$Unique_ID{BRK03126} $Pretitle{} $Title{dicyclomine} $Subject{Bentyl Lakeside Pharmaceutical Byclomine Major hydrochloride Di-Spaz Vortech Antispasmodic dicyclomine gastrointestinal tract disorders irritable bowel syndrome muscles gastrointestinal tract tone slow activity} $Volume{} $Log{ Bentyl 10 mg*0312601.scf Bentyl 20 mg*0312602.scf} Copyright (C) 1993 Publications International, Ltd. dicyclomine ------------------------------------------------------------------------------ BRAND NAMES (Manufacturers) Bentyl (Lakeside Pharmaceutical) Byclomine (Major) dicyclomine hydrochloride (various manufacturers) Di-Spaz (Vortech) TYPE OF DRUG Antispasmodic INGREDIENT dicyclomine DOSAGE FORMS Tablets (20 mg) Capsules (10 mg and 20 mg) Oral liquid (10 mg per 5-ml spoonful) STORAGE Dicyclomine tablets, capsules, and oral liquid should be stored at room temperature in tightly closed containers. This medication should never be frozen. USES Dicyclomine is used to treat gastrointestinal tract disorders and irritable bowel syndrome. Dicyclomine acts directly on the muscles of the gastrointestinal tract to decrease tone and slow their activity. TREATMENT Dicyclomine can be taken before or after meals. Consult your doctor for specific recommendations. Antacids and antidiarrheal medicines may prevent absorption of this drug; therefore, at least one hour should separate doses of dicyclomine and one of these medications. Measure the liquid form of dicyclomine carefully with a specially designed 5-ml measuring spoon. An ordinary kitchen teaspoon is not accurate enough. You can then dilute the oral liquid in other liquids to mask its taste. If you miss a dose of this medication, do not take the missed dose at all; just return to your regular dosing schedule. Do not double the next dose. SIDE EFFECTS Minor. Bloating; blurred vision; confusion; constipation; dizziness; drowsiness; dry mouth, throat, and nose; headache; increased sensitivity to light; insomnia; loss of taste; nausea; nervousness; decreased sweating; vomiting; or weakness. These side effects should disappear as your body adjusts to the medication. If you are constipated, increase the amount of fiber in your diet (fresh fruits and vegetables, salads, bran, and whole-grain breads), exercise, and drink more water (unless your doctor directs you to do otherwise). Chew sugarless gum or suck on ice chips or a piece of hard candy to reduce mouth dryness. Wear sunglasses if your eyes become sensitive to light. To avoid dizziness or light-headedness when you stand, contract and relax the muscles of your legs for a few moments before rising. Do this by pushing one foot against the floor while raising the other foot slightly, alternating feet so that you are "pumping" your legs in a pedaling motion. Major. Be sure to tell your doctor about any side effects that are persistent or particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about difficulty in urinating, fever, hallucinations, impotence, palpitations, rash, short-term memory loss, or sore throat. INTERACTIONS Dicyclomine does interact with several other types of medications: 1. It can cause extreme drowsiness when combined with central nervous system depressants (such as alcohol, antihistamines, barbiturates, benzodiazepine tranquilizers, muscle relaxants, narcotics, pain medications, and phenothiazine tranquilizers) or with tricyclic antidepressants. 2. Amantadine, antihistamines, haloperidol, monoamine oxidase (MAO) inhibitors, phenothiazine tranquilizers, procainamide, quinidine, and tricyclic antidepressants can increase the side effects of dicyclomine. BE SURE TO TELL YOUR DOCTOR about any medications you are currently taking, especially those listed above. WARNINGS * Be sure to tell your doctor about unusual or allergic reactions you have had to any medications, especially to dicyclomine. * Tell your doctor if you have ever had glaucoma; heart disease; hiatal hernia; high blood pressure; kidney, liver, or thyroid disease; myasthenia gravis; obstructed bladder; obstructed intestine; enlarged prostate gland; ulcerative colitis; or internal bleeding. * If this medication makes you dizzy or drowsy or blurs your vision, do not take part in any activity that requires alertness, such as driving a car or operating potentially dangerous equipment. Be careful on stairs, and avoid getting up from a lying or sitting position suddenly. * This drug can decrease sweating and heat release from the body. Avoid taking hot baths, showers, or saunas, and avoid getting overheated by exercising in hot weather. * Before having surgery or other medical or dental treatment, tell your doctor or dentist you are taking this drug. * Tell your doctor if you are pregnant. Although this drug appears to be safe during pregnancy, extensive studies in humans have not been conducted. Also, tell your doctor if you are breast-feeding an infant. Small amounts of dicyclomine pass into breast milk. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.