Buscopan-Generic (hyosine butyl bromide) 10mg Tablets

Proper Use of This Medicine

For patients taking any of these medicines by mouth:

• Take this medicine 30 minutes to 1 hour before meals unless otherwise directed by your doctor.

To use the rectal suppository form of scopolamine:

• If the suppository is too soft to insert, chill it in the refrigerator for 30 minutes or 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 your side and use your finger to push the suppository well up into the rectum.

To use the transdermal disk form of scopolamine:

• This medicine usually comes with patient directions. Read them carefully before using this medicine.
• Wash and dry your hands thoroughly before and after handling.
• Apply the disk to the hairless area of skin behind the ear. Do not place over any cuts or irritations.

Take this medicine only as directed. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. To do so may increase the chance of side effects.

Dosing

The dose medicines in this class will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of these medicines. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For anisotropine
• For oral dosage forms (tablets):
  • To treat duodenal or stomach ulcers:
    • Older adults, adults, and teenagers—50 milligrams (mg) three times a day. Your doctor may change the dose if needed.
    • Children—Dose must be determined by your doctor.

• For atropine
• For oral dosage form (tablets):
  • To treat duodenal or stomach ulcers, intestine problems, or urinary problems:
    • Older adults, adults, and teenagers—300 to 1200 micrograms (mcg) every four to six hours.
    • Children—Dose is based on body weight. The usual dose is 10 mcg per kilogram (kg) (4.5 mcg per pound) of body weight every four to six hours. However, the dose will not be more than 400 mcg every four to six hours.
• For injectable dosage form:
  • To treat duodenal or stomach ulcers or intestine problems:
    • Older adults, adults, and teenagers—400 to 600 mcg injected into a muscle, vein, or under the skin every four to six hours.
    • Children—The dose is based on body weight. The usual dose is 10 mcg per kilogram (kg) (4.5 mcg per pound) of body weight injected under the skin every four to six hours. However, the dose will not be more than 400 mcg every four to six hours.
  • To treat heart problems:
    • Older adults, adults, and 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.
    • Children—The dose is based on body weight. The usual dose is 10 to 30 mcg per kilogram (kg) (4.5 to 13.6 mcg per pound) of body weight injected under the skin.

• For belladonna
• For oral dosage form (oral solution):
  • To treat duodenal or stomach ulcers or intestine problems:
    • Older adults, adults, and teenagers—180 to 300 micrograms (mcg) three or four times a day. The dose should be taken 30 to 60 minutes before meals and at bedtime. Your doctor may change the dose if needed.
    • Children—The dose is based on body weight. The usual dose is 9 mcg per kilogram (kg) (4 mcg per pound) of body weight three or four times a day.

• For clidinium
• For oral dosage form (capsules):
  • To treat duodenal or stomach ulcers:
    • Older adults, adults, and teenagers—2.5 to 5 milligrams (mg) three or four times a day. The dose should be taken before meals and at bedtime. Your doctor may change the dose if needed.
    • Children—Dose must be determined by your doctor.

• For dicyclomine
• For oral dosage forms (capsules, extended-release tablets, syrup, tablets):
  • To treat intestine problems:
    • Older adults, adults, and teenagers—10 to 20 milligrams (mg) three or four times a day. Some people may take 30 mg two times a day. Your doctor may change the dose if needed. Your dose will not be more than 160 mg a day.
    • Children 2 years of age and older—5 to 10 mg three or four times a day. Your doctor may change the dose if needed.
    • Children 6 months to 2 years of age—5 to 10 mg of the syrup three or four times a day. Your doctor may change the dose if needed.
    • Children up to 6 months of age—Use is not recommended.
• For injectable dosage form:
  • To treat intestine problems:
    • Older adults, adults, and teenagers—20 mg injected into a muscle every four to six hours. Your doctor may change the dose if needed.
    • Children—Dose must be determined by your doctor.

• For glycopyrrolate
• For oral dosage form (tablets):
  • To treat duodenal or stomach ulcers:
    • Older adults, adults, and teenagers—To start, 1 to 2 milligrams (mg) two or three times a day. Some people may also take 2 mg at bedtime. Your doctor may change the dose if needed. However, your dose will not be more than 8 mg a day.
    • Children—Dose must be determined by your doctor.
• For injectable dosage form:
  • To treat duodenal or stomach ulcers:
    • Older adults, adults, and teenagers—100 to 200 micrograms (mcg) injected into a muscle or vein. The dose may be repeated every four hours up to four times a day.
    • Children—Dose must be determined by your doctor.

• For homatropine
• For oral dosage form:
  • To treat duodenal or stomach ulcers:
    • Older adults, adults, and teenagers—5 to 10 milligrams (mg) three or four times a day. Your doctor may change the dose if needed.
    • Children—Dose must be determined by your doctor.

• For hyoscyamine
• For oral dosage forms (capsules, elixir, oral solution, tablets):
  • To treat duodenal or stomach ulcers, intestine problems, or urinary problems:
    • Older adults, adults, and 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. Your doctor may change the dose if needed.
    • Children—Dose is based on body weight. The usual dose is 12.5 to 187 mcg every four hours if needed.
• For injectable dosage form:
  • To treat duodenal or stomach ulcers or intestine problems:
    • Older adults, adults, and teenagers—250 to 500 mcg injected into a muscle, vein, or under the skin every four to six hours.
    • Children—Dose must be determined by your doctor.

• For mepenzolate
• For oral dosage form (tablets):
  • To treat duodenal or stomach ulcers or intestine problems:
    • Older adults, adults, and teenagers—25 to 50 milligrams (mg) four times a day, with meals and at bedtime. Your doctor may change the dose if needed.
    • Children—Dose must be determined by your doctor.

• For methantheline
• For oral dosage form (tablets):
  • To treat intestine or stomach ulcers, intestine problems, or urinary problems:
    • Older adults, adults, and teenagers—50 to 100 milligrams (mg) every six hours. Your doctor may change the dose if needed.
    • Children 1 year of age and older—12.5 to 50 mg four times a day. Your doctor may change the dose if needed.
    • Children 1 month to 1 year of age—12.5 mg four times a day. Your doctor may change the dose if needed.
    • Children up to 1 month of age—12.5 mg two times a day. Your doctor may change the dose if needed.

• For methscopolamine
• For oral dosage form (tablets):
  • To treat duodenal or stomach ulcers or intestine problems:
    • Older adults, adults, and teenagers—2.5 to 5 milligrams (mg) four times a day, one-half hour before meals and at bedtime. Your doctor may change the dose if needed.
    • Children—Dose is based on body weight. The usual dose is 200 micrograms (mcg) per kilogram (kg) (90.9 mcg per pound) of 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 or stomach ulcers or intestine problems:
    • Older adults, adults, and teenagers—50 milligrams (mg) two times a day, in the morning and at bedtime. Your doctor may change the dose if needed.
    • Children—Dose must be determined by your doctor.

• For propantheline
• For oral dosage form (tablets):
  • To treat duodenal or stomach ulcers:
    • Older adults, adults, and teenagers—7.5 to 15 milligrams (mg) three times a day, one-half hour before meals, and 30 mg at bedtime. Your doctor may change the dose if needed.
    • Children—Dose is based on body weight. The usual dose is 375 micrograms (mcg) per kilogram (kg) (170 mcg per pound) of body weight four times a day. Your doctor may change the dose if needed.

• For scopolamine
• For oral dosage form (tablets):
  • To treat urinary problems or intestine problems or painful menstruation:
    • Older adults, adults, and teenagers—10 to 20 milligrams (mg) three or four times a day. Your doctor may change the dose if needed.
    • Children—Dose must be determined by your doctor.
• For injectable dosage form:
  • To treat urinary problems or intestine problems:
    • Older adults, adults, and teenagers—10 to 20 mg three or four times a day. Your doctor may change the dose if needed.
    • Children—Dose must be determined by your doctor.
• For rectal dosage form (suppository):
  • To treat urinary problems or intestine problems or painful menstruation:
    • Older adults, adults, and teenagers—Insert one 10 mg suppository rectally three or four times a day. Your doctor may change the dose if needed.
    • Children—Dose must be determined by your doctor.
• For transdermal dosage form (patch):
  • To treat motion sickness:
    • Older adults, adults, and teenagers—Apply one 1.0 milligram (mg) patch behind ear at least four hours before antinausea effect is needed.
    • Children—Use is not recommended.
  • To treat nausea and vomiting after surgery
    • Older adults, adults, and teenagers—Apply one 1.0 mg patch behind the ear the evening before surgery to prevent nausea and vomiting after surgery.
    • Children—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Keep out of the reach of children.

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Do not refrigerate. Keep from freezing.

Do not keep outdated medicine or medicine no longer needed.

Keep the liquid form of this medicine tightly closed and keep it from freezing. Do not refrigerate the syrup form of this medicine.

Precautions While Using This Medicine

If you think you or someone else may have taken an overdose, get emergency help at once. Taking an overdose of any of the belladonna alkaloids or taking scopolamine with alcohol or other CNS depressants may lead to unconsciousness and possibly death. Some signs of overdose are clumsiness or unsteadiness; dizziness; severe drowsiness; fever; hallucinations (seeing, hearing, or feeling things that are not there); confusion; shortness of breath or troubled breathing; slurred speech; unusual excitement, nervousness, restlessness, or irritability; fast heartbeat; and unusual warmth, dryness, and flushing of skin.

These medicines may make you sweat less, causing your body temperature to increase. Use extra care not to become overheated during exercise or hot weather while you are taking this medicine, since overheating may result in heat stroke. Also, hot baths or saunas may make you dizzy or faint while you are taking this medicine.

Check with your doctor before you stop using this medicine. Your doctor may want you to reduce gradually the amount you are using before stopping completely. Stopping this medicine may cause withdrawal side effects such as vomiting, sweating, and dizziness.

Anticholinergics may cause some people to have blurred vision. Make sure your vision is clear before you drive or do anything else that could be dangerous if you are not able to see well. These medicines may also cause your eyes to become more sensitive to light than they are normally. Wearing sunglasses may help lessen the discomfort from bright light.

These medicines, especially in high doses, may cause some people to become dizzy or drowsy. Make sure you know how you react to this medicine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert.

Dizziness, lightheadedness, or fainting may occur, especially when you get up from a lying or sitting position. Getting up slowly may help lessen this problem.

These medicines may cause dryness of the mouth, nose, and throat. For temporary relief of mouth dryness, use sugarless candy or gum, melt bits of ice in your mouth, or use a saliva substitute. However, if your mouth continues to feel dry for more than 2 weeks, check with your medical doctor or dentist. Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay, gum disease, and fungus infections.

For patients taking scopolamine:

• This medicine will add to the effects of alcohol and other CNS depressants (medicines that slow down the nervous system, possibly causing drowsiness). Some examples of CNS depressants are antihistamines or medicine for hay fever, other allergies, or colds; sedatives, tranquilizers, or sleeping medicine; prescription pain medicine or narcotics; barbiturates; medicine for seizures; muscle relaxants; or anesthetics, including some dental anesthetics. Check with your doctor before taking any of the above while you are using this medicine.

For patients taking any of these medicines by mouth:

• Do not take this medicine within 2 or 3 hours of taking antacids or medicine for diarrhea. Taking antacids or antidiarrhea medicines and this medicine too close together may prevent this medicine from working properly.

Side Effects of This Medicine

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur:

Rare

• Confusion (especially in the elderly)
• dizziness, lightheadedness (continuing), or fainting
• eye pain
• skin rash or hives

Incidence not known

• Cough
• difficulty swallowing
• fast irregular, pounding, or racing heartbeat or pulse
• fever
• hives or welts
• hoarseness
• irritation
• itching skin
• joint pain, stiffness, or swelling
• puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
• redness of skin
• shortness of breath
• skin rash
• tightness in chest
• troubled breathing or swallowing
• wheezing

Symptoms of overdose

• Blurred vision (continuing) or changes in near vision
• clumsiness or unsteadiness
• confusion
• convulsions (seizures)
• difficulty in breathing, muscle weakness (severe), or tiredness (severe)
• dizziness
• drowsiness (severe)
• dryness of mouth, nose, or throat (severe)
• fast heartbeat
• fever
• hallucinations (seeing, hearing, or feeling things that are not there)
• slurred speech
• unusual excitement, nervousness, restlessness, or irritability
• unusual warmth, dryness, and flushing of skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

• Constipation (less common with hyoscyamine)
• decreased sweating
• dryness of mouth, nose, throat, or skin

Less common or rare

• Bloated feeling
• blurred vision
• decreased flow of breast milk
• difficult urination
• difficulty in swallowing
• drowsiness (more common with high doses of any of these medicines and with usual doses of scopolamine when given by mouth or by injection)
• false sense of well-being (for scopolamine only)
• headache
• increased sensitivity of eyes to light
• lightheadedness (with injection)
• loss of memory
• nausea or vomiting
• redness or other signs of irritation at place of injection
• trouble in sleeping (for scopolamine only)
• unusual tiredness or weakness

Incidence not known

• Decreased interest in sexual intercourse
• inability to have or keep an erection
• loss in sexual ability, desire, drive, or performance
• loss of taste

After you stop using scopolamine, your body may need time to adjust. The length of time this takes depends on the amount of scopolamine you were using and how long you used it. During this period of time check with your doctor if you notice any of the following side effects:

• Anxiety
• irritability
• nightmares
• trouble in sleeping

For patients using the transdermal disk of scopolamine:

While using the disk or even after removing it, your eyes may become more sensitive to light than usual. You may also notice the pupil in one eye is larger than the other. Check with your doctor if this side effect continues or is bothersome.

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

All our generic medicines are produced in W.H.O-Geneva or FDA Inspected and Approved Laboratories. This is a Generic drug and not a brand name medicine; because of it's generic form a compulsary licence(s) were issued in numerous countries allowing their fabrication, importation and distribution where they are legally permitted; and not in violation of any accords in regards to trademarks and patents. Be sure you are able to import these generic pharmaceuticals into your country prior to ordering; as some countries will not allow their importation.