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- $Unique_ID{BRK03134}
- $Pretitle{}
- $Title{diphenoxylate and atropine combination}
- $Subject{Diphenatol Rugby hydrochloride sulfate Lofene Lannett Logen Goldline
- Lomanate Barre Lomotil Searle Lonox Geneva Generics Low-Quel Halsey
- Antidiarrheal antispasmodic anticholinergic diphenoxylate atropine severe
- diarrhea narcotic analgesics gastrointestinal tract abuse}
- $Volume{}
- $Log{
- Lomotil*0313401.scf}
-
- Copyright (C) 1993 Publications International, Ltd.
-
-
- diphenoxylate and atropine combination
- ------------------------------------------------------------------------------
-
- BRAND NAMES (Manufacturers)
-
- Diphenatol (Rugby)
- diphenoxylate hydrochloride with atropine sulfate (various manufacturers)
- Lofene (Lannett)
- Logen (Goldline)
- Lomanate (Barre)
- Lomotil (Searle)
- Lonox (Geneva Generics)
- Low-Quel (Halsey)
-
- TYPE OF DRUG
-
- Antidiarrheal (antispasmodic and anticholinergic)
-
- INGREDIENTS
-
- diphenoxylate and atropine
-
- DOSAGE FORMS
-
- Tablets (2.5 mg diphenoxylate and 0.025 mg atropine)
- Oral liquid (2.5 mg diphenoxylate and 0.025 mg atropine per 5-ml
- spoonful, with 15% alcohol)
-
- STORAGE
-
- Diphenoxylate and atropine combination tablets and oral liquid should be
- stored at room temperature in tightly closed, light-resistant containers.
- Neither form should be frozen.
-
- USES
-
- Diphenoxylate and atropine combination is used to treat severe diarrhea.
- Diphenoxylate is related to the narcotic analgesics and acts by slowing the
- movement of the gastrointestinal tract. Small amounts of atropine are added
- to this medication in order to prevent abuse of the narcotic diphenoxylate.
-
- TREATMENT
-
- In order to avoid stomach upset, you can take this medication with food
- or with a full glass of water or milk.
- The oral liquid form of this medication should be measured carefully
- using a specially designed 5-ml measuring spoon. An ordinary kitchen teaspoon
- is not accurate enough.
- 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.
-
- Blurred vision, constipation, dizziness, drowsiness, dry mouth, flushing,
- headache, loss of appetite, nervousness, sweating, or swollen gums. These
- side effects should disappear as your body adjusts to the medication.
- To relieve mouth dryness, chew sugarless gum or suck on ice chips or a
- piece of hard candy.
- If you feel dizzy or light-headed, sit or lie down for a while; get up
- slowly from a sitting or reclining position, and be careful on stairs.
-
- Major.
-
- Tell your doctor about any side effects that are persistent or
- particularly bothersome. IT IS ESPECIALLY IMPORTANT TO TELL YOUR DOCTOR about
- abdominal pain, bloating, breathing difficulties, depression, difficult or
- painful urination, false sense of well-being, fever, hives, itching, numbness
- in the fingers or toes, palpitations, rash, severe nausea, vomiting, or
- weakness.
-
- INTERACTIONS
-
- This medication interacts with several other types of medications:
- 1. Concurrent use of this medication with central nervous system
- depressants (such as alcohol, antihistamines, barbiturates, benzodiazepine
- tranquilizers, muscle relaxants, narcotics, pain medications, and
- phenothiazine tranquilizers) or with tricyclic antidepressants can cause
- extreme drowsiness.
- 2. A monoamine oxidase (MAO) inhibitor (tranylcypromine, phenelzine,
- isocarboxazid, and pargyline) taken within 14 days of this medication can lead
- to unpredictable and severe side effects.
- 3. The side effects of the atropine component of this medication may be
- increased by amantadine, haloperidol, phenothiazine tranquilizers,
- procainamide, and quinidine.
- BE SURE TO TELL YOUR DOCTOR about any medications you are currently
- taking, especially any of those listed above.
-
- WARNINGS
-
- * Tell your doctor about unusual or allergic reactions you have had to
- medications, especially to diphenoxylate or to atropine.
- * Tell your doctor if you now have or if you have ever had drug-induced
- diarrhea, gallstones or gallbladder disease, glaucoma, heart disease, hiatal
- hernia, high blood pressure, kidney disease, liver disease, lung disease,
- myasthenia gravis, enlarged prostate gland, thyroid disease, or ulcerative
- colitis.
- * If this medication makes you dizzy or drowsy, you should avoid taking
- part in any activity that requires alertness, such as driving a car or
- operating any potentially dangerous equipment.
- * Before having surgery or any other medical or dental treatment, be sure
- to tell your doctor or dentist that you are taking this medication.
- * Because this product contains diphenoxylate, it has the potential for
- abuse and must be used with caution. Tolerance develops quickly; do not
- increase the dosage or stop taking the drug unless you first consult your
- doctor. If you have been taking large amounts of this medication for long
- periods and then stop abruptly, you may experience a withdrawal reaction
- (muscle aches, diarrhea, gooseflesh, runny nose, nausea, vomiting, shivering,
- trembling, stomach cramps, sleep disorders, irritability, weakness, excessive
- yawning, or sweating). Your doctor may, therefore, want to reduce the dosage
- gradually.
- * Check with your doctor if your diarrhea does not subside within two to
- three days. Unless your doctor specifically directs otherwise, you should not
- take this medication for more than five days.
- * While taking this medication, drink lots of fluids to replace those
- lost with the diarrhea.
- * Be sure to tell your doctor if you are pregnant. Although this
- medication has been shown to be safe in animals, its effects in humans during
- pregnancy have not been thoroughly studied. Also, tell your doctor if you are
- breast-feeding an infant. Small amounts of this medication may pass into
- breast milk and cause excessive drowsiness in nursing infants.
-
- ----------------
-
- 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.
-