|
| 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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|