Dicyclomine

Introduction To Dicyclomine

Dicyclomine is used in the treatment of abdominal pain and irritable bowel syndrome (symptoms include abdominal pain, cramping, bloating, and diarrhea or constipation). It helps to control sudden muscle contractions (spasms), thereby reduces abdominal cramps.

Dicyclomine is given by your doctor or nurse. You should keep taking this medicine for as long as your doctor recommends. If you stop treatment too early your symptoms may come back and your condition may worsen. Let your doctor know about all other medications you are taking as some may affect, or be affected by this medicine.

The most common side effects are dry mouth, blurred vision, nausea, weakness and nervousness. Most of these are temporary and usually resolve with time. Contact your doctor straight away if you are at all concerned about any of these side effects. It may cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Avoid drinking alcohol while taking this medicine as it can worsen your sleepiness. This medicine may also cause diarrhea, so its better to take plenty of fluids while taking this medicine as it may help to prevent dehydration.

Pregnant or breastfeeding women should also consult their doctor before taking this medicine. Dicyclomine should be used with caution in patients with liver and kidney disease or alcohol abuse. It should not be used in infants less than six months of age.

Uses of Dicyclomine

  • Abdominal pain
  • Irritable bowel syndrome

Benefits of Dicyclomine

Abdominal pain
Dicyclomine effectively relieves sudden muscle spasms or contractions in the stomach and intestine (gut), thereby relaxing the muscles and improving movement of food. This helps to treat abdominal pain (or stomach pain) as well as cramps, bloating and discomfort. Eventually, it will help you to go about your daily activities more easily and have a better, more active, quality of life.

Irritable bowel syndrome
Irritable bowel syndrome is a chronic (long-term) inflammatory disease of the large intestine (colon) that usually needs long term management. This can lead to bleeding, frequent diarrhea, bloating, flatulence, cramps and stomach pain. Dicyclomine relaxes the muscles in your stomach and gut (intestine) and relieves these symptoms effectively. Usually, it is used along with other medicines for management of your condition.
Dicyclomine is given as an injection by a doctor or nurse and should not be self-administered. Take a fiber-rich diet, avoid oily or spicy food and drink plenty of fluids while taking it to make sure you stay hydrated.

Side effects of Dicyclomine

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Meftal-Spas

  • Nausea
  • Dizziness
  • Blurred vision
  • Dryness in mouth
  • Nervousness
  • Drowsiness
  • Vomiting
  • Psychosis
  • Diarrhea
  • Photophobia
  • Dyspepsia
  • Abdominal pain
  • Insomnia (difficulty in sleeping)
  • Confusion
  • Hallucination
  • Dry skin
  • Reduced bronchial secretions

How to use Dicyclomine

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Dicyclomine works

Dicyclomine is an anticholinergic medication. It works by relaxing the muscles in the stomach and gut (intestine). It stops sudden muscle contractions (spasms), thereby relieving cramps, pain, bloating, and discomfort.

Quick tips

  • Dicyclomine is given as an injection into muscles by your doctor only.
  • It may cause dizziness or drowsiness. Use caution while driving or doing anything that requires concentration.
  • Dry mouth may occur as a side effect. Frequent mouth rinses, good oral hygiene, increased water intake and sugarless candy may help.
  • It may make you sweat less. Avoid doing things that may cause you to overheat such as exercise.
  • Avoid consuming alcohol while taking Dicyclomine as it can cause excessive drowsiness and increase your risk of stomach problems.
  • Inform your doctor if you experience severe or long-lasting pain in your stomach.

Safety Advice

sdsPregnancySAFE IF PRESCRIBED

Can I take Dicyclomine if I’m pregnant?

Dicyclomine is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

sdsBreastfeedingCONSULT YOUR DOCTOR

Can I take Dicyclomine if I’m breastfeeding?

Dicyclomine is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.

sdsAlcoholUNSAFE

Is drinking alcohol while taking Dicyclomine safe?

Dicyclomine may cause excessive drowsiness with alcohol.

sdsDrivingCONSULT YOUR DOCTOR

Can I drive after taking Dicyclomine?

It is not known whether Dicyclomine alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.

sdsKidneyCAUTION

Can I take Dicyclomine if I have/had kidney diseases?

Dicyclomine should be used with caution in patients with kidney disease. Dose adjustment of Dicyclomine may be needed. Please consult your doctor.

sdsLiverCAUTION

Can I take Dicyclomine if I have/had liver diseases?

Dicyclomine should be used with caution in patients with liver disease. Dose adjustment of Dicyclomine may be needed. Please consult your doctor.

Frequently Asked Questions

Q. Is Dicyclomine safe?

Dicyclomine is safe if used at prescribed doses for the prescribed duration as advised by your doctor

Q. Is Dicyclomine gluten free?

Dicyclomine active drug does not contain gluten. Read the label instruction of the brands your doctor prescribes you, for gluten content

Q. Does Dicyclomine help nausea?

Dicyclomine is not known to relieve nausea. Nausea is a common side effect of Dicyclomine.

Q. Does Dicyclomine help constipation or trigger constipation?

Dicyclomine may cause constipation.

Q. Is Dicyclomine an opiate/steroid/antacid/NSAID/benzodiazepine?

Dicyclomine is not an opiate, steroid, or an antacid. It is neither a NSAID not a benzodiazepine

Q. Is Dicyclomine a muscle relaxer?

Yes, Dicyclomine is a smooth muscle relaxant. It has a direct effect on muscles of the stomach and intestine. It does not relax the skeletal/voluntary muscles

Q. Can I take Dicyclomine for diarrhea?

Dicyclomine has no known effects in treating diarrhea.

Q. Can I take Dicyclomine for menstrual cramps?

Dicyclomine mainly acts on the smooth muscles of the intestine. Hence, it is used to relieve cramps or spasms of the stomach and intestines (gut). It is not known whether it can be used for menstrual cramps

Q. Does Dicyclomine make you drowsy?

Dicyclomine may cause drowsiness and make you feel sleepy Q. Can I take dicyclomine with Advil (ibuprofen)/ amoxicillin/ Pepto (bismuth subsalicylate)/ tramadol/ Vicodin (acetaminophen and hydrocodone)/ oxycodone/ Tylenol (paracetamol)? There are no known serious drug interactions between dicyclomine and Advil (ibuprofen)/ amoxicillin/ Pepto (bismuth subsalicylate)/ Tramadol/ Vicodin (acetaminophen and hydrocodone)/ oxycodone/ Tylenol (paracetamol). Dicyclomine is often available in combination with pain killers like paracetamol Consult your doctor about all medications currently taken before starting and while on dicyclomine.

References

Written By:

Dr Advikka Ridhy

Dr Advikka Ridhy

MBBS

RMO, Aster MIMS

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