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Methscopolamine
Pronunciation
U.S. Brand Names
Generic Available
Synonyms
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Adverse Reactions
Drug Interactions
Mechanism of Action
Usual Dosage
Dietary Considerations
Mental Health: Effects on Mental Status
Mental Health: Effects on Psychiatric Treatment
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Dosage Forms

Pronunciation
(meth skoe POL a meen)

U.S. Brand Names
Pamine®

Generic Available

No


Synonyms
Methscopolamine Bromide

Pharmacological Index

Anticholinergic Agent


Use

Adjunctive therapy in the treatment of peptic ulcer


Pregnancy Risk Factor

C


Contraindications

Anticholinergic drugs decrease both esophageal and gastric motility and relax the lower esophageal sphincter and are contraindicated in the presence of reflux esophagitis; glaucoma; obstructed uropathy; obstructed disease of the GI tract (pyloroduodenal stenosis); paralytic ileus; intestinal atony of elderly or debilitated individuals; unstable cardiovascular status in acute hemorrhage; severe ulcerative colitis; toxic megacolon; complicated ulcerative colitis; myasthenia gravis; hypersensitivity to methscopolamine or related drugs


Adverse Reactions

>10%:

Dermatologic: Dry skin

Gastrointestinal: Constipation, xerostomia, dry

Respiratory: Dry nose

Miscellaneous: Decreased diaphoresis

1% to 10%: Gastrointestinal: Dysphagia


Drug Interactions

No data reported


Mechanism of Action

Methscopolamine is a peripheral anticholinergic agent that does not cross the blood-brain barrier and provides a peripheral blockade of muscarinic receptors. This agent reduces the volume and the total acid content of gastric secretions, inhibits salivation, and reduces gastrointestinal motility.


Usual Dosage

Adults: Oral: 2.5 mg 30 minutes before meals or food and 2.5-5 mg at bedtime


Dietary Considerations

Should be administered 30 minutes before meals or food


Mental Health: Effects on Mental Status

May rarely cause drowsiness, confusion, amnesia, or nervousness


Mental Health: Effects on Psychiatric Treatment

Concurrent use with psychotropics may produce additive sedation and dry mouth


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

>10% of patients experience dry mouth; anticholinergic side effects can cause a reduction of saliva production or secretion contributes to discomfort and dental disease (ie, caries, oral candidiasis and periodontal disease)


Dosage Forms

Tablet, as bromide: 2.5 mg


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