DICYCLOMINE HCL + SIMETHOLONE

Indications & Dose:

Functional bowel/irritable bowel syndrome; adjunctive treatment of peptic ulcer disease,* infant colic

• BY MOUTH

Adults:  Susp: 1-2 teaspoonful 3-4 times per day.

Children:  2-4 months 5-10mg 3 times daily, 15 minutes before feeds  2-12 years 10 mg 3 times daily or 1-2 teaspoonful 3-4 times per day.

Contraindications:

Narrow angle glaucoma, GI obstruction, myasthenia gravis, paralytic ileus, GI atony, toxic megacolon.

Side Effects:

CNS: Anxiety, coma (child <3 mo), confusion, dizziness, drowsiness, hallucination; headache, insomnia, seizures, stimulation in elderly, weakness

CV: Palpitations, tachycardia

Eye/ENT: Blurred vision, cycloplegia, increased ular tension, mydriasis, photophobia

GI: Absence of taste, constipation, dry mouth, dys-phagia, heartburn, nausea, paralytic ileus, vomiting 

GU: Hesitancy, impotence, rentention

SKIN: Allergic reactions, anhidrosis, fever, pruritus, rash, urticaria 

Cautions:

Precautions:

In pregnancy, breast-feeding, old age, Hyperthyroidism, coronary artery disease, dysrhythmias, CHF, ulcerative colitis, hypertension, hiatal hernia, hepatic disease, renal disease, urinary retention, prostatic hypertrophy, small children, Down Syndrome

Interaction:

Drugs

Amantadine, Tricyclic antidepress, MAOIs, HI1-antihistamines: Increased anticholinergic effects

Phenothiazines, Levodopa, Ketoconazole: Decreased therapeutic effects

Warnings:

Adverse Effects:

Lactations:

Special Precautions:

Counselling:

Side Effects Or Adverse Reactions:

Patient And Carer Advice: