dicyclomine
 Dicyclomine

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Bentyl, |dicyclomine Dicyclomine

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dicyclomine

Generic Name: dicyclomine (dye SYE kloe meen)
Brand Names: Bentyl

What is dicyclomine?

Dicyclomine relieves spasms of the gastrointestinal tract (stomach and intestines) by blocking the actions of spasm-causing chemicals in the body.

Dicyclomine is used to treat functional bowel or irritable bowel syndrome.

Dicyclomine may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about dicyclomine?

Use caution when driving, operating machinery, or performing other hazardous activities. Dicyclomine may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking dicyclomine.

Avoid becoming overheated in hot weather. Dicyclomine increases the risk of heat stroke because it causes decreased sweating.

Who should not take dicyclomine?

Do not take dicyclomine if you have
  • a blockage of your urinary tract (difficulty urinating);

  • a blockage in your intestines;

  • reflux disease;

  • glaucoma; or

  • myasthenia gravis.

Before taking this medication, tell your doctor if you have

  • numbness or tingling in your hands or feet;

  • liver disease;
  • kidney disease;
  • ulcerative colitis;

  • thyroid problems;

  • high blood pressure, an irregular heartbeat, or any type of heart disease;

  • hiatal hernia; or

  • enlargement of the prostate.

Dicyclomine is in the FDA pregnancy category B. This means that it is unlikely to harm an unborn baby. Do not take dicyclomine without first talking to your doctor if you are pregnant. Do not take dicyclomine if you are breast-feeding a baby. Dicyclomine can cause serious breathing problems in infants younger than 6 months of age.

How should I take dicyclomine?

Take dicyclomine exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

To ensure that you get a correct dose, measure the liquid form of dicyclomine with a special dose-measuring spoon or cup, not with a regular tablespoon. If you do not have a dose-measuring device, ask your pharmacist where you can get one.

Store dicyclomine at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only the next regularly scheduled dose. Do not take a double dose of this medication.

What happens if I overdose?

Seek emergency medical attention.

Symptoms of a dicyclomine overdose include headache; nausea; vomiting; dry mouth; difficulty swallowing; blurred vision; dilated pupils; hot, dry skin; dizziness; drowsiness; confusion; anxiety; seizures; weak pulse; and an irregular heartbeat.

What should I avoid while taking dicyclomine?

Use caution when driving, operating machinery, or performing other hazardous activities. Dicyclomine may cause dizziness, drowsiness, or blurred vision. If you experience dizziness, drowsiness, or blurred vision, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking dicyclomine.

Avoid becoming overheated in hot weather. Dicyclomine increases the risk of heat stroke because it decreases sweating.

Dicyclomine side effects

If you experience any of the following serious side effects, stop taking dicyclomine and seek emergency medical attention:
  • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or

  • an irregular or fast heart rate.

Other, less serious side effects may be more likely to occur. Continue to take dicyclomine and talk to your doctor if you experience

  • headache, dizziness, or lightheadedness;

  • weakness or nervousness;

  • blurred vision, large pupils;

  • rash or itching;

  • difficulty urinating;

  • decreased sweating; or

  • nasal congestion, stuffiness, or a dry mouth.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect dicyclomine?

Many other drugs may increase the side effects of dicyclomine. Before taking this medication, tell your doctor if you are taking any of the following medicines:

  • amantadine (Symmetrel);

  • quinidine (Quinaglute, Cardioquin, Quinora, Quinidex);

  • antihistamines such as diphenhydramine (Benadryl, many others), brompheniramine (Dimetapp, Bromfed, many others), triprolidine (Actifed, others), and chlorpheniramine (Chlor-Trimeton, others), which are found in many over-the-counter and prescription cough, cold, and allergy medications;

  • decongestants and appetite suppressants such as phenylpropanolamine (Dexatrim, others), phenylephrine (Neo-Synephrine, others), and pseudoephedrine (Sudafed, others), which are also found in many over-the-counter and prescription products;

  • phenothiazines such as chlorpromazine (Thorazine) and prochlorperazine (Compazine);
  • other commonly used phenothiazines, including fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), thioridazine (Mellaril), trifluoperazine (Stelazine), and promazine (Sparine);
  • benzodiazepines (sleep and anxiety medications) such as alprazolam (Xanax) and diazepam (Valium);
  • other commonly used benzodiazepines, including chlordiazepoxide (Librium), clorazepate (Tranxene), clonazepam (Klonopin), estazolam (Prosom), flurazepam (Dalmane), halazepam (Paxipam), lorazepam (Ativan), oxazepam (Serax), prazepam (Centrax), quazepam (Doral), temazepam (Restoril), and triazolam (Halcion);
  • monoamine oxidase inhibitors (MAOIs) such as isocarboxazid (Marplan), tranylcypromine (Parnate), and phenelzine (Nardil);

  • narcotic analgesics such as codeine (Tylenol #3, and many other prescription pain relievers), morphine (MS Contin, Roxanol, Astramorph, Duramorph), hydrocodone (Vicodin), and propoxyphene (Darvocet, Darvon, Wygesic);

  • nitrates such as isosorbide dinitrate (Isordil, Sorbitrate) and isosorbide mononitrate (Imdur, ISMO);

  • tricyclic antidepressants such as amitriptyline (Elavil, Endep), doxepin (Sinequan), and nortriptyline (Pamelor); or
  • other commonly used tricyclic antidepressants, including: amoxapine (Asendin), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Tofranil), protriptyline (Vivactil), and trimipramine (Surmontil).

Dicyclomine may increase the level of digoxin (Lanoxin, Lanoxicaps) in your blood. Tell your doctor if you are taking digoxin so that your digoxin levels can be monitored and changes in your dosage can be made if necessary.

Do not take antacids at the same time as dicyclomine. They may decrease its absorption.

Drugs other than those listed here may also interact with dicyclomine. Talk to your doctor and pharmacist before taking any prescription or over-the-counter medicines.

Where can I get more information?

  • Your pharmacist has more information about dicyclomine written for health professionals that you may read.

What does my medication look like?

Dicyclomine is available with a prescription under the brand name Bentyl. Other brand or generic formulations may also be available. Ask your pharmacist any questions you have about this medication, especially if it is new to you.

  • Bentyl 10 mg--blue capsules

  • Bentyl 20 mg--light-blue, round tablets

  • Bentyl Syrup 10 mg per 5 mL (1 teaspoon)--pink syrup

  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ("Multum") is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum"s drug information does not endorse drugs, diagnose patients or recommend therapy. Multum"s drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.
Copyright 1996-2006 Cerner Multum, Inc. Version: 3.03. Revision Date: 2/13/04 4:02:06 PM.



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