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Pronunciation |
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(kli
DI nee um & klor dye az e
POKS ide) |
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U.S. Brand
Names |
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Clindex®; Librax® |
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Generic
Available |
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Yes |
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Canadian Brand
Names |
|
Apo®-Chlorax; Corium®;
ProChlorax |
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Synonyms |
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Chlordiazepoxide and Clidinium |
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Pharmacological Index |
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Antispasmodic Agent, Gastrointestinal |
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|
Use |
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Adjunct treatment of peptic ulcer; treatment of irritable bowel
syndrome |
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Pregnancy Risk
Factor |
|
D |
|
|
Contraindications |
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Glaucoma; prostatic hypertrophy; benign bladder neck obstruction;
hypersensitivity to clidinium, chlordiazepoxide, or any
component |
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|
Warnings/Precautions |
|
Use with caution with alcohol or other CNS depressants because of possible
combined effects. Do not abruptly discontinue this medication after prolonged
use; taper dose gradually. |
|
|
Adverse
Reactions |
|
1% to 10%: Drowsiness ataxia, confusion, anticholinergic side
effects |
|
|
Drug
Interactions |
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Additive effects may result from concomitant benzodiazepine and/or
anticholinergic therapy |
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Usual Dosage |
|
Oral: 1-2 capsules 3-4 times/day, before meals or food and at
bedtime |
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Dietary
Considerations |
|
Should be administered before meals |
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Mental Health: Effects
on Mental Status |
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Drowsiness is common; may cause confusion |
|
|
Mental Health:
Effects on Psychiatric
Treatment |
|
Concurrent use with psychotropics may result in additive
sedation |
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|
Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
No information available to require special precautions |
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|
Dental Health:
Effects on Dental Treatment |
|
No effects or complications reported |
|
|
Patient
Information |
|
Take as directed before meals; do not increase dose and do not discontinue
without consulting prescriber first. Avoid alcohol and other CNS depressant
medications (antihistamines, sleeping aids, antidepressants) unless approved by
prescriber. Void before taking medication. This drug may impair mental alertness
(use caution when driving or engaging in tasks that require alertness until
response to drug is known). Report excessive and persistent anticholinergic
effects (blurred vision, headache, flushing, tachycardia, nervousness,
constipation, dizziness, insomnia, mental confusion or excitement, dry mouth,
altered taste perception, dysphagia, palpitations, bradycardia, urinary
hesitancy or retention, impotence, decreased sweating), or change in color of
urine or stools. Pregnancy/breast-feeding precautions: Do not get
pregnant while taking this medication; use appropriate barrier contraceptive
measures. Do not breast-feed. |
|
|
Nursing
Implications |
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After extended therapy, abrupt discontinuation should be avoided and a
gradual dose tapering schedule followed |
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Dosage Forms |
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Capsule: Clidinium bromide 2.5 mg and chlordiazepoxide hydrochloride 5
mg |
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