الأدوية والمكملات الغذائية

Proper Use

Drug information provided by: Merative, Micromedex®

To use any of these medicines by mouth:

• Take the medicine 30 minutes to 1 hour before meals unless otherwise directed by your doctor.
• Do not take the medicine within 2 or 3 hours of taking an antacid or a medicine for diarrhea. Taking the medicine too close together with antacids or antidiarrhea medicines may prevent the medicine from working properly.

To use the injectable form of dicyclomine:

• The injectable form should only be given intramuscularly (into a muscle). Do not give it intravenously (into a vein).
• The injectable form should only be used for 1 or 2 days. Your doctor may give you an oral medicine that works the same way.

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 patch 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 the patch.
• Apply the patch to the hairless area of skin behind the ear. Do not place it 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 per day. Your doctor may adjust 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 4 to 6 hours.
    • Children—Dose is based on body weight. The usual dose is 10 mcg per kilogram (kg) of body weight every 4 to 6 hours. However, the dose will not be more than 400 mcg every 4 to 6 hours.
• For injectable dosage form:
  • To treat duodenal or stomach ulcers or intestine problems:
    • Older adults, adults, and teenagers—400 to 600 micrograms (mcg) injected into a muscle, vein, or under the skin every 4 to 6 hours.
    • Children—The dose is based on body weight. The usual dose is 10 mcg per kilogram (kg) of body weight injected under the skin every 4 to 6 hours. However, the dose will not be more than 400 mcg every 4 to 6 hours.
  • To treat heart problems:
    • Older adults, adults, and teenagers—400 to 1000 micrograms (mcg) injected into a vein every 1 to 2 hours as needed. The total dose will not be more than 2 milligrams (mg).
    • Children—The dose is based on body weight. The usual dose is 10 to 30 mcg per kilogram (kg) of body weight injected into a vein.

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, syrup, tablets):
  • To treat intestine problems:
    • Older adults, adults, and teenagers—20 milligrams (mg) four times per day. Your doctor may adjust your dose if needed. However, the dose is usually not more than 160 mg per day.
    • Children and infants—Use is not recommended.
    • Infants younger than 6 months of age—Avoid use; use is contraindicated.
• For injectable dosage form (intramuscular only):
  • To treat intestine problems:
    • Older adults, adults, and teenagers—10 to 20 milligrams (mg) injected into a muscle four times per day.
    • Children and infants—Use is not recommended.
    • Infants younger than 6 months of age—Avoid use; use is contraindicated.

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 patch behind the ear at least 4 hours before the antinausea effect is needed.
    • Children—Use is not recommended.
  • To treat nausea and vomiting after surgery
    • Older adults, adults, and teenagers—Apply one 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.