home *** CD-ROM | disk | FTP | other *** search
- $Unique_ID{BRK03079}
- $Pretitle{}
- $Title{chlordiazepoxide and clidinium combination}
- $Subject{Clindex Rugby Clinoxide Geneva Generics Clipoxide Schein Librax Roche
- Lidox Major Benzodiazepine antianxiety anticholinergic Chlordiazepoxide
- clidinium peptic ulcer irritable bowel syndrome slows gastrointestinal tract
- stomach acid benzodiazepine tranquilizers depressant central nervous system}
- $Volume{}
- $Log{Librax*0307901.scf}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- chlordiazepoxide and clidinium combination
- ------------------------------------------------------------------------------
-
- BRAND NAMES (Manufacturers)
-
- chlordiazepoxide with clindinium bromide (various manufacturers)
- Clindex (Rugby)
- Clinoxide (Geneva Generics)
- Clipoxide (Schein)
- Librax (Roche)
- Lidox (Major)
-
- TYPE OF DRUG
-
- Benzodiazepine antianxiety and anticholinergic
-
- INGREDIENTS
-
- Chlordiazepoxide and clidinium
-
- DOSAGE FORM
-
- Capsules (5 mg chlordiazepoxide and 2.5 mg clidinium)
-
- STORAGE
-
- Chlordiazepoxide and clidinium combination capsules should be stored at
- room temperature in a tightly closed, light-resistant container.
-
- USES
-
- Chlordiazepoxide and clidinium combination is used in conjunction with
- other drugs to treat peptic ulcer or irritable bowel syndrome. Clidinium is
- an anticholinergic agent that slows the activity of the gastrointestinal tract
- and reduces the production of stomach acid. Chlordiazepoxide belongs to a
- group of drugs known as benzodiazepine tranquilizers. It is not clear exactly
- how chlordiazepoxide works, but it may relieve anxiety by acting as a
- depressant of the central nervous system.
-
- TREATMENT
-
- You should take chlordiazepoxide and clidinium combination 30 to 60
- minutes before meals. It can be taken with water or milk. Do not take it
- with antacids, since they may interfere with its absorption.
- If you miss a dose of this medication, take the missed dose as soon as
- possible, unless it is almost time for you to take your next dose. In that
- case, do not take the missed dose at all; just return to your regular dosing
- schedule. Do not double the next dose.
-
- SIDE EFFECTS
-
- Minor.
-
- Blurred vision, change in your sense of taste, confusion, constipation,
- decreased sweating, depression, diarrhea, dizziness, drowsiness, dry mouth,
- fatigue, headache, insomnia, nausea, or vomiting. These side effects should
- disappear as your body adjusts to the medication.
- This medication can cause increased sensitivity to sunlight. You should,
- therefore, avoid prolonged exposure to sunlight and sunlamps. Wear protective
- clothing and sunglasses, and use an effective sunscreen.
- Dry mouth can be relieved by chewing sugarless gum or by sucking on ice
- chips or a piece of hard candy.
- To relieve constipation, 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).
- To avoid dizziness or light-headedness when you stand, contract and relax
- the muscles of your legs for a few minutes 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.
-
- Tell your doctor about any side effects that are persistent or
- particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about
- decreased sexual ability, difficulty in breathing, difficult or painful
- urination, excitation, fluid retention, hallucinations, palpitations, rash,
- sore throat, uncoordinated movements, or yellowing of the eyes or skin.
-
- INTERACTIONS
-
- This medication interacts with several other types of drugs:
- 1. Extreme drowsiness can occur when this medicine is taken with other
- central nervous system depressants (such as alcohol, antihistamines,
- barbiturates, muscle relaxants, narcotics, pain medications, phenothiazine
- tranquilizers, and sleeping medications) or with tricyclic antidepressants.
- 2. Chlordiazepoxide can decrease the effectiveness of carbamazepine,
- levodopa, and oral anticoagulants (blood thinners) and may increase the
- effects of phenytoin.
- 3. Disulfiram, oral contraceptives (birth control pills), isoniazid, and
- cimetidine can increase the blood levels of chlordiazepoxide, which could
- possibly lead to toxic effects.
- 4. Concurrent use of rifampin may decrease the effectiveness of
- chlordiazepoxide and clidinium.
- 5. Amantadine, haloperidol, phenothiazine tranquilizers, procainamide,
- quinidine, and tricyclic antidepressants may increase the side effects of
- clidinium.
- Before starting to take this medication, BE SURE TO TELL YOUR DOCTOR
- about any medications you are currently taking, especially any of those listed
- above.
-
- WARNINGS
-
- * Tell your doctor if you have ever had unusual or allergic reactions to
- any medications, especially to chlordiazepoxide or other benzodiazepine
- tranquilizers (such as alprazolam, clorazepate, diazepam, flurazepam,
- halazepam, lorazepam, oxazepam, prazepam, temazepam, and triazolam) or to
- clidinium.
- * Tell your doctor if you now have or if you have ever had glaucoma,
- obstructed bladder or intestine, enlarged prostate gland, heart disease, lung
- disease, liver disease, kidney disease, ulcerative colitis, porphyria, high
- blood pressure, myasthenia gravis, epilepsy, thyroid disease, emotional
- instability, or hiatal hernia.
- * This medication can decrease sweating and heat release from the body.
- You should, therefore, avoid becoming overheated by strenuous exercise in hot
- weather and should avoid taking hot baths, showers, and saunas.
- * This medicine can cause drowsiness. Avoid tasks that require
- alertness, such as driving a car or operating potentially dangerous equipment.
- * Before having surgery or any other medical or dental treatment, tell
- your doctor or dentist that you are taking this drug. This medication has the
- potential for abuse and must be used with caution. Tolerance develops
- quickly; do not increase the dosage unless you first consult your doctor. It
- is also important not to stop taking this drug suddenly if you have been using
- it in large amounts or for longer than several weeks. Your doctor may reduce
- the dosage gradually.
- * This is a safe drug when used properly. When it is combined with other
- sedative drugs or alcohol, however, serious side effects may develop.
- * Be sure to tell your doctor if you are pregnant. This medicine may
- increase the chance of birth defects if it is taken during the first three
- months of pregnancy. In addition, too much use of this medicine during the
- last six months of pregnancy may cause the baby to become dependent on it.
- This may result in withdrawal symptoms in the infant at birth. Use of this
- medicine during the last weeks of pregnancy may cause excessive drowsiness,
- slowed heartbeat, and breathing difficulties in the newborn infant. Also,
- tell your doctor if you are breast-feeding an infant. This medicine may pass
- into breast milk and cause excessive drowsiness, slowed heartbeat, and
- breathing difficulties in the nursing infant.
-
- ----------------
-
- 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.
-