

  • Dial 911 (emergency) or O (operator) for an ambulance or medical help. Then give first aid immediately.
  • See EMERGENCY Information.

Possible Adverse Reactions or Side Effects

Life-threatening:

    Hives, rash, intense Seek emergency itching, faintness treatment immediately. soon after a dose (anaphylaxis).

Common:

  • Confusion, delirium, rapid heartbeat.
  • Nausea, vomiting, decreased sweating.
  • Constipation, loss of taste.
  • Dry ears, nose, throat, mouth.

Infrequent:

  • Headache, difficult urination, nasal congestion, altered taste.
  • Lightheadedness.

Rare:

    Rash or hives, eye pain, blurred vision.

Warnings & Precautions

Don't take if:

  • You are allergic to any anticholinergic.
  • You have trouble with stomach bloating.
  • You have difficulty emptying your bladder completely.
  • You have narrow-angle glaucoma.
  • You have severe ulcerative colitis.

Before you start, consult your doctor:

  • If you have open-angle glaucoma.
  • If you have angina, chronic bronchitis or asthma.
  • If you have hiatal hernia, liver disease, kidney or thyroid disease, enlarged prostate, myasthenia gravis, peptic ulcer.
  • If you will have surgery within 2 months, including dental surgery, requiring general or spinal anesthesia.

Over age 60:
Adverse reactions and side effects may be more frequent and severe than in younger persons.

Pregnancy:
Studies inconclusive on harm to unborn child. Animal studies show fetal abnormalities. Decide with your doctor whether drug benefits justify risk to unborn child.

Breast-feeding:
Drug passes into milk and decreases milk flow. Avoid drug or discontinue nursing until you finish medicine. Consult doctor for advice on maintaining milk supply.

Infants & children:
Use only under medical supervision.

Prolonged use:
Chronic constipation, possible fecal impaction. Consult doctor immediately.

Skin & sunlight:
No problems expected.

Driving, piloting or hazardous work:
Use disqualifies you for piloting aircraft. Otherwise, no problems expected.

Discontinuing:
May be unnecessary to finish medicine. Follow doctor's instructions.

Others:
Advise any doctor or dentist whom you consult that you take this medicine.


Possible Interaction with Other Drugs

GENERIC NAME COMBINED EFFECT
------------------------ -----------------------
Amantadine Increased dicyclomine effect.
Antacids* Decreased dicyclomine absorption
effect.
Anticholinergics, Increased
other* dicyclomine effect.
Antidepressants, Increased
tricyclic (TCA)* dicyclomine effect. Increased
sedation.
Antidiarrheals* Decreased dicyclomine effect.
Antihistamines* Increased dicyclomine effect.
Attapulgite Decreased dicyclomine effect.
Buclizine Increased dicyclomine effect.
Cortisone drugs* Increased internal-eye pressure.
Digitalis Possible decreased absorption of
digitalis.
Haloperidol Increased internal-eye pressure.
Ketoconazole Decreased ketoconazole effect.
MAO inhibitors* Increased dicyclomine effect.
Meperidine Increased dicyclomine effect.
Methylphenidate Increased dicyclomine effect.
Nitrates* Increased internal-eye pressure.
Nizatidine Increased nizatidine effect.
Orphenadrine Increased dicyclomine effect.
Phenothiazines* Increased dicyclomine effect.
Pilocarpine Loss of pilocarpine effect in
glaucoma treatment.
Potassium Possible intestinal
supplements* ulcers with oral potassium tablets.
Quinidine Increased dicyclomine effect.
Sedatives* or central Increased sedative effect of
nervous system (CNS) both drugs.
Vitamin C Decreased dicyclomine effect. Avoid
large doses of vitamin C.


Possible Interaction with Other Substances

INTERACTS WITH COMBINED EFFECT
--------------- ---------------
Alcohol: None expected.
Beverages: None expected.
Cocaine: Excessively rapid heartbeat. Avoid.
Foods: None expected.
Marijuana: Drowsiness and dry mouth.
Tobacco: None expected.



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