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the anticholinergics/antispasmodics are a group, medicines that include the natural belladonna alkaloids, atropine, belladonna, hyoscyamine, scopolamine, related products, the anticholinergics/antispasmodics, relieve cramps, spasms, the stomach, intestines, bladder, some are used together with antacids, other medicine, peptic ulcer, prevent nausea, vomiting, motion sickness, anticholinergics/antispasmodics are also used in certain surgical and emergency procedures, in surgery, some are given by injection before anesthesia to help relax you, decrease secretions, saliva, during anesthesia and surgery, atropine, glycopyrrolate, hyoscyamine, scopolamine, help keep the heartbeat normal, scopolamine is also, prevent nausea and vomiting after anesthesia and surgery, atropine is also given by injection to help relax the stomach and intestines for certain types, examinations, some anticholinergics are also, treat poisoning caused by medicines, neostigmine and physostigmine, certain types, mushrooms, poisoning by nerve ' gases, organic phosphorous pesticides, demeton, systox, diazinon, malathion, parathion, ronnel, trolene, anticholinergics can be used for painful menstruation, runny nose, to prevent urination during sleep, the anticholinergics/antispasmodics are available only with a physician's prescription, following dosage forms, oral, anisotropine, tablets, atropine, tablets, soluble tablets, belladonna, tincture, clidinium, capsules, dicyclomine, capsules, syrup, tablets, glycopyrrolate, tablets, homatropine, tablets, hyoscyamine, extended-release capsules, extended-release tablets, elixir, oral solution, tablets, mepenzolate, tablets, methantheline, tablets, methscopolamine, pirenzepine, tablets, propantheline, tablets, scopolamine, tablets, parenteral, atropine, injection, dicyclomine, injection, glycopyrrolate, injection, hyoscyamine, injection, scopolamine, injection, rectal, scopolamine, suppositories, transdermal, scopolamine, transdermal disk, for anticholinergics/antispasmodics the following should be considered: tell my doctor, allergic reaction to, the natural belladonna alkaloids, atropine, belladonna, hyoscyamine, scopolamine, any related products, allergic to any other substances, foods, preservatives, dyes, pregnant, may become pregnant, make sure a physician knows if my medicine contains, atropine, atropine has not been shown to cause birth defects , other problems in animals, when injected into humans during pregnancy, atropine has been reported to increase the heartbeat, the fetus, belladonna, studies on effects in pregnancy, haven't been done in either humans, animals, clidinium, clidinium has not been studied in pregnant women, clidinium has not been shown to cause birth defects , other problems in animal studies, dicyclomine, dicyclomine has been associated with a few cases, human birth defects , dicyclomine has not been confirmed as the cause, glycopyrrolate, glycopyrrolate has not been studied in pregnant women, glycopyrrolate did not cause birth defects in animal studies, did decrease the chance, becoming pregnant, newborn's chance, surviving after weaning, hyoscyamine, studies on effects in pregnancy, haven't been done in either humans, animals, when injected into humans during pregnancy, hyoscyamine has been reported to increase the heartbeat, the fetus, mepenzolate, mepenzolate has not been studied in pregnant women, studies in animals have not shown that mepenzolate causes birth defects , propantheline, studies on effects in pregnancy, haven't been done in either humans, animals, scopolamine, studies on effects in pregnancy, haven't been done in either humans, animals, when breast-feeding , although these medicines may pass into the breast milk, not been reported to cause problems in nursing babies, the flow, breast milk, reduced in some patients, the use, dicyclomine in nursing mothers has been reported to cause breathing problems in infants, children unusual excitement, nervousness, restlessness, irritability and unusual warmth, dryness, flushing, skin are more likely to occur in children, usually more sensitive to the effects, anticholinergics, when anticholinergics are given to children during hot weather, a rapid increase in body temperature may occur, in infants and children, especially those with spastic paralysis, brain damage, more likely to cause severe side effects, shortness of breath, difficulty in breathing has occurred in children taking dicyclomine, confusion, memory loss; constipation; difficult urination; drowsiness; dryness, mouth, nose, throat, skin; and unusual excitement, nervousness, restlessness, irritability, elderly, usually more sensitive than younger adults to the effects, anticholinergics, eye pain may occur, which, glaucoma, an interaction might occur, change the dose, when you are taking anticholinergics/antispasmodics, health care professionals, antacids, diarrhea medicine containing kaolin, attapulgite, ketoconazole, nizoral, using these medicines with an anticholinergic may lessen the effects, the anticholinergic, central nervous system, cns, depressants, medicines that cause drowsiness , taking scopolamine with cns depressants may increase the effects, other anticholinergics, medicine for abdominal, stomach spasms, cramps, tricyclic antidepressants, amitriptyline, elavil, amoxapine, asendin, clomipramine, anafranil, desipramine, pertofrane, doxepin, sinequan, imipramine, tofranil, nortriptyline, aventyl, protriptyline, vivactil, trimipramine, surmontil, taking anticholinergics with tricyclic antidepressants, other anticholinergics, an increase, the anticholinergic, potassium chloride, kay ciel, using this medicine with an anticholinergic may make gastrointestinal problems caused by potassium worse other medical problems, anticholinergics/antispasmodics, any other medical problems, bleeding problems , severe, may increase heart rate, which would make bleeding problems worse, brain damage, in children, may increase the cns effects, colitis, severe, dryness, mouth, severe and continuing, enlarged prostate, fever, glaucoma, heart disease , hernia, hiatal, high blood pressure , hypertension, intestinal blockage, other intestinal problems, lung disease, chronic, myasthenia gravis, toxemia, urinary tract blockage, difficult urination , may make these conditions worse, down's syndrome , an increase in pupil dilation and heart rate, kidney disease , liver disease , higher blood levels may occur and cause an increase in side effects, overactive thyroid, may further increase heart rate, spastic paralysis, in children, this condition may increase the effects, the anticholinergic , take this medicine, directed, do not take it more often, do not take it for a longer time, side effects, the anticholinergic/antispasmodic will be different for different patients, follow a physician's orders, the directions on the label, the average doses, dose is different, the number, capsules, tablets, teaspoonfuls, solution, syrup, take depends on the strength, the number, doses you take each day, the time allowed between doses, time you take the medicine depends on the medical problem for which you are taking this medicine, for anisotropine, for oral, dosage forms, tablets, to treat duodenal, stomach ulcers, teenagers, 50 milligrams, three times a day, a physician may change the dose, dose, for atropine, for oral, dosage form, tablets, to treat duodenal, stomach ulcers, intestine problems, urinary problems, teenagers, 300 to 1200 micrograms, mcg, every four to six hours, dose is based on body weight, the usual dose is 10 mcg per kilogram, 4.5 mcg per pound, body weight every four to six hours, the dose will not be more than 400 mcg every four to six hours, for injectable, dosage form, to treat duodenal, stomach ulcers, intestine problems, teenagers, 400 to 600 mcg injected into a muscle, vein, under the skin every four to six hours, the dose is based on body weight, the usual dose is 10 mcg per kilogram, 4.5 mcg per pound, body weight injected under the skin every four to six hours, the dose will not be more than 400 mcg every four to six hours, to treat heart problems, teenagers, 400 to 1000 mcg injected into a vein every one to two hours as needed, the total dose will not be more than 2 mg, the dose is based on body weight, the usual dose is 10 to 30 mcg per kilogram, 4.5 to 13.6 mcg per pound, body weight injected under the skin, for belladonna, for oral, dosage form, oral solution, to treat duodenal, stomach ulcers, intestine problems, teenagers, 180 to 300 micrograms, mcg, four times a day, the dose should be taken 30 to 60 minutes before meals and at bedtime, a physician may change the dose, the dose is based on body weight, the usual dose is 9 mcg per kilogram, 4 mcg per pound, body weight three, four times a day, for clidinium, for oral, dosage form, capsules, to treat duodenal, stomach ulcers, teenagers, 2.5 to 5 milligrams, four times a day, the dose should be taken before meals and at bedtime, a physician may change the dose, dose, for dicyclomine, for oral, dosage forms, capsules, extended-release tablets, syrup, tablets, to treat intestine problems, teenagers, 10 to 20 milligrams, four times a day, some people may take 30 mg two times a day, a physician may change the dose, dose will not be more than 160 mg a day, children 2 years, age and older, 5 to 10 mg three, four times a day, a physician may change the dose, children 6 months to 2 years, 5 to 10 mg, the syrup three, four times a day, a physician may change the dose, children up to 6 months, use is not recommended, for injectable, dosage form, to treat intestine problems, teenagers, 20 mg injected into a muscle every four to six hours, a physician may change the dose, dose, for glycopyrrolate, for oral, dosage form, tablets, to treat duodenal, stomach ulcers, teenagers, to start, 1 to 2 milligrams, two, three times a day, some people may also take 2 mg at bedtime, a physician may change the dose, dose will not be more than 8 mg a day, dose, for injectable, dosage form, to treat duodenal, stomach ulcers, teenagers, 100 to 200 micrograms, mcg, injected into a muscle, vein, repeated every four hours up to four times a day, dose, for homatropine, for oral, dosage form, to treat duodenal, stomach ulcers, teenagers, 5 to 10 milligrams, four times a day, a physician may change the dose, dose, for hyoscyamine, for oral, dosage forms, capsules, elixir, oral solution, tablets, to treat duodenal, stomach ulcers, intestine problems, urinary problems, teenagers, 125 to 500 micrograms, mcg, four to six times a day, some people may take 375 mcg two times a day, the tablets should be taken 30 to 60 minutes before meals, a physician may change the dose, dose is based on body weight, the usual dose is 12.5 to 187 mcg every four hours, for injectable, dosage form, to treat duodenal, stomach ulcers, intestine problems, teenagers, 250 to 500 mcg injected into a muscle, vein, under the skin every four to six hours, dose, for mepenzolate, for oral, dosage form, tablets, to treat duodenal, stomach ulcers, intestine problems, teenagers, 25 to 50 milligrams, four times a day, with meals and at bedtime, a physician may change the dose, dose, for methantheline, for oral, dosage form, tablets, to treat intestine, stomach ulcers, intestine problems, urinary problems, teenagers, 50 to 100 milligrams, every six hours, a physician may change the dose, children 1 year, age and older, 12.5 to 50 mg four times a day, a physician may change the dose, children 1 month to 1 year, 12.5 mg four times a day, a physician may change the dose, children up to 1 month, 12.5 mg two times a day, a physician may change the dose, for methscopolamine, for oral, dosage form, tablets, to treat duodenal, stomach ulcers, intestine problems, teenagers, 2.5 to 5 milligrams, four times a day, one-half hour before meals and at bedtime, a physician may change the dose, dose is based on body weight, the usual dose is 200 micrograms, mcg, per kilogram, 90.9 mcg per pound, body weight four times a day, the dose should be taken before meals and at bedtime, for pirenzepine, for oral, dosage form, tablets, to treat duodenal, stomach ulcers, intestine problems, teenagers, 50 milligrams, two times a day, morning and at bedtime, a physician may change the dose, dose, for propantheline, for oral, dosage form, tablets, to treat duodenal, stomach ulcers, teenagers, 7.5 to 15 milligrams, three times a day, one-half hour before meals, 30 mg at bedtime, a physician may change the dose, dose is based on body weight, the usual dose is 375 micrograms, mcg, per kilogram, 170 mcg per pound, body weight four times a day, a physician may change the dose, for scopolamine, for oral, dosage form, tablets, to treat urinary problems, intestine problems, painful menstruation, teenagers, 10 to 20 milligrams, four times a day, a physician may change the dose, dose, for injectable, dosage form, to treat urinary problems, intestine problems, teenagers, 10 to 20 mg three, four times a day, a physician may change the dose, dose, for rectal, dosage form, suppository, to treat urinary problems, intestine problems, painful menstruation, teenagers, insert one 10 mg suppository rectally three, four times a day, a physician may change the dose, dose, for transdermal, dosage form, patch, to treat motion sickness, teenagers, apply one 1.0 milligram, patch behind ear at least four hours before antinausea effect is needed, use is not recommended, to treat nausea and vomiting after surgery, adults and teenagers, apply one 1.0 mg patch behind the ear the evening before surgery to prevent nausea and vomiting after surgery, use is not recommended, if i miss a dose, almost time for my next dose, skip the missed dose, back to my regular dosing schedule, do not double doses, for patients taking, by mouth, medicine 30 minutes to 1 hour before meals unless otherwise directed by a physician, to use the rectal suppository form, scopolamine, the suppository is too soft to insert, chill it, refrigerator for 30 minutes, run cold water over it before removing the foil wrapper, to insert the suppository: first remove the foil wrapper and moisten the suppository with cold water, lie down on my side and use my finger to push the suppository well up into the rectum, to use the transdermal disk form, scopolamine, usually comes with patient directions, read them carefully before using this medicine, wash and dry my hands thoroughly before and after handling, apply the disk to the hairless area, skin behind the ear, do not place over any cuts, irritations, keep out of a child's reach, overdose is especially dangerous in young children, store away from heat and direct light, do not store the capsule, tablet form, in other damp places, heat, moisture, the medicine to break down, keep the liquid form, tightly closed and keep it from freezing, do not refrigerate the syrup form, do not keep outdated medicine, medicine no longer needed, discarded medicine is out of a child's reach, precautions, know the side effects, if you think you, someone else, get emergency help at once, taking an overdose, the belladonna alkaloids, taking scopolamine with alcohol, other cns depressants may lead to unconsciousness and possibly death, overdose are clumsiness, unsteadiness; dizziness; severe drowsiness; fever; hallucinations, seeing, hearing, feeling things that are not there, confusion; shortness, breath, troubled breathing; slurred speech; unusual excitement, nervousness, restlessness, irritability; fast heartbeat; and unusual warmth, dryness, flushing, skin, may make you sweat less, causing my body temperature to increase, use extra care not to become overheated during exercise, hot weather, overheating may result in heat stroke, hot baths, saunas may make you dizzy, faint, check with a physician before you stop using this medicine, reduce gradually the amount you are using before stopping completely, stopping this medicine, withdrawal side effects, vomiting, sweating, dizziness , anticholinergics, some people to have blurred vision , make sure my vision is clear before you drive, do anything else that could be dangerous, not able to see well, may also cause my eyes to become more sensitive to light than they are normally, wearing sunglasses may help lessen the discomfort from bright light, especially in high doses, some people to become dizzy, drowsy, before you drive, dizzy, not alert, dizziness , lightheadedness, fainting may occur, especially when you get up from a lying, sitting position, getting up slowly may help lessen this problem, dryness, the mouth, nose, throat, for temporary relief, mouth dryness, use sugarless candy, gum, melt bits, ice, in my mouth, use a saliva substitute, mouth continues to feel dry for more than 2 weeks, check with my medical doctor, continuing dryness, the mouth may increase the chance, dental disease, tooth decay, gum disease, fungus infections , for patients taking scopolamine, will add to the effects, alcohol and other cns depressants, medicines that slow down the nervous system, possibly causing drowsiness , some examples, cns depressants are antihistamines, medicine for hay fever, other allergies, colds; sedatives, tranquilizers, sleeping medicine; prescription pain medicine, narcotics; barbiturates; medicine for seizures; muscle relaxants, anesthetics, some dental anesthetics, check with a physician before taking, for patients taking, by mouth, do not take this medicine within 2, 3 hours, taking antacids, medicine for diarrhea, taking antacids, antidiarrhea medicines and this medicine too close together may prevent this medicine from working properly, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, side effects occur, confusion, elderly, dizziness , lightheadedness, continuing, fainting, eye pain , skin rash , hives, incidence not known, cough, difficulty swallowing, fast irregular, pounding, racing heartbeat, pulse, fever, hives, welts, hoarseness, irritation, itching skin, joint pain, stiffness, swelling, puffiness, swelling, the eyelids, around the eyes, face, lips, tongue, redness, skin, shortness of breath, skin rash , tightness in chest, troubled breathing, swallowing, wheezing, symptoms, overdose, blurred vision , continuing, changes in near vision, clumsiness, unsteadiness, confusion, convulsions, seizures, difficulty in breathing, muscle weakness, severe, tiredness, severe, dizziness , drowsiness , severe, dryness, mouth, nose, throat, severe, fast heartbeat, fever, hallucinations, seeing, hearing, feeling things that are not there, slurred speech, unusual excitement, nervousness, restlessness, irritability, unusual warmth, dryness, flushing, skin, side effects may go away during treatment, body adjusts to the medicine, side effects continue, bothersome, constipation, less common with hyoscyamine, decreased sweating, dryness, mouth, nose, throat, skin, bloated feeling, blurred vision , decreased flow, breast milk, difficult urination , difficulty in swallowing, drowsiness , more common with high doses, and with usual doses, scopolamine when given by mouth, by injection, false sense, well-being, for scopolamine only, headache, increased sensitivity, eyes to light, lightheadedness, with injection, memory, nausea, vomiting, redness, other signs, irritation at place, injection, trouble in sleeping, for scopolamine only, unusual tiredness , weakness, incidence not known, decreased interest in sexual intercourse, inability to have, keep an erection, loss in sexual ability, the desire or drive, performance, taste, for patients using scopolamine, after you stop using scopolamine, body may need time to adjust, time this takes depends on the amount, scopolamine you were using and how long you used it, during this period, time check with a physician if you notice, side effects, anxiety, irritability, nightmares, trouble in sleeping, for patients using the transdermal disk, scopolamine, while using the disk, even after removing it, eyes may become more sensitive to light than usual, may also notice the pupil in one eye is larger than the other, check with a physician if this side effect continues, is bothersome other side effects, additional information once a medicine has been approved for marketing for a certain use, experience may show, also useful for other medical problems, uses are not included in product labeling, anticholinergics/antispasmodics are used in certain patients with the following medical conditions, diarrhea, excessive watering, mouth, asthma treatment, atropine, other than, information, there is no additional information relating to, side effects for these uses, brand names some commonly used brand names are, anaspaz, a-spas s/l, banthine, cantil, cystospaz, cystospaz-m, donnamar, ed-spaz, gastrosed, homapin, levbid, levsin, levsinex timecaps, levsin/sl, pro-banthine, robinul, robinul forte, symax sl, transderm-sco ¯p, buscopan, gastrozepin, pro-banthine, robinul forte, spasmoban, transderm-v,