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.