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Side effects of bentyl 20 mg: Side Effects of Bentyl (Dicyclomine), Warnings, Uses

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Bentyl Oral: Uses, Side Effects, Interactions, Pictures, Warnings & Dosing

Dizziness, drowsiness, lightheadedness, weakness, blurred vision, dry eyes, dry mouth, nausea, constipation, and abdominal bloating may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

To relieve dry mouth, suck (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute. To relieve dry eyes, consult your pharmacist for artificial tears or other eye lubricants.

To prevent constipation, eat dietary fiber, drink enough water, and exercise. You may also need to take a laxative. Ask your pharmacist which type of laxative is right for you.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: decreased sweating, dry/hot/flushed skin, fast/irregular heartbeat, loss of coordination, slurred speech, mental/mood changes (such as confusion, hallucinations, agitation, nervousness, unusual excitement), difficulty urinating, decreased sexual ability.

Get medical help right away if you have any very serious side effects, including: eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at night).

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US –

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www. fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

What You Need To Know About Bentyl (Dicyclomine)

Bentyl (dicyclomine) is a type of drug known as an anticholinergic. It is also an antispasmodic that prevents spasms in the muscles of the gut and bladder by causing those muscles to relax. In addition, this drug also reduces the amount of acid that is produced in the stomach.

seb_ra / Getty Images

Uses

Bentyl may be prescribed to treat conditions such as irritable bowel syndrome (IBS), diverticulosis, colic, and bladder spasms. Under the supervision of a physician, Bentyl can safely be used long term.

Before Taking

Talk to your doctor about all medications, supplements, and vitamins that you currently take. While some drugs pose minor interaction risks, others may outright contraindicate use or prompt careful consideration as to whether the pros of treatment outweigh the cons in your case

Precautions and Contraindications

Tell a doctor if any of the following conditions are present now or have been diagnosed in the past:

  • Congestive heart failure
  • Difficulty urinating
  • Esophagitis
  • Glaucoma
  • Hypertension (high blood pressure)
  • Myasthenia gravis
  • Prostate enlargement (BPH)
  • Severe ulcerative colitis when bowel movements have stopped

The FDA has classified Bentyl as a pregnancy type B drug. The effect that Bentyl has on an unborn child has not been studied extensively. Bentyl should only be used during pregnancy if clearly needed. Notify the prescribing doctor if you become pregnant while taking Bentyl.

Bentyl should not be taken by people who are breastfeeding a baby, since Bentyl passes into breast milk and could affect a nursing infant.

Children under 6 months of age may experience severe side effects from this drug.  Bentyl can also suppress the production of breast milk in people who are nursing.

Dosage

Bentyl comes in the form of a capsule, a tablet, an oral liquid, and an intramuscular injection. It is usually taken four times per day. The injection is used only temporarily for one or two days.

To achieve the best results, Bentyl should be taken 30 minutes to one hour before eating a meal. Bentyl is not known to interact with any foods.

Bentyl should not be taken at the same time as an antacid, such as Tums, Rolaids, Gaviscon, Maalox, and Mylanta, as they may reduce the effectiveness of Bentyl.

The dosage of Bentyl needed will be determined by the prescribing physician. Take this medication exactly as prescribed. In some cases, the starting dose might be 10-20 milligrams (mg) up to four times a day.

If a dose is missed, take it as soon as it is remembered. If the next dose should be taken soon, just take that dose. Don’t double up by taking more than one dose at a time.

Bentyl Side Effects

Serious side effects of Bentyl include mental changes such as confusion, short-term memory loss, hallucinations, or agitation. In most cases, these side effects will go away during the 12 to 24 hours after the patient stops taking Bentyl.

Some of the more common side effects include dry mouth, drowsiness, and dizziness. Bentyl could also lead to a decreased ability to perspire (which can contribute to heatstroke). Bentyl has caused impotence in some men who take it.

It is important to drink enough water while taking Bentyl, especially during hot weather or while exercising.

Bentyl can cause constipation, and patients should get enough fiber and drink enough water to counteract this effect.

Warnings and Interactions

Bentyl may interact with certain other medications. Tell the prescribing physician if any of these medications are also prescribed:

  • Symmetrel (amantadine)
  • Antacids
  • Antidepressants (Haldol, Elavil)
  • Antihistamines (Benadryl)
  • Cardiac rhythm regulators (Pronestyl, quinidine)
  • Tagamet (cimetidine)
  • Lanoxin (digoxin)
  • Reglan (metoclopramide)
  • Monoamine oxidase (MAO) inhibitors (Nardil, Parnate)
  • Prednisone
  • Sedatives (Ambien, Dalmane, Restoril)
  • Thiazide diuretics (Dyazide, hydrochlorothiazide)

People taking Bentyl should avoid alcoholic drinks as the two together could have an increased sedative effect. Take care to avoid alcohol from unexpected sources, such as over-the-counter cough suppressants or products to treat colds (Nyquil, for example).

Bentyl – Side Effects, Uses, Dosage, Overdose, Pregnancy, Alcohol

Bentyl is a prescription medication used to treat irritable bowel syndrome (IBS). This medication belongs to a group of drugs called anticholinergic (or antimuscarinic) agents. It relieves intestinal spasms by blocking muscarinic receptors in the digestive tract.

Bentyl comes in capsule, tablet, and in an oral syrup form. It is taken 4 times daily, with or without food.

Bentyl is also available as an injectable form to be given directly into a muscle (IM) by a healthcare professional.

Common side effects include nausea, dry mouth, and dizziness. Do not drive or operate heavy machinery until you know how it affects you.

Bentyl is a prescription medication used to treat irritable bowel syndrome (IBS).

This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.

Oral/Injectable:

Common side effects of Bentyl include:

  • dizziness
  • blurred vision
  • nausea
  • vomiting
  • dry mouth
  • weakness

This is not a complete list of Bentyl side effects. Ask your doctor or pharmacist for more information.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

 

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:

  • Antiglaucoma agents
  • Antacids
  • other anticholinergics such as glycopyrrolate (Cuvposa, Robinul), trospium (Sanctura), oxybutynin (Anturol, Gelnique, Oxytrol, Ditropan), solifenacin (Vesicare), propantheline (Pro-Banthine), and atropine (Atropen, Sal-Tropine)

This is not a complete list of Bentyl drug interactions. Ask your doctor or pharmacist for more information.

Serious side effects have been reported with Bentyl including the following:

  • Psychosis. Tell your healthcare provider right away if you have some or all of the following symptoms of psychosis:
    • Thoughts and speech are unorganized
    • Experience beliefs that are not based in reality 
    • Hear, see, or feel things that are not there

Bentyl can cause drowsiness. Do not drive or operate heavy machinery until you know how Bentyl affects you.

Do not take Bentyl if you:

  • are allergic to Bentyl or to any of its ingredients 
  • are a nursing mother
  • have acid reflux disease
  • have problems urinating
  • have myasthenia gravis. This is a disease that causes extreme weakness in the muscles that you voluntarily control. If you have this, notify your doctor.
  • have glaucoma. Glaucoma is a disease that damages a major nerve in your eye. Notify your doctor if you have vision problems.
  • have severe Ulcerative Colitis. This is a disease where inflammation or sores are present along the inside of your colon or rectum. Notify your doctor if you have been told that you have this.

Bentyl is not for infants younger than 6 months.

Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of Bentyl there are no specific foods that you must exclude from your diet when receiving this medication.

Before taking Bentyl, tell your doctor about all of your medical conditions. Especially tell your doctor if you:

  • are allergic to Bentyl or to any of its ingredients
  • are a nursing mother
  • have acid reflux disease
  • have problems urinating
  • have heart problems
  • have myasthenia gravis
  • have glaucoma
  • have severe ulcerative colitis
  • have an enlarged prostate
  • have liver problems
  • have kidney problems
  • have mental health problems

Bentyl is not for infants younger than 6 months.

Tell your doctor about all the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements.

Tell your doctor if you are pregnant or plan to become pregnant.

The FDA categorizes medications based on safety for use during pregnancy. Five categories – A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.

Bentyl falls into category B. There are no well-done studies that have been done in humans with Bentyl. In animal studies, pregnant animals were given this medication, and the babies did not show any medical issues related to this medication.

Tell your doctor if you are breastfeeding or plan to breastfeed. Bentyl has been detected in human breast milk. Because of the possibility for adverse reactions in nursing infants from Bentyl, a choice should be made whether to stop nursing or to stop use of this medication. The importance of the drug to the mother should be considered.

Take Bentyl exactly as prescribed.

Bentyl comes in capsule, tablet, and in an oral syrup form. It is taken four times every day.

This medication is also available in an injectable form to be given directly into a muscle (IM) by a healthcare professional.

If you miss a dose, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of Bentyl at the same time.

Take this medication exactly as prescribed by your doctor. Follow the directions on your prescription label carefully.

The dose your doctor recommends may be based on how you respond to this medication and the side effects you may experience.

Injectable:

The recommended dose range of Bentyl (dicyclomine) is 10-20 mg to be given directly into the muscle (IM) four times daily by a healthcare professional. Patients should only use this route of administration for a maximum of 1-2 days when they cannot take the oral version.

Oral:

The recommended dose of Bentyl (dicyclomine) is 20 mg, four times daily.

If you take too much Bentyl, call your healthcare provider or local Poison Control Center, or seek emergency medical attention right away.

If Bentyl is administered by a healthcare provider in a medical setting, it is unlikely that an overdose will occur. However, if overdose is suspected, seek emergency medical attention.

Dicyclomine Hydrochloride | Side Effects | Dosage | Precautions

By Medicover Hospitals / 16 Feb 2021
Home | Medicine | Dicyclomine Hydrochloride

What is Dicyclomine Hydrochloride

  • Dicyclomine oral tablet is a prescription medicine. It’s available as a brand-name Bentyl drug. It is available as a generic drug. Generic drugs usually cost less than that.. Dicyclomine also comes as a capsule or solution that you take by mouth and by injection. The injection is given only by a health care provider in a clinic.
  • Forms and strengths:
  • Generic name- Dicyclomine
  • Form – Oral tablet
  • Strengths- 20 mg
  • Brand name – Bentyl
    1. Dicyclomine Hydrochloride Uses
    2. Side effects
    3. Precautions
    4. Dicyclomine Hydrochloride vs Drotaverine
    5. FAQ’s

    Dicyclomine Hydrochloride Uses:

  • Dicyclomine is used to treat symptoms such as stomach spasms caused by intestinal disorders, including irritable bowel syndrome. It might be used as a part of combination therapy. This means that you may need to take it with other medications.
  • How it works

  • Dicyclomine is a class of drugs called anticholinergics. Classification of drugs that work in a similar way. These drugs are often used for the treatment of similar conditions.
  • This drug affects specific muscles in your stomach and intestines that are called smooth muscles. It helps to relax these muscles in order to relieve the spasms caused by functional intestinal disorders in this part of your digestive system.
  • Dicyclomine Hydrochloride Side Effects:

    • Dry mouth
    • Dizziness
    • Blurry vision
    • Nausea
    • Sleepiness
    • Weakness
    • Nervousness
    • Abnormal or rapid heart rate
  • Eye problems. Symptoms can include:
    • Blurry vision
    • Difficulty moving your eyes
    • Sensitivity to light
    • Allergic reactions
    • Swelling of your face, tongue, throat, arms, and legs
    • Trouble breathing or swallowing
    • Skin rash
    • Welts
    • Hives
    • Temporary episodes of memory loss
    • Irritation
    • Confusion
    • Delusions
    • Disorientation
    • Hallucinations
    • Sudden mood or behaviour changes
    • Decreased breast milk production in breastfeeding women
    • Skin problems
    • Redness
    • Rash
    • Inflammation of your skin

    Precautions:

    • For people with heart problems – Dicyclomine can cause a rapid or abnormal heart rate. The risk of this side effect is increased if you already have an abnormal or rapid heart rate, congestive heart failure, a history of heart attack, or uncontrolled blood pressure.
    • For people with myasthenia gravis- Myasthenia gravis is a disease of muscle weakness. If you have this disease and take dicyclomine, your illness may get worse. High doses of this drug may even cause paralysis in people with this disease. You’re not supposed to use this drug if you have myasthenia gravis.
    • For people with intestinal obstruction – Dicyclomine may cause or worsen blockage or obstruction of the digestive tract. If you have removed a portion of your intestine (ileostomy or colostomy), you are at greater risk of this side effect.
    • For people with ulcerative colitis – Dicyclomine can reduce the movement of the digestive tract. If you have ulcerative colitis and take this medicine, the movement of your digestive tract may be slowed to the point where it can cause a condition called toxic megacolon. Symptoms of toxic megacolon include stomach pain, bloating, rapid heart rate, fever, severe diarrhea, and bloody diarrhea. If you have severe ulcerative colitis, you should not take this medicine.
    • For men with enlarged prostate – the use of this drug may cause urinary retention. This can make it hard for you to urinate. If you have an enlarged prostate, you are at an increased risk of this side effect if you take this medicine.
    • For people with liver disease – your body may not be able to treat this medicine as well as it should if you have liver disease. Taking normal doses of this medicine may cause it to build up in your body and increase your risk of side effects. Talk to your doctor before taking this medicine if you have liver disease.
    • For people with kidney disease- your body may not be able to get rid of this medicine as well as it should if you have kidney disease. Taking normal doses of this medicine may cause it to build up in your body and increase your risk of side effects. Talk to your doctor before taking this medicine if you have kidney disease.
    • For people with glaucoma- This drug may increase the pressure in your eyes. If you have glaucoma, this increase in pressure may be harmful to your eyes. You should not use this medicine if you have glaucoma or are taking medicines to treat glaucoma. For people with food poisoning: if you have food poisoning caused by the bacterium of Salmonella, taking dicyclomine may cause serious damage to the low level of toxicity.
    • Dicyclomine is a category B pregnancy drug for pregnant women. It means two things:
      • – Animal research has shown no risk to the fetus when the mother takes the drug.
      • – There are not enough human studies to show whether the drug poses a risk to the fetus.
    • Talk to your doctor if you are in pregnancy or planning to become pregnant. Animal studies do not always predict how the human body would respond. Therefore, this drug should only be used during pregnancy if it is clearly needed. Call your doctor right away if you become pregnant while taking this medicine.
    • For women who are breast-feeding – Dicyclomine should not be used in women who are breast-feeding. Dicyclomine may pass into breast milk and may cause side effects in infants who are breastfed. This drug may also lower the amount of breast milk your body makes. Talk to your doctor if you breastfeed with your child. You may need to decide whether to stop breastfeeding or stop taking this medicine.
    • For the elderly – the kidneys of older adults may not work as well as they used to. This can make your body process drugs more slowly. As a result, more drugs stay in your body for a longer period of time. This might increase your risk of side effects
    • For children- this drug has not been evaluated in children. It should not be used in people younger than 18 years of age.

    Dicyclomine Hydrochloride vs Drotaverine

    Dicyclomine Hydrochloride Drotaverine
    Brand Name: Bentyl, Dibent, Dicyclocot Trade name: No-Spa, Doverin
    It is available as Anticholinergic Agents Drotaverine is an antispasmodic drug
    Dicyclomine is used to treat symptoms such as stomach spasms caused by intestinal disorders, including irritable bowel syndrome. Drotaverine is used to enhance cervical dilation during childbirth.
    Formula C19h46ClNO2 Formula: C24h41NO4

    Frequently Asked Questions:

    Dicyclomine is used for the treatment of symptoms of irritable bowel syndrome. Dicyclomine is in a class of drugs that is called anticholinergics. It relieves muscle spasms in the gastrointestinal tract by blocking the activity of a natural substance in the body.

    Dicyclomine is used for relieving colicky pain caused by intestinal muscle spasm in functional bowel/irritable bowel syndrome. Side effects include dry mouth, decreased sweating, nausea, and sedation.

    Dicyclomine oral tablets may cause somnolence. You’re not supposed to do anything that requires you to be mentally alert, such as driving or operating machines, until you know how this drug affects you. The drug may also cause many other side effects.

    Do not take this medicine at the same time you take antacids. If you are taking antacid, take it after a meal and take dicyclomine before a meal. The dose is based on your age, medical condition, and response to treatment. Do not increase your dose or take this medicine more often than not without your doctor’s approval.

    Stop using dicyclomine when you have stomach pain and call your doctor at once if you have a serious side effect, such as- severe constipation, bloating, stomach pain; worsening of diarrhea or other irritable intestinal symptoms; feeling very thirsty or hot, unable to urinate, heavy sweating, or hot and dry skin.

    It’s best to take this medicine on an empty stomach, 30 minutes to 1 hour before meals. Take your medication at regular intervals. Don’t take your medicine more often than directed.

    In most cases, these side effects will go away for 12 to 24 hours after the patient stops taking Bentyl. It is important to drink enough water while taking Bentyl, especially during hot weather or during exercise.

    Dicyclomine (Bentyl), for example, is widely used for the treatment of symptoms of irritable bowel syndrome. How they can cause depression: Anticholinergics, as central nervous system depressants, may cause depression, sedation, and cognitive impairment in older patients.

    Other side effects may include loss of appetite, tingling, headache, somnolence, or weakness. Bentyl may also cause more serious side effects, such as confusion or dizziness.

    Bentyl 20 Mg Uso | CT Weather

    Estudios epidemiológicos en mujeres embarazadas con productos que contienen clorhidrato de dicicloverina (a dosis de hasta 40 mg/día) no han demostrado que la dicicloverina aumente el riesgo de anormalidades fetales si se le administra durante el primer trimestre del embarazo.. Take exactly as prescribed by your doctor. Drug interactions include Benadryl ( diphenhydramine ), Pill Cephalexin 500mg Tavist (clemastine), Phenergan (promethazine), Mellaril (thioridazine), Elavil , Endep ( amitriptyline ), Flexeril (cyclobenzaprine) and Norpace (disopyramide) Hymie, Bentyl 20 Bentyl 20 Mg Uso Mg Uso bad creator, tactically undoes. Round, blue, imprinted with WATSON 795. 10-20 mg IM q6hr; not to exceed 80 mg/day IM. A bowel obstruction or sever How Should I Take Dicyclomine? Bentyl is a medication that doctors prescribe to alleviate intestinal and stomach spasms. It is most commonly used for irritable bowel syndrome. Antibacterial Iain borrows cattily sprayed. Before using dicyclomine, Genuine Cialis Uk tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, Images of Bentyl 20 mg Uso bing. Take this medication exactly as prescribed. Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. It is also known generically as dicyclomine. What are the possible side effects of dicyclomine (Bentyl)? Se ha determinado que la vida media plasmática de eliminación es aproximadamente 1. Hints lenifica – tunas recognize the placidly generating piscivorous castles. Problems with urination; 2. One day I wanted to feel the effects of more, so I took four in one dose. Though rare, some people abuse this medication to experience euphoria Mar 25, 2020 · The usual doses of Bentyl range from from 20 – 40 mg given 4 times daily. IM use should not be longer than 1-2 days. Aug 02, 2014 · The usual therapeutic dose for adults is 20 mg twice a day, its grand-daddy drug is atropine but it has (in usual doses) less side effects and has …. 8 horas. Older adults may be more likely to have side effects from dicyclomine. 65 l/kg lo cual sugiere una extensa distribución en tejidos.. Com Bentyl: ¿Qué es? En algunos casos, la dosis inicial puede ser de 20 mg cuatro veces al día. What Drugs, Substances, or Supplements Interact with Cialis Online Mexico Bentyl? To reduce your risk of side effects, your doctor may direct you to start. Dicyclomine 20 mg-WAT. Se han realizado estudios de reproducción en …. After this dosage is taken and tolerated for a week, the dose might be increased to 40 mg four times a day Dicyclomine is used to treat a certain type of intestinal problem called irritable bowel syndrome. The intramuscular injection is only used for 1 to 2 days if a patient cannot take capsules or tablets The typical starting dose is 20 mg, taken four times per day. Com/images See all See all images Bentyl Oral : Uses, Side Effects, Interactions, Pictures https://www. See what others have said about Dicyclomine, including the effectiveness, ease of use and side effects También se excreta por heces en un 8. 20 mg PO q6hr; may increase up to 40 mg q6hr; if efficacy not achieved in 2 weeks or adverse effects require dose 80 mg/day for periods > 2 weeks. Com …. The dose can be increased to 40 mg 4 times daily. I felt weird waves of body rushes for a few hours Antacids, pramlintide, and glaucoma medications may cause drug interactions with dicyclomine. Jan 03, 2019 · BENTYL injection is a sterile, pyrogen-free, aqueous solution for intramuscular injection (NOT FOR INTRAVENOUS USE) supplied as an ampoule containing 20 mg/2 mL (10 mg/mL). Com/drugs/2/drug-5245/bentyl-oral Overview Side Effects Precautions Interactions Overdose Uses: Dicyclomine is used to treat a certain type of intestinal problem called irritable bowel syndrome. 4%. También está disponible para inyección para uso hospitalario. Después de tomar esta dosis durante una semana, la dosis puede aumentarse a 40 mg cuatro veces al día Mar 25, 2020 · BENTYL 20 mg tablets also contain inactive ingredients: acacia, dibasic calcium phosphate, corn starch, FD&C Blue No. Webmd. Learn about the reported side effects, related class drugs, and how these medications will affect your daily lifestyle. To help you remember to take dicyclomine, take it around the same times every day Bentyl tablets for oral use contain 20 mg dicyclomine hydrochloride USP. Webmd. Do not take in larger or smaller amounts or for longer than recommended. Take this medication by mouth with or without food as directed by your doctor, usually 4 times a day. This medication works by slowing the natural movements of the gut See more on www. It is usually taken in doses of 20 mg, four times a day to start. Garrot reconcilable handicap freeze pretending to push belabors with love. 1, lactose, magnesium stearate, pregelatinized corn starch, and sucrose. Dicyclomine comes as a capsule, tablet, and syrup to take by mouth. Hey Druggit. Com https://www. Dicyclomine belongs to a class of drugs known as. 7. The Tibetan slave Noah, terrorizing the neo-impressionist followers, thoughtfully overcame Dicyclomine 20 mg-URL. Drug interactions include Benadryl (diphenhydramine), Tavist (clemastine), Phenergan (promethazine), Mellaril (thioridazine), Elavil, Endep (amitriptyline), Flexeril (cyclobenzaprine) and Norpace (disopyramide) Restricciones de uso durante el embarazo y la lactancia: Estudios epidemiológicos en mujeres embarazadas con productos que contienen clorhidrato Aricept Order Online de dicicloverina (a dosis de hasta 40 mg/día) no han demostrado que la dicicloverina aumente el riesgo de anormalidades fetales si se le Canadian Pharmacy Viagra Brand administra durante el primer trimestre del embarazo. 8/10 Drug class: Anticholinergics / antispasmodics Brand name: Bentyl Celebrex Capsule 200 Mg Prospect Before Taking This Medicine You should not take this medication if you are allergic to dicyclomine, or if you have: 1. Oct 29, 2019 · Información relativa al paciente del fármaco Bentyl revisada por un médico – incluye descripción, efectos secundarios (o reacciones adversas), posología e instrucciones de uso. Drugs. Antibacterial Iain borrows cattily sprayed. This eMedTV resource lists some of the other medicines that may interact with dicyclomine and explains what may happen if a drug Cialis Prijs 5 Mg interaction occurs RESTRICCIONES DE USO DURANTE EL EMBARAZO Y LA LACTANCIA: Estudios epidemiológicos en mujeres embarazadas con productos que contienen clorhidrato de dicicloverina (a dosis de hasta 40 mg/día) no han demostrado que la dicicloverina aumente el riesgo de anormalidades fetales si se le administra durante el primer trimestre del embarazo. The recommended intramuscular injection Bentyl 20 Mg Uso is 10 to 20 mg 4 times daily. Visit cvs. 8/10 Dicyclomine Uses, Side Effects & Warnings – Drugs. Idiosincransia conocida al clorhidrato de dicicloverina; no se debe utilizar en pacientes con uropatía obstructiva del tracto gastrointestinal, íleo paralítico, atonía, intestinal, colitis ulcerativa severa Bentyl 20 Mg Uso y miastenia gravis; niños Purchase Discount Wellbutrin Xl 300mg de Bentyl necesaria será determinada por el médico que prescribe. Overdose symptoms may include nausea, vomiting, dilated pupils, wea What Should I Avoid While Taking Dicyclomine? Each mL contains 10 mg dicyclomine hydrochloride USP in sterile …. Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat Bentyl Oral tablet 20mg Drug Medication Dosage information. Do not take extra medicine to What Happens If I Overdose? Round, blue, imprinted with WW 27. After 1 week, your doctor may increase your dose to 40 mg, taken four times per day. BENTYL injection is a sterile, pyrogen-free, aqueous solution for intramuscular injection (NOT FOR INTRAVENOUS USE) supplied as an ampoule containing 20 mg/2 mL (10 mg/mL) The recommended starting oral dose of dicyclomine is 20 mg given 4 times daily. Por lo general, se toma en dosis de 20 mg, cuatro veces al día para comenzar. This medication may cause blurred vision and may impair your thinking or reactions. Com/mtm/dicyclomine. Follow the directions on your p What Happens If I Miss A Dose? The maximum dose is 40 mg, taken four times per day Restricciones de uso durante el embarazo y la lact. The Tibetan slave Noah, terrorizing the neo-impressionist followers, thoughtfully overcame. Do not breast feed a baby while taking this medication. Take the missed dose as soon as you remember. Contraindicaciones Dicicloverina. It helps to reduce the symptoms of stomach and intestinal cramping. How to use Bentyl.

    Dicyclomine Dosage & Rx Info

    Drugs » Gastrohepatic Disorders

    • Hyperacidity, GERD, and ulcers

    Hyperacidity, GERD, and ulcers:

    Indications for Dicyclomine:

    Irritable bowel syndrome.

    Adult Dosage:

    Initially 20mg 4 times daily; after 1 week may increase to 40mg 4 times daily if tolerated. Discontinue if not effective within 2 weeks or daily doses ≥80mg are not tolerated.

    Children Dosage:

    <6mos: see Contraindications. ≥6mos: consult manufacturer.

    Dicyclomine Contraindications:

    Glaucoma. Unstable cardiovascular status. GI or urinary tract obstruction. Severe ulcerative colitis. Myasthenia gravis. Reflux esophagitis. Children <6months of age. Nursing mothers.

    Dicyclomine Warnings/Precautions:

    Inj: avoid IV administration (may cause thrombosis, inj site reactions). Autonomic neuropathy. Hepatic or renal impairment. Cardiovascular disease. Hypertension. Hyperthyroidism. Salmonella dysentery. Toxic megacolon. Ulcerative colitis. GI or GU obstruction. High environmental temperature. Diarrhea. Elderly. Debilitated. Pregnancy (Cat.B).

    Dicyclomine Classification:

    Dicyclomine Interactions:

    Antacids may inhibit absorption; avoid. May antagonize anti-glaucoma agents or drugs that alter GI motility (eg, metoclopramide). Antagonized by agents used to treat achlorhydria and those used to test gastric secretion. Additive anticholinergic effects with other anticholinergics, narcotic analgesics, type I antiarrhythmics, antihistamines, antipsychotics, tricyclics, amantadine, benzodiazepines, MAOIs, nitrites, nitrates, sympathomimetics. May affect absorption of sust rel dosage forms.

    Adverse Reactions:

    Dizziness, dry mouth, blurred vision, nausea, somnolence, asthenia, and nervousness; cardiovascular and CNS symptoms (eg, psychosis, delirium). Fatal reactions have occurred in infants.

    Note:

    Formerly known under the brand name Bentyl.

    How Supplied:

    Caps, tabs, syrup—contact supplier; Amps (2mL)—5

    Pricing for Dicyclomine

    Appx. price
    $17

    Dicyclomine – wikidoc

    Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vignesh Ponnusamy, M.B.B.S. [2]

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    Overview

    Dicyclomine is an antispasmodic and anticholinergic agent that is FDA approved for the treatment of functional bowel disorder or irritable bowel syndrome. Common adverse reactions include dizziness, dry mouth, blurred vision, nausea, somnolence, asthenia, and nervousness.

    Adult Indications and Dosage

    FDA-Labeled Indications and Dosage (Adult)

    Irritable Bowel Syndrome
    • Oral Dosage and Administration in Adults
    • The recommended initial dose is 20 mg four times a day. After one week treatment with the initial dose, the dose may be increased to 40 mg four times a day unless side effects limit dosage escalation.
    • If efficacy is not achieved within 2 weeks or side effects require doses below 80 mg per day, the drug should be discontinued. Documented safety data are not available for doses above 80 mg daily for periods longer than 2 weeks.
    • Intramuscular Dosage and Administration in Adults
    • BENTYL Intramuscular Injection must be administered via intramuscular route only. Do not administer by an other route. The recommended intramuscular dose is 10 mg to 20 mg four times a day.
    • The intramuscular injection is to be used only for 1 or 2 days when the patient cannot take oral medication.
    • Intramuscular injection is about twice as bioavailable as oral dosage forms.
    • Preparation for Intramuscular Administration
    • Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.
    • Aspirate the syringe before injecting to avoid intravascular injection, since thrombosis may occur if the drug is inadvertently injected intravascularly.

    Off-Label Use and Dosage (Adult)

    Guideline-Supported Use

    There is limited information regarding Off-Label Guideline-Supported Use of Dicyclomine in adult patients.

    Non–Guideline-Supported Use

    There is limited information regarding Off-Label Non–Guideline-Supported Use of Dicyclomine in adult patients.

    Pediatric Indications and Dosage

    FDA-Labeled Indications and Dosage (Pediatric)

    There is limited information regarding FDA-Labeled Use of Dicyclomine in pediatric patients.

    Off-Label Use and Dosage (Pediatric)

    Guideline-Supported Use

    There is limited information regarding Off-Label Guideline-Supported Use of Dicyclomine in pediatric patients.

    Non–Guideline-Supported Use

    There is limited information regarding Off-Label Non–Guideline-Supported Use of Dicyclomine in pediatric patients.

    Contraindications

    • BENTYL is contraindicated in infants less than 6 months of age, nursing mothers], and in patients with:

    Warnings

    Precautions
    • Inadvertent Intravenous Administration
    • Cardiovascular Conditions
    • Peripheral and Central Nervous System
    • The peripheral effects of dicyclomine hydrochloride are a consequence of their inhibitory effect on muscarinic receptors of the autonomic nervous system. They include dryness of the mouth with difficulty in swallowing and talking, thirst, reduced bronchial secretions, dilatation of the pupils (mydriasis) with loss of accommodation (cycloplegia) and photophobia, flushing and dryness of the skin, transient bradycardia followed by tachycardia, with palpitations and arrhythmias, and difficulty in micturition, as well as reduction in the tone and motility of the gastrointestinal tract leading to constipation.
    • In the presence of high environmental temperature heat prostration can occur with drug use (fever and heat stroke due to decreased sweating). It should also be used cautiously in patients with fever. If symptoms occur, the drug should be discontinued and supportive measures instituted. Because of the inhibitory effect on muscarinic receptors within the autonomic nervous system, caution should be taken in patients with autonomic neuropathy.
    • Central nervous system (CNS) signs and symptoms include confusional state, disorientation, amnesia, hallucinations, dysarthria, ataxia, coma, euphoria, fatigue, insomnia, agitation and mannerisms, and inappropriate affect.
    • Psychosis and delirium have been reported in sensitive individuals (such as elderly patients and/or in patients with mental illness) given anticholinergic drugs. These CNS signs and symptoms usually resolve within 12 to 24 hours after discontinuation of the drug.
    • BENTYL may produce drowsiness, dizziness or blurred vision. The patient should be warned not to engage in activities requiring mental alertness, such as operating a motor vehicle or other machinery or performing hazardous work while taking BENTYL.
    • With overdosage, a curare-like action may occur (i.e., neuromuscular blockade leading to muscular weakness and possible paralysis). It should not be given to patients with myasthenia gravis except to reduce adverse muscarinic effects of an anticholinesterase.
    • Toxic Dilatation of Intestine megacolon
    • Hepatic and Renal Disease
    • BENTYL should be used with caution in patients with known hepatic and renal impairment.
    • Dicyclomine hydrochloride should be used with caution in elderly who may be more susceptible to its adverse effects.

    Adverse Reactions

    Clinical Trials Experience

    • Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice.
    • The data described below reflect exposure in controlled clinical trials involving over 100 patients treated for functional bowel/irritable bowel syndrome with dicyclomine hydrochloride at initial doses of 160 mg daily (40 mg four times a day)
    • In these trials most of the side effects were typically anticholinergic in nature and were reported by 61% of the patients. Table 1 presents adverse reactions (MedDRA 13.0 preferred terms) by decreasing order of frequency in a side-by-side comparison with placebo.
    This image is provided by the National Library of Medicine.
    • Nine percent (9%) of patients were discontinued from BENTYL because of one or more of these side effects (compared with 2% in the placebo group). In 41% of the patients with side effects, side effects disappeared or were tolerated at the 160 mg daily dose without reduction. A dose reduction from 160 mg daily to an average daily dose of 90 mg was required in 46% of the patients with side effects who then continued to experience a favorable clinical response; their side effects either disappeared or were tolerated.

    Postmarketing Experience

    • The following adverse reactions, presented by system organ class in alphabetical order, have been identified during post approval use of BENTYL. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.
    • Cases of thrombosis, thrombophlebitis and injection site reactions such as local pain, edema, skin color change and even reflex sympathetic dystrophy syndrome have been reported following inadverent IV injection of BENTYL.
    Body as a Whole

    Fatigue, malaise

    Cardiovascular

    Palpitations, tachyarrhythmias

    Digestive

    Abdominal distension, abdominal pain, constipation, dry mouth, dyspepsia, nausea, vomiting

    Endocrine

    Suppressed lactation

    Psychiatric

    As with the other anti-cholinergic drugs, cases of delirium or symptoms of delirium such as amnesia (or transient global amnesia), agitation, confusional state, delusion, disorientation, hallucination (including visual hallucination) as well as mania, mood altered and pseudodementia, have been reported with the use of Dicyclomine. Nervousness and insomnia have also been reported.

    Neurologic

    Dizziness, headache, somnolence, syncope

    Respiratory

    Dyspnoea, nasal congestion

    Skin and Hypersensitivy Reactions

    Drug hypersensitivity including face edema, angioedema, anaphylactic shock, dermatitis allergic, erythema, rash

    Special Senses

    Cycloplegia, mydriasis, blurred vision

    Drug Interactions

    • Other Drugs with Anticholinergic Activity
    • The following agents may increase certain actions or side effects of anticholinergic drugs including BENTYL: amantadine, antiarrhythmic agents of Class I (e.g., quinidine), antihistamines, antipsychotic agents (e.g., phenothiazines), benzodiazepines, MAO inhibitors, narcotic analgesics (e.g., meperidine), nitrates and nitrites, sympathomimetic agents, tricyclic antidepressants, and other drugs having anticholinergic activity.
    • Other Gastrointestinal Motility Drugs
    • Interaction with other gastrointestinal motility drugs may antagonize the effects of drugs that alter gastrointestinal motility, such as metoclopramide.
    • Effect on Absorption of Other Drugs
    • Effect on Gastric Acid Secretion
    • The inhibiting effects of anticholinergic drugs on gastric hydrochloric acid secretion are antagonized by agents used to treat achlorhydria and those used to test gastric secretion.

    Use in Specific Populations

    Pregnancy

    Pregnancy Category (FDA):

    • Adequate and well-controlled studies have not been conducted with BENTYL in pregnant women at the recommended doses of 80 to 160 mg/day. However, epidemiologic studies did not show an increased risk of structural malformations amoung babies born to women who took products containing dicyclomine hydrochloride at doses up to 40 mg/day during the first trimester of pregnancy.
    • Reproduction studies have been performed in rats and rabbits at doses of up to 33 times the maximum recommended human dose based on 160 mg/day (3 mg/kg) and have revealed no evidence of harm to the fetus due to dicyclomine. Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed.

    Pregnancy Category (AUS):

    • Australian Drug Evaluation Committee (ADEC) Pregnancy Category

    There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Dicyclomine in women who are pregnant.

    Labor and Delivery

    There is no FDA guidance on use of Dicyclomine during labor and delivery.

    Nursing Mothers
    • BENTYL is contraindicated in women who are breastfeeding. Dicyclomine hydrochloride is excreted in human milk. Because of the potential for serious adverse reactions in breast-fed infants from BENTYL, a decision should be made whether to discontine nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
    Pediatric Use
    • Safety and effectiveness in pediatric patients have not been established.
    • BENTYL is contraindicated in infants less than 6 months of age. There are published cases reporting that the administration of dicyclomine hydrochloride to infants has been followed by serious respiratory symptoms (dyspnea, shortness of breath, breathlessness, respiratory collapse, apnea and asphyxia), seizures, syncope, pulse rate fluctuations, muscular hypotonia, and coma, and death, however; no causal relationship has been established.
    Geriatic Use
    • Clinical studies of BENTYL did not include sufficient numbers of subjects aged 65 and over to determine whether they respond differently from younger subjects. Other reported clinical experience has not identified differences in responses between the elderly and younger patients. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range in adults, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.
    • Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
    Gender

    There is no FDA guidance on the use of Dicyclomine with respect to specific gender populations.

    Race

    There is no FDA guidance on the use of Dicyclomine with respect to specific racial populations.

    Renal Impairment
    • Effects of renal impairment on PK, safety and efficacy of BENTYL have not been studied. BENTYL drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. BENTYL should be administered with caution in patients with renal impairment.
    Hepatic Impairment
    • Effects of renal impairment on PK, safety and efficacy of BENTYL have not been studied. BENTYL should be administered with caution in patients with hepatic impairment.
    Females of Reproductive Potential and Males

    There is no FDA guidance on the use of Dicyclomine in women of reproductive potentials and males.

    Immunocompromised Patients

    There is no FDA guidance one the use of Dicyclomine in patients who are immunocompromised.

    Administration and Monitoring

    Administration
    Monitoring

    There is limited information regarding Monitoring of Dicyclomine in the drug label.

    IV Compatibility

    There is limited information regarding IV Compatibility of Dicyclomine in the drug label.

    Overdosage

    Acute Overdose

    Signs and Symptoms
    • In case of an overdose, patients should contact a physician, poison control centre (1-800-222-1222), or emergency room.
    • One reported event included a 37-year-old who reported numbness on the left side, cold fingertips, blurred vision, abdominal and flank pain, decreased appetite, dry mouth, and nervousness following ingestion of 320 mg daily (four 20 mg tablets four times daily.) These events resolved after discontinuing the dicyclomine.
    • The acute oral LD50 of the drug is 625 mg/kg in mice.
    • The amount of drug in a single dose that is ordinarily associated with symptoms of overdosage or that is likely to be life-threatening, has not been defined. The maximum human oral dose recorded was 600 mg by mouth in a 10-month-old child and approximately 1500 mg in an adult, each of whom survived. In three of the infants who died following administration of dicyclomine hydrochloride, the blood concentrations of drug were 200, 220, and 505 ng/mL.
    Management
    • Treatment should consist of gastric lavage, emetics, and activated charcoal. Sedatives (e.g., short-acting barbiturates, benzodiazepines) may be used for management of overt signs of excitement. If indicated, an appropriate parenteral cholinergic agent may be used as an antidote.

    Chronic Overdose

    There is limited information regarding Chronic Overdose of Dicyclomine in the drug label.

    Pharmacology

    Mechanism of Action

    • Dicyclomine relieves smooth muscle spasm of the gastrointestinal tract. Animal studies indicate that this action is achieved via a dual mechanism:
    • Atropine did not affect responses to these two agonists. In vivo studies in cats and dogs showed dicyclomine to be equally potent against acetylcholine (ACh)- or barium chloride (BaCl2)-induced intestinal spasm while atropine was at least 200 times more potent against effects of ACh than BaCl2. Tests for mydriatic effects in mice showed that dicyclomine was approximately 1/500 as potent as atropine; antisialagogue tests in rabbits showed dicyclomine to be 1/300 as potent as atropine.

    Structure

    • BENTYL is an antispasmodic and anticholinergic (antimuscarinic) agent available in the following dosage forms:
    • BENTYL capsules for oral use contain 10 mg dicyclomine hydrochloride USP. BENTYL 10 mg capsules also contain inactive ingredients: calcium sulfate, corn starch, FD&C Blue No. 1, FD&C Red No. 40, gelatin, lactose, magnesium stearate, pregelatinized corn starch, and titanium dioxide.
    • BENTYL tablets for oral use contain 20 mg dicyclomine hydrochloride USP. BENTYL 20 mg tablets also contain inactive ingredients: acacia, dibasic calcium phosphate, corn starch, FD&C Blue No. 1, lactose, magnesium stearate, pregelatinized corn starch, and sucrose.
    • BENTYL injection is a sterile, pyrogen-free, aqueous solution for intramuscular injection (NOT FOR INTRAVENOUS USE) supplied as an ampoule containing 20 mg/2 mL (10 mg/mL). Each mL contains 10 mg dicyclomine hydrochloride USP in sterile water for injection, made isotonic with sodium chloride.
    • BENTYL (dicyclomine hydrochloride) is [bicyclohexyl]-1-carboxylic acid, 2-(diethylamino) ethyl ester, hydrochloride, with a molecular formula of C19h45NO2•HCl and the following structural formula:
    This image is provided by the National Library of Medicine.
    • Dicyclomine hydrochloride occurs as a fine, white, crystalline, practically odorless powder with a bitter taste. It is soluble in water, freely soluble in alcohol and chloroform, and very slightly soluble in ether.

    Pharmacodynamics

    (BENTYL can inhibit the secretion of saliva and sweat, decrease gastrointestinal secretions and motility, cause drowsiness, dilate the pupils, increase heart rate, and depress motor function.

    Pharmacokinetics

    • Absorption and Distribution
    • In man, dicyclomine is rapidly absorbed after oral administration, reaching peak values within 60-90 minutes. Mean volume of distribution for a 20 mg oral dose is approximately 3.65 L/kg suggesting exentsive distribution in tissues.
    • The metabolism of dicyclomine was not studied. The principal route of excretion is via the urine (79.5% of the dose). Excretion also occurs in the feces, but to a lesser extent (8.4%). Mean half-life of plasma elimination in one study was determined to be approximately 1.8 hours when plasma concentrations were measured for 9 hours after a single dose. In subsequent studies, plasma concentrations were followed for up to 24 hours after a single dose, showing a secondary phase of elimination with a somewhat longer half-life.

    Nonclinical Toxicology

    Carcinogenesis, Mutagenesis, Impairment of Fertility
    • Long-term animal studies have not been conducted to evaluate the carcinogenic potential of dicyclomine. In studies in rats at doses of up to 100 mg/kg/day, dicyclomine produced no deleterious effects on breeding, conception, or parturition.

    Clinical Studies

    • In controlled clinical trials involving over 100 patients who received drug, 82% of patients treated for functional bowel/irritable bowel syndrome with dicyclomine hydrochloride at initial doses of 160 mg daily (40 mg four times daily) demonstrated a favorable clinical response compared with 55% treated with placebo (p<0.05).

    How Supplied

    • 10 mg blue capsules, imprinted BENTYL 10, supplied in bottles of 100. Store at room temperature, preferably below 86°F (30°C).
    • NDC number: 58914-012-10.
    • 20 mg compressed, light blue, round tablets, debossed BENTYL 20, supplied in bottles of 100. To prevent fading, avoid exposure to direct sunlight. Store at room temperature, preferably below 86°F (30°C).
    • NDC 58914-013-10.
    • 20 mg/2 mL (10 mg/mL) injection supplied in boxes of five 20 mg/2 mL ampules (10 mg/mL). Store at room temperature, preferably below 86°F (30°C). Protect from freezing.
    • NDC 58914-080-52.

    Storage

    There is limited information regarding Dicyclomine Storage in the drug label.

    Images

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    Color(s):
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    NDC:

    Drug Label Author:

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    Package and Label Display Panel

    This image of the FDA label is provided by the National Library of Medicine.
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    Patient Counseling Information

    • Inadvertent Intravenous Administration
    • Inform parents and caregivers not to administer BENTYL in infants less than 6 months of age.
    • Advise lactating women that BENTYL should not be used while breastfeeding their infants .
    • Peripheral and Central Nervous System
    • In the presence of a high environmental temperature, heat prostration can occur with BENTYL use (fever and heat stroke due to decreased sweating). If symptoms occur, the drug should be discontinued and a physician contacted. BENTYL may produce drowsiness or blurred vision. The patient should be warned not to engage in activities requiring mental alertness, such as operating a motor vehicle or other machinery or to perform hazardous work while taking BENTYL.

    Precautions with Alcohol

    • Alcohol-Dicyclomine interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

    Brand Names

    Look-Alike Drug Names

    There is limited information regarding Dicyclomine Look-Alike Drug Names in the drug label.

    Price

    References

    The contents of this FDA label are provided by the National Library of Medicine.

    90,000 Side effects of psychopharmacological drugs, psychotropic drugs

    SIDE EFFECTS OF NEUROLEPTICS.

    Neuroleptic syndrome.

    Signs : stiffness in the muscles of the body (more often – in the arms and legs, sometimes – in the chest, jaw muscles), restlessness (constant need to walk, shifting from foot to foot), drooling (primarily during sleep) , trembling of fingers, “internal trembling”. Possible cramping, a twisting sensation in the neck, involuntary rolling of the eyes.Poor facial expressions (“frozen face”), mincing shuffling gait are also possible.

    Drugs that can cause these symptoms :

    First of all, these are haloperidol, triftazine, moditen and clopixol

    Much less often such symptoms are caused by: ethaperazine, fluanksol, neuleptil, rispolept and zyprexa (only in large doses)

    How to help yourself? If the symptoms are not intense, sometimes it is enough to drink coffee to relieve them.However, if such complaints arise, it is better to contact a specialist who will prescribe a “corrector” (a medicine that relieves neurolepsy) or change the drug to a more suitable one.

    Attention ! These symptoms may also occur or worsen with abrupt withdrawal of antipsychotics, therefore it is strongly recommended to cancel or replace the drug with the assistance of a competent psychiatrist.

    Excessive sedation

    Signs : drowsiness, lethargy, lethargy, expressed to a large extent.

    Drugs that can cause these symptoms :

    First of all, these are: chlorpromazine, tisercin, clopixol, azaleptin

    Slightly less common and less pronounced: chlorprothixene, neuleptyl, zyprexa

    Much less often: haloperidol, seroquel (only in high doses)

    How to help yourself? Excessive sedation occurs most often in the first stages of treatment and is necessary in order to “calm down” the psyche, relieve it of excessive overload, and relieve anxiety.That is, in itself, drowsiness and lethargy are fraught with a healing effect. If so, give yourself some rest for a while. Get plenty of rest, do not fight for a “fresh head”. Remember: these symptoms will go away with the disease, and in the future, when the condition improves, the doctor will select such a dosage at which drowsiness will not occur. If the state of health has already leveled off, the painful symptoms have gone, and drowsiness continues to bother, consult a specialist about changing the treatment.

    Attention ! Patients taking these drugs are advised to refrain from activities that require high concentration of attention (driving, etc.)n.)

    Anticholinergic effect

    Signs: dry mouth, dilated pupils, combined with blurred and blurred vision, constipation, difficulty urinating, delayed ejaculation.

    Drugs that cause these symptoms most often: chlorpromazine, tizercin, sonapax, neuleptyl, azaleptin

    How can I help myself? Without the participation of a doctor, you can effectively cope with only one (and by the way, the most common symptom – severe dry mouth.It is usually recommended to rinse your mouth more often, suck on hard candy, or chew gum. This must be done to avoid infection of the salivary gland ducts.

    Attention! Preparations with a pronounced anticholinergic effect are highly undesirable for elderly patients. Such drugs are contraindicated in patients with benign prostatic hyperplasia and glaucoma.

    Decrease in blood pressure

    Signs: dizziness and darkening in the eyes, especially when getting out of bed (that is, when moving from a horizontal position to a vertical one), weakness, palpitations, possible fainting.

    Drugs that can cause these symptoms:

    The leader is aminazine . No other drug has these effects so strongly.

    Somewhat less often, but also often: tisercin, azaleptin, neuleptyl, clopixol

    Less common and less pronounced: rispolept, zyprexa, seroquel

    How can I help myself? If symptoms of low blood pressure occur, it is advisable to lie quietly for a while: the pressure will rise.If this side effect bothers most of the time and is significantly pronounced, consult a doctor – he will prescribe you a “corrector” of therapy (a drug that increases vascular tone) or change the main treatment.

    Depression

    Signs: usually upon recovery from an acute psychotic or other acute state while taking antipsychotics (especially in cases where neurolepsy phenomena have occurred (see above), patients may feel depressed, reduced interest in what is happening around, lack of initiative and desire for something) either do.In such cases, you can suspect depression, which has developed as a result of taking antipsychotics.

    Drugs that can cause these symptoms: chlorpromazine, haloperidol, moditen, clopixol, rispolept

    How can I help myself? It is important to remember that depression is temporary and will soon go away. Remind yourself of this more often to avoid irreversible actions during this period.

    Attention! Finding such symptoms in yourself is not a guide to quitting taking medications (this can only worsen the condition).See your doctor – he will help you overcome depression and, if necessary, change the drug to another that does not cause similar effects.

    Hyperprolactinemia

    Signs: different in women and men. The common thing is an increase in the level of the hormone prolactin in the blood, which gives the external manifestations of this side effect.

    In women, signs of hyperprolactinemia are: irregularities in the menstrual cycle (absence of menstruation or infrequent menstruation, engorgement and enlargement of the mammary glands with white discharge from the nipples (sometimes abundant, as after childbirth), infertility, weight gain, and increased male pattern hair growth ( hair growth on the face, chest, back)

    In men, the signs of hyperprolactinemia are: impaired sexual functions (decreased libido, impaired potency, delayed ejaculation), possibly swelling of the mammary glands (gynecomastia), infertility, weight gain.

    Drugs that can cause these symptoms:

    First of all, these are: solian, eglonil, haloperidol, rispolept

    Less common: clopixol, fluanksol, tiapride, zyprexa

    Much less often: seroquel, zelldox

    Attention! The appearance of these symptoms depends not so much on the dose of the drug as on the characteristics of the organism. Therefore, you should not reduce the dose of the drug. It is better to consult a doctor: he will prescribe corrective therapy for you and select an adequate replacement for the drug.

    Weight gain

    Signs: an increase in body weight while taking the drug, most often associated with an increase in appetite and the consumption of more food than before.

    Drugs that can cause these symptoms:

    First of all, these are: haloperidol, clopixol, azaleptin, zyprexa

    Much less often: rispolept, seroquel

    Attention! If you are overweight and have an unfavorable heredity in terms of cardiovascular diseases and diabetes, and you are prescribed one of these drugs for a long time, consult your doctor about the possibility of changing the treatment.

    Metabolic disorders (dyslipidemia, drug-induced diabetes mellitus)

    Signs: abnormalities in the lipid ratio (an increase in unwanted lipids that contribute to the development of atherosclerosis) and an increase in glucose levels (drug-induced diabetes) found in biochemical blood tests (from a vein).

    Drugs that can cause these symptoms:

    First of all, these are: azaleptin, zyprexa

    Much less often: rispolept, seroquel

    Attention! If you are overweight, shifts in the indicators of the biochemical blood test (increased glucose levels, atherogenic lipids) and unfavorable heredity in terms of diabetes and atherosclerosis, and you have been prescribed one of these drugs for a long time, consult your doctor about the possibility of changing the treatment.

    If you are taking antidepressants

    Antidepressants are medicines, the main effect of which is the treatment of pathologically depressed mood. However, depression is not the only indication for their prescription. Antidepressants successfully treat diseases associated with panic attacks, various kinds of anxiety and fears (including social phobia), certain types of obsessions, anorexia nervosa and bulimia, psychosomatic disorders (where bodily suffering comes to the fore).

    SIDE EFFECTS OF ANTI-DEPRESSANTS.

    Anticholinergic effect

    Signs: dry mouth, dilated pupils, combined with blurred and blurred vision, constipation, difficulty urinating, delayed ejaculation.

    Drugs that can cause these symptoms:

    First of all, these are: amitriptyline, anafranil

    Less common: melipramine, ludiomil, paxil

    Much less often: cipralex, zoloft (sertraline, centra)

    Drugs causing dry mouth (as an isolated symptom): pyrazidol, aurorix, coaxil, ephevelone, prozac, incazan

    How can I help myself? Without the participation of a doctor, you can effectively cope with only one (and by the way, the most common symptom – severe dry mouth.It is usually recommended to rinse your mouth more often, suck on hard candy, or chew gum. This must be done to avoid infection of the salivary gland ducts.

    Attention! Preparations with a pronounced anticholinergic effect are highly undesirable for elderly patients. Such drugs are contraindicated in patients with benign prostatic hyperplasia and angle-closure glaucoma.

    Initial alarm

    Signs: This is the name of anxiety that occurs or intensifies in the initial period of taking some antidepressants.In this case, excitement, agitation, fussiness, restlessness, irritability, and sleep disturbances are possible.

    Drugs that can cause these symptoms: Prozac (fluoxetine), Ephevelone, Paxil (Rexetine), Zoloft (Sertraline), Pyrazidol, Aurorix, Melipramine, Indopan

    Warning: An increase in anxiety levels in the first 2-3 weeks of antidepressant treatment does NOT indicate a worsening of the condition. It is important to be prepared for the occurrence of such a symptom and, if it occurs, seek help from a specialist who will prescribe a “cover” for this time in the form of an anti-anxiety drug.The appointment of such a drug should NOT be carried out independently, because it is necessary to take into account the interaction of drugs, and this can only be correctly carried out by a doctor.

    Insomnia

    Signs: As a rule, difficulty falling asleep, which appeared or worsened when taking an antidepressant.

    Drugs that can cause these symptoms: Prozac (fluoxetine), Cipralex, Paxil (Rexetin), Zoloft (Sertraline), Melipramine, Amitriptyline, Ephevelone, Simbalta, Ixel, Brofaromin, Indopan, Aurorix .

    How can I help myself? Redistribution of the drug intake, with an emphasis on the morning and afternoon hours, often helps. If, in this case, sleep disturbances continue to bother you, see your doctor.

    Attention: do not stop taking the drug due to sleep disturbances. Insomnia is a short-term and surmountable condition. As your general well-being improves, your sleep will also improve when you take an antidepressant.

    Excessive sedation

    Signs: drowsiness, lethargy, lethargy, dizziness, increased fatigue, weakness, lethargy and slowing down of the speed of mental and motor reactions.

    Drugs that can cause these symptoms – antidepressants with a pronounced sedative effect:

    First of all, these are: amitriptyline, anafranil, lerivon, remron

    Less common and less pronounced: fevarin, trazodone (trittico), ludiomil

    How can I help myself? It must be firmly remembered that excessive sedation while taking an antidepressant is directly related to the relief of such an unpleasant symptom as anxiety. The drugs that work best with anxiety are the drugs that cause sleepiness.Therefore, you should have plenty of rest, give the body time for positive restructuring.

    Attention! Patients taking these drugs are advised to refrain from activities that require high concentration of attention (driving vehicles, etc.)

    Convulsive syndrome

    Signs: the development of seizures while taking the drug.

    Drugs that can provoke these symptoms: melipramine, fevarin, ephevelon, lerivon, simbalta

    Attention! The drugs themselves do not cause seizures, but they help to lower the seizure threshold, as a result of which in people prone to seizure reactions, the occurrence of these reactions when taking the drug may be alleviated.At the same time, the drug should not be abruptly canceled, it is enough to reduce the dose under the supervision of a physician.

    Violation of cardiac conduction

    Signs: changes in the electrocardiogram (ECG) in the form of a slowing of cardiac conduction, detected by a doctor.

    Drugs that can cause these symptoms: amitriptyline, anafranil, melipramine, antidepressants belonging to the group of MAO (monoamine oxidase) inhibitors

    Attention! If such changes are detected on the ECG, it is necessary to consult a psychiatrist about the possibility of changing the drug

    Rapid heartbeat, arrhythmias

    Signs: subjective palpitations or “irregularities” in the work of the heart.

    Drugs that can cause these symptoms: amitriptyline, anafranil, melipramine, ludiomil, pyrazidol, befol, indopan, zoloft

    Attention! If such symptoms are found, it is advisable to make an ECG and consult a psychiatrist about the possibility of changing the drug

    Decrease in blood pressure

    Signs: dizziness and darkening in the eyes, especially when getting out of bed (that is, when moving from a horizontal position to a vertical one), weakness, palpitations, possible fainting.Reduction of blood pressure (blood pressure) numbers below the usual by more than 10 mm Hg.

    Drugs that can cause these symptoms: amitriptyline, melipramine, ludiomil, remeron, brofaromin, incazan

    How can I help myself? If symptoms of low blood pressure occur, it is advisable to lie quietly for a while: the pressure will rise. In most cases, this unpleasant side effect disappears within a few days after starting therapy.If this side effect bothers most of the time and is severe, consult your doctor with a question about changing the drug.

    Increased blood pressure (occurs very rarely)

    Signs: palpitations, facial flushing, tinnitus, increase in blood pressure (blood pressure) numbers higher than usual by more than 20 mm Hg.

    Drugs that can cause these symptoms: ephevelon, zoloft, simbalta, indopan

    In most cases, this unpleasant side effect disappears within a few days after starting therapy.If this side effect bothers most of the time and is severe, consult your doctor with a question about changing the drug.

    Inversion of affect (change of the pole of mood)

    Signs: transition from a depressive state to a state of excessive unusual uplifting mood. It is not a sign of recovery, since excessive elevation is a condition as painful as excessive depression and depression. Requires treatment, as it depletes mental resources and ultimately leads to a reverse “throw” into depression.

    Drugs that can cause these symptoms: melipramine (the greatest ability to invert mood), anafranil, amitriptyline, ludiomil, prozac

    Attention! If you now suffer from depression, but in the past you have had at least one episode of unusually agitated and elevated state, be sure to inform your doctor about it. This will help to choose the right drug for treatment and avoid such an undesirable phenomenon as inversion of affect.

    Hand tremor

    Signs: trembling of fingers or all hands at rest and / or while doing something. Dose-dependent effect (that is, it decreases or disappears with a decrease in the dose of the drug).

    Drugs that can cause these symptoms: melipramine, anafranil, pyrazidol, befol, coaxil, remron, drugs belonging to the SSRI group

    Gastrointestinal disorders

    Signs: nausea, abdominal cramps, diarrhea, flatulence.

    Drugs that can cause these symptoms: paxil, fevarin, zoloft, ephevelon, ixel, azafen, pyrazidol, befol, aurorix, coaxil

    Attention! You should not give up the drug with these side effects, since they usually occur at the very beginning of therapy and soon disappear on their own.

    How can I help myself? If these side effects are expressed to a large extent, temporary intake of gastrointestinal drugs to alleviate the condition is permissible.For example, with severe nausea, a temporary symptomatic intake of cerucal is possible.

    Decreased appetite

    Signs: loss of appetite due to nausea, or simply loss of appetite without accompanying dyspeptic symptoms. Against the background of a smaller (than usual) meal, weight loss is possible.

    Drugs that can cause these symptoms: Prozac, Fevarin, Zoloft, Coaxil, Simbalta

    Attention! These drugs are NOT taken for weight loss purposes.However, if weight gain and excess food intake are associated with diseases such as depression, bulimia, these drugs may be the drugs of choice in treatment.

    Increased appetite

    Signs: increased appetite with concomitant excess food intake and weight gain. An increase in appetite is usually given by antidepressants with a pronounced sedative (calming, relieving tension and anxiety, causing drowsiness) effect.

    Drugs that can cause these symptoms: lerivon, remon, amitriptyline, anafranil, rarely – trazodone (trittico)

    Such drugs are especially good for depression, proceeding with severe anxiety, loss of appetite and a drop in body weight below normal.

    Excessive sweating

    Signs: increased sweating at normal body temperature, not associated with changes in ambient temperature.

    Drugs that can cause these symptoms: anafranil, simbalta, antidepressants from the SSRI group (paxil, zoloft)

    Sexual dysfunction

    Signs: potency disorders, delayed ejaculation in men and anorgasmia in women, decreased libido.

    Drugs that can cause potency disorders in men: amitriptyline, anafranil, melipramine

    Drugs that can cause a decrease in libido in women and men, delayed ejaculation in men and anorgasmia in women: Ephevelon, Ludiomil, Paxil, Zoloft, Fevarin, Prozac, Simbalta

    Drugs that do NOT cause sexual dysfunctions: trittico (trazodone), aurorix (moclobemide), remron (mirtazapine), coaxil (tianeptine)

    Headache

    Drugs that can cause headache: azafen, fevarin, Prozac

    If you are taking tranquilizers (anxiolytics, anti-anxiety drugs)

    Tranquilizers are the least toxic of psychopharmacological drugs.The main effect of these drugs is anti-anxiety: they eliminate states of emotional stress, excitement, anxiety, increased suspiciousness, a tendency to obsessive doubts, phobias.

    They are an important component of the complex treatment of neurotic disorders, where psychotherapy is the leading method. Tranquilizers are also used by healthy people experiencing difficult psychological situations, states of emotional stress, anxiety, anxiety. The hypnotic effect, expressed in the so-called “night” tranquilizers (such as nitrazepam, reladorm, rohypnol, dormicum), as well as hypnotics (zopiclone, zolpidem) is used for sleep disorders and beyond neurotic states.The anticonvulsant effect of some drugs (clonazepam, relanium, nitrazepam, reladorm) of this group is very pronounced, which makes it possible to use them in the treatment of patients with epilepsy. Some tranquilizers have a mild antidepressant effect (alprazolam, etc.). The muscle relaxant effect of tranquilizers allows them to be used as correctors of side extrapyramidal disorders in neuroleptic therapy (see neuroleptic syndrome). Vegetative stabilizing effect (relanium, phenazepam, alprazolam) is manifested in the removal of such unpleasant symptoms as palpitations, blood pressure lability, sweating, functional disorders of the gastrointestinal tract (good effect in functional dyspepsia, irritable bowel syndrome)

    The well-known division into “day” and “night” tranquilizers is due to the predominance in some of the mild activating, energizing effect (clorazepate, rudotel, grandaxin, strezam), in others – mainly mild inhibitory and hypnotic effect (phenazepam, lorazepam, eleprobamate, nitrazepam ).

    The duration of taking most tranquilizers should not exceed 2 – 3 weeks. Clonazepam and alprazolam can be taken for a maximum of three months.

    Table of synonyms for tranquilizers and hypnotics.

    International name of the drug

    The names of this drug that are found in pharmacies (the most common dosage forms in pharmacy chains are highlighted)

    Drugs for the treatment of sleep disorders

    Zopiclone

    Somnol , Imovan , Relaxon , Piclodorm, Sleepwell, Thorson, Zolinox, Milovan

    Zolpidem

    Sanval , Iwadal , Hypnogen, Snovitel, Zolsana, Zonadin, Nitrest

    Midazolam

    Dormikum

    Nitrazepam

    Radedorm, Nitrosan, Nitrazadone, Berlidorm, Eunoktin

    Flunitrazepam

    Rohypnol

    Estazolam

    Estazolam

    Diazepam + Cyclobarbital

    Reladorm

    Preparations with a predominance of sedative action

    Alprazolam

    Alprazolam, Xanax, Alzolam, Alprox, Zoldak, Zolomax, Kassadan, Neurol, Frontin, Helex

    Diazepam

    Relanium, Relium, Seduxen, Sibazon, Valium , Faustan, Diapam

    Clonazepam

    Clonazepam, Antelepsin, Clonotril, Rivotril

    Lorazepam

    Lorafen , Loram, Trapex, Kalmese, Merlit, Tavor, Ativan

    Meprobamate

    Apo-meprobamate, Meprotan

    Phenazepam

    Phenazepam

    Chlordiazepoxide

    Elenium, Librium, Napoton, Radepur, Chlosepid

    “Daytime” tranquilizers, non-sedating

    Buspirone

    Buspirone, Buspar, Spitomin

    Hydroxyzine

    Atarax

    Clorazepate

    Apo-clorazepate, Tranex, Tranxen

    Medazepam

    Rudotel, Mezapam, Nobretem, Nobrium

    Morpholino-ethylthioethoxy-benzimidazole

    Afobazole

    Oxazepam

    Tazepam, Nozepam, Seraks

    Tofisopam

    Grandaxin

    Etifoxine

    Stresam

    SIDE EFFECTS OF TRANQUILIZERS

    (ANTI-ANTIFICIAL PRODUCTS).

    Development of addiction and formation of drug dependence

    Signs: the first sign of addiction to the drug is the desire to increase the dose of the drug used, since the previous amount of the drug stops giving the desired effect and no longer relieves unpleasant symptoms. In the future, dependence manifests itself in the inability to “get off” the drug: when trying to cancel the drug, a “withdrawal syndrome” occurs: anxiety, low mood, irritability, heaviness in the head, insomnia, severe weakness, loss of appetite, trembling in the hands, palpitations, increased blood pressure …Leg cramps and even major epileptic seizures, daytime urinary incontinence may occur.

    Drugs that are addictive and addictive:

    Most common: relanium (seduxen, sibazone), lorazepam (lorafen), alprazolam

    Reliably less common: elenium, clonazepam, tazepam (nozepam)

    What to do if you get addicted to the drug? It is very difficult to stop taking a tranquilizer on your own with a formed dependence due to the duration of the “withdrawal syndrome” (about three weeks), a gradual increase in symptoms by the end of the first week of abstinence, and the possible development of dangerous complications (epileptic seizures).It is most advisable to reduce the dose of the drug very slowly under the supervision of a physician, who, in addition to monitoring, will be able to choose a therapy aimed at accelerating the elimination of the drug from the body and relieving unpleasant and painful symptoms.

    Attention! Signs of drug dependence formation appear within 1 – 1.5 months after the start of taking the above drugs (especially Relanium, lorafen and alprazolam). Most often, dependence on tranquilizers occurs during self-medication, therefore it is strongly NOT recommended to prescribe these drugs to yourself without the participation of a doctor.

    Deterioration of memory and attention, impaired coordination of movements, increased effects of alcohol

    Signs: These side effects are collectively referred to as “behavioral toxicity” of tranquilizers. A person feels less efficient, it is difficult for him to concentrate attention for a long time, it is difficult to think quickly and find answers in a conversation, he can immediately forget the facts that are being told to him. There is a feeling of insufficient “involvement” in the situation. There may be motor awkwardness, lack of coordination of movements.

    Drugs that most often cause these symptoms: diazepam, clonazepam, lorazepam, nitrazepam, phenazepam, elenium (librium), estazolam

    Attention! For the period of treatment, alcohol is prohibited. You should refrain from activities related to the management of mechanisms and vehicles.

    Excessive sedation

    Signs: drowsiness, lethargy, difficulty waking up in the morning.

    The drugs that most often cause these symptoms: flunitrazepam (Rohypnol), nitrazepam (Radedorm), clonazepam, phenazepam, lorazepam, diazepam (Relanium, seduxen)

    Muscle relaxation

    Signs: general weakness, or weakness in certain muscle groups (for example, in the arms), relaxation in the body, unwillingness to move again.

    Drugs that most often cause these symptoms: diazepam (relanium, seduxen), clonazepam, phenazepam, nitrazepam, lorazepam

    Paradoxical reactions

    Signs: instead of calming and relieving anxiety, opposite reactions to taking a tranquilizer may occur: increased anxiety, motor restlessness, fussiness, irritability and even aggression. Such reactions are rare and depend on the individual characteristics of the patient’s body.

    “Paradoxical” reactions have not yet found definitive confirmation of their connection with the use of certain tranquilizers. However, there is evidence that triazolam, for example, quite often contributes to the emergence of pronounced aggressive behavior. In isolated cases, paradoxical reactions in the form of a feeling of anxiety and sleep disturbances were observed in patients taking buspirone ..

    Drugs that do not cause excessive sedation, muscle relaxation and impairment of memory and attention: oxazepam (tazepam, nozepam), grandaxin, strezam, buspirone, atarax, afobazole, mezapam (rudotel), clorazepat.

    If you take normotimics (mood correctors)

    Mood correctors – drugs with the ability to influence both pathologically reduced and pathologically increased mood. The ability to regulate mood is manifested in the elimination of pronounced affective disorders, and then in the stabilization of mood at a certain average level. Thus, the main indication for the appointment of normotimics is the presence of depressive and manic attacks, recurring quite often.

    Most mood correctors (other than lithium preparations) are also anticonvulsants used in the treatment of epilepsy.

    In addition, normotimics are successfully used in treatment:

    – personality disorders, accompanied by explosiveness, conflict, irritability, aggression

    – depression in alcoholic patients

    – migraines

    The normotimics include:

    – lithium salts (sedalite, micalit, lithosan, contemnol, quilonum retard preparations)

    – valproic acid (drugs depakin, konvuleks, encorat, apilepsin, convulsofin, dipromal, orfiril, everiden)

    – carbamazepine (synonyms: finlepsin, tegretol, actinerval, gen-karpaz, zagretol, zeptol, carbadak, carbalepsin, carbapin, karbasan, carbatol, karzepin-200, mazepin, novo-carbamaz, stazepin, storylate, epizepin)

    SIDE EFFECTS OF NORMOTIMICS.

    Side effects of lithium preparations (sedalite, micalit, lithosan, etc.)

    At the initial stage of preventive therapy with lithium salts, mild side effects may appear in the form of increased fatigue, disorders of the digestive system (nausea, vomiting, diarrhea), and occasional slight tremors of the hands. At permissible concentrations of lithium in the blood (in the range of 0.5 – 0.8 meq / l), these phenomena do not require dose reduction and usually disappear as the body adapts to the drug.

    With a relative duration of treatment (over several months and years), the following may appear:

    – diffuse enlargement of the thyroid gland

    – a noticeable increase in body weight

    – minor edema

    – temporary deterioration in visual clarity.

    In these cases, it is sometimes necessary to reduce the dose or switch from using a prolonged (long-acting) drug to taking short-acting drugs in the same dose 2-3 times a day.

    The main complication that can occur with prolonged use of lithium preparations is intoxication with lithium salts.

    Early signs of lithium overdose: increased thirst and trembling of the fingers. Then lethargy, weakness, drowsiness appear. Then vomiting, diarrhea join, swelling increases, speech difficulties, heart rhythm disturbances appear.

    At the first signs of intoxication, it is necessary to immediately discontinue the drug and consult a psychiatrist, who will prescribe treatment aimed at accelerating the elimination of lithium from the body and relieving symptoms of intoxication.

    Provoking factors that increase the concentration of lithium in the blood: diet with restriction of sodium chloride and liquid, combination with indomethacin, some antibiotics (ampicillin, tetracycline)

    Attention! Treatment with lithium preparations is carried out with regular monitoring of the concentration of lithium in the blood plasma:

    – in the acute period (treatment aimed at “breaking off” a painful attack): the concentration of lithium in the blood is monitored daily, while it should not exceed 1.2 – 1.4 meq / l

    – selection of a daily dose for prophylactic admission (treatment is aimed at preventing repeated attacks of depression or manic states) requires determining the concentration of lithium in the blood, first once a week for the first month, then 1 – 2 times a month, after 7 months of therapy – 1 every 3 – 4 months.The concentration of lithium, providing a preventive effect, should be in the range of 0.5 – 0.8 meq / l

    Side effects of valproic acid preparations (konvulex, depakin, encorat, etc.)

    The most common side effects of valproic acid therapy are gastrointestinal disorders: nausea, diarrhea, loss of appetite.

    Excessive sedation is possible in the form of drowsiness, slowing down of thought processes.

    Also possible: tremor (trembling of hands), impaired coordination of movements.

    When using prolonged drugs, applied once a day (for example, depakin chrono), side effects occur more often, it is possible to develop not a decrease, but an increase in appetite, sometimes hair loss is observed.

    To prevent these phenomena, it is advisable to combine valproic acid with a daily intake of multivitamins with a set of trace elements, including, in particular, selenium and zinc.

    Side effects of carbamazepine (finlepsin, tegretol)

    When carrying out therapy with carbamazepine, side effects are expressed in headaches, dizziness, impaired coordination of movements, drowsiness, dermatitis or itching, sometimes double vision, blurred vision.

    Like other normotimics, side reactions are possible in the form of nausea and vomiting.

    However, in most cases, carbamazepine is well tolerated, even with prolonged use.

    If you are taking nootropics (means that improve nutrition and brain function)

    Nootropics – drugs that stimulate mental activity, improve memory, accelerate learning.

    Application: decrease in general activity, asthenic conditions of various origins, brain damage (vascular, traumatic, alcoholic, infectious), conditions after strokes, coma, dementia, in children’s practice: with intellectual disability, developmental delay, attention deficit hyperactivity disorder ( ADHD), tics, enuresis.

    Nootorpes are always used in the treatment of alcoholism.

    Effects of nootropics (present in different drugs in different volumes):

    – Psychostimulating (increasing the activity of the sphere of motives) – used in states of decreased activity, inactivity and apathy, intellectual inhibition

    – Antiasthenic (reduction of weakness, increased physical and mental exhaustion)

    – Increasing the level of wakefulness of consciousness – used in states of oppressed or darkened consciousness

    – Adaptogenic – increasing the resistance of the body and psyche to various harmful environmental factors, including intoxications

    – Nootropic (strengthening the functions of thinking, memory)

    – Antiepileptic (for some drugs)

    – Antiparkinsonian (used not only for Parkinson’s disease, but also to relieve unpleasant side effects of antipsychotic therapy – see.above)

    – Vegetotropic (stabilization of the autonomic nervous system)

    Table of synonyms for nootropic drugs.

    International name of the drug

    The names of this drug that are found in pharmacies (the most common dosage forms in pharmacy chains are highlighted)

    Preparations with a predominance of stimulating, activating action

    (cannot be taken at night, i.e.as may worsen sleep)

    Meclofenoxate

    Acefen, Centrophenoxine, Cerutil

    Phenylpiracetam

    Phenotropil

    Ethylthiobenzimidazole

    Bemitil

    Pyritinol

    Encephabol, Pyriditol, Cerebol, Enerbol

    Piracetam

    Nootropil, Piracetam, Lucetam, Memotropil, Oikamid, Cerebril, Stamina, Escotropil, Piratropil

    Piracetam + cinnarizine

    Fezam, Kombitropil, NooKam, Omaron, Piracesin

    Piracetam + Vinpocetine

    Vinpotropil

    Deanola aceglumate

    Demanol, Noocleryl

    Gamma-aminobutyric acid

    Aminalon

    Glutamic acid

    L-Glutamine, Calcium glutamine, Epilapton, Acidogen, Glutane

    Hexobendin + Etamivan + Etophylline

    Instenon

    Ginkgo biloba

    Tanakan, Bilobil, Gikoba, Ginkio, Memoplant

    Preparations with balanced action

    Methionyl-glutamyl-histidyl-phenylalanyl-prolyl-glycyl-proline

    Semax

    Cerebrolysin

    Cerebrolysin

    Choline alfoscerate

    Gliatilin

    Preparations with a predominance of sedative, sedative effect

    Ethylmethylhydroxypyridine succinate

    Mexidol

    Aminophenylbutyric acid

    Phenibut

    Nicotinoyl gamma-aminobutyric acid

    Picamilon

    Hopantenic acid

    Pantogam

    Sodium oxybutyrate

    Sodium oxybutyrate

    Glycine

    Glycine

    SIDE EFFECTS OF NOTROPES

    Nootropics are low-toxic agents and are usually well tolerated by patients.

    Of the side effects, sleep disturbances and increased irritability may be noted. Such effects are inherent in nootropics with a predominance of stimulating action. These include (in descending order of stimulating effect): acefen, phenotropil, bemitil, encephabol, nootropil (piracetam), demanol, aminalon.

    On the contrary, drugs with a predominance of a mild sedative (calming) effect do not increase irritability, anxiety and sleep disturbances, and even relieve these unpleasant symptoms.Nootropics with a predominant calming effect include Phenibut, Mexidol, Picamilon, Pantogam.

    Other side effects of nootropics (occur quite rarely, are unstable and pass quickly): headache, nausea, stool disorders, fluctuations in blood pressure

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    90,000 Uses of Bentyl to Treat IBS: What You Need to Know – Health

    Irritable Bowel Syndrome (IBS) is a common digestive disorder that affects about 11 percent of people worldwide.People with IBS often experience: abdominal pain bloating from

    Contents:

    Irritable bowel syndrome (IBS) is a common digestive disorder that affects about 11 percent of people worldwide.

    People with IBS often experience:

    • abdominal pain
    • bloating
    • cramps
    • bowel spasms
    • diarrhea
    • constipation

    There is no cure for IBS yet, but dietary changes can help deal with it.

    Various medications can also help with symptoms.

    Bentil is one drug used to treat IBS. Bentil reduces muscle spasms in the intestines and may help reduce the cramps and pain associated with these spasms.

    In this article, we will look at how Bentyl fights IBS symptoms. We will also look at the effectiveness and possible side effects of this medication.

    What is Bentil?

    Bentil is the trade name of the drug Dicyclomine.It was first approved for the treatment of peptic ulcer disease in 1996 in the United States. It is currently most commonly used to treat muscle spasms caused by IBS.

    It is also used to treat a variety of other conditions such as morning sickness and intestinal hypermobility.

    Bentil is an anticholinergic drug. This means that it blocks the action of the neurotransmitter acetylcholine.

    Acetylcholine binds to muscle receptors that surround your gut and signals them to contract.By decreasing the action of this neurotransmitter, Bentyl helps relax the muscles in the intestines.

    Bentil may be taken orally as a liquid, tablet or capsule. Most labels say to take it four times a day at the same time every day.

    Take the recommended amount unless your doctor tells you otherwise. Your doctor will likely prescribe you a low dose of about 20 milligrams (mg) per day before gradually increasing it.

    What symptoms of IBS does Bentyl relieve?

    Bentil is used to relieve muscle spasms caused by IBS and other symptoms associated with these spasms.

    The muscles around the colon usually contract to allow stool to pass through the digestive tract. These muscle contractions are usually subtle.

    However, people with IBS often experience painful and frequent muscle spasms that cause pain and spasms.

    Bentil can be used as a short- or long-term treatment option for IBS. This usually helps to improve symptoms within a few hours of taking it. Your doctor may recommend that you take Bentil with other treatments.

    Is Bentil effective for IBS symptoms?

    There is limited clinical data to support the efficacy of Bentyl in IBS.

    As of 2015, the use of Bentyl was based primarily on one placebo-controlled study from 1981.

    In a 1981 study, researchers gave people with IBS 40 mg of dicyclomine hydrochloride four times a day for 2 weeks.

    The researchers found that after taking dicyclomine, participants experienced less abdominal pain and better bowel movements.However, most of the participants also had side effects due to blocking the activity of acetylcholine.

    Are there any side effects of this medicine to be aware of?

    In rare cases, some people may develop a severe allergic reaction after taking Bentil. These symptoms may include:

    • shortness of breath
    • rash
    • swelling of the face

    If you have any known drug allergies, it is recommended that you notify your doctor before taking Bentil.

    The anticholinergic effects of Bentyl can cause several other unwanted side effects such as decreased ability to sweat and drowsiness.

    It’s a good idea to find out how Bentyl affects you before driving. Taking Bentyl with alcohol may increase the drowsiness-causing effect.

    Bentil has the potential to be addictive. However, Bentyl abuse is rare. One 2013 case study describes an 18-year-old teenager in India who was required to undergo drug rehabilitation after taking Bentila for a year and a half.

    Other potential side effects of Bentyl or signs of overdose include:

    • hallucinations
    • difficulty swallowing
    • dry mouth
    • dizziness
    • dry skin
    • headaches late
    • poor vision
    • late headaches

    • stomach discomfort

    Bentil not suitable for people under 18 or adults over 65. It is also not suitable for those who are pregnant or breastfeeding due to the lack of human studies.

    Consult a Doctor

    There is currently no cure for IBS, but there are several treatment options besides Bentyl.

    If you have IBS, it is important to discuss treatment options with your doctor to find the best way to reduce your symptoms.

    Here are some other treatment options that can be used to treat IBS:

    • Other IBS drugs. The FDA has approved several other drugs for IBS, including Lotronex, Viberzi, Amitiza, Xifaxan, and Linzess.
    • Medicines for symptoms. Your doctor may also recommend taking certain medications to relieve certain symptoms, such as constipation or diarrhea.
    • Reduce stress. IBS symptoms often flare up during periods of anxiety or psychological stress due to feedback from your autonomic nervous system.
    • Diet. Certain foods can cause IBS symptoms. Some people find it helpful to avoid certain vegetables or follow a low FODMAP diet.
    • Probiotics. A 2013 review found that some strands of probiotics may help some people cope with IBS, but better research is needed.
    • Sleep. Getting adequate rest can help you manage your IBS symptoms by helping you cope with stress.
    • Exercise. Regular exercise helps manage stress and can stimulate normal bowel contractions.
    • Relax. Spending more time doing relaxing activities can help you reduce your IBS symptoms.