Hyoscine Butylpromide

dr.joan

Hyoscine Butylpromide :
Trade names: ' Scobutyl ':
Class: Antimuscarinic
Pregnancy: (Category C)

Action: Antispasmodics
Hyoscine works by preventing certain chemicals produced by the body, from interacting with the muscarinic receptors located on the smooth muscle of the gut. This causes the gut muscle to relax, removing the pain of colic resulting from the gut muscle contraction and spasm.
Indications:
§ Abdominal pain associated with menstrual periods
§ Abdominal pain which comes and goes (colic)
§ Irritable Bowel Syndrome
Contraindications:
§ Abnormal muscle weakness
§ Enlarged prostate
§ Failure of function of part of the gut causing an obstruction (paralytic ileus)
§ Glaucoma
§ Life long inherited blood diseases which can cause a variety of symptoms, including mental health problems (porphyrias)
§ Narrowing of the outlet of the stomach making it difficult for food to pass into the intestines (pyloric stenosis)
Dose:
§ by mouth, 20 mg 4 times daily; CHILD 6–12 years, 10 mg 3 times daily, Irritable bowel syndrome, 10 mg 3 times daily, increased if required up to 20 mg 4 times daily
§ By intramuscular or intravenous injection, acute spasm and spasm in diagnostic procedures, 20 mg repeated after 30 minutes if necessary (may be repeated more frequently in endoscopy); CHILD not recommended
Side effects:
§ Tachycardia
§ Urgency
§ Blurred vision
§ Dry mouth
§ Constipation
§ Urinary retention
Nursing considerations:-
§ Have patient void before taking medication if urinary retention is a problem.
§ Monitor for signs and symptoms of allergy to drug