Glycopyrrolate

Introduction To Glycopyrrolate

Glycopyrrolate is an anticholinergic medication. It is used before or even during an operation to reduce secretions and it even reverses the unwanted effects of certain medicines used during surgery (muscle relaxants). It also helps to treat peptic ulcers when oral medication is not tolerated.

Glycopyrrolate is given by your doctor or nurse. Let your doctor know about all other medications you are taking as some may affect, or be affected by this medicine. 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.

The most common side effects of this medicine include dry mouth, urinary retention, blurred vision, photophobia, dilation of the pupil, cycloplegia, ocular hyperemia, tachycardia, bradycardia, palpitation, and reduced sweating. Avoid drinking alcohol while taking this medicine as it can worsen your sleepiness.

Inform your doctor if you have glaucoma, myasthenia gravis, heart failure, and high blood pressure.

Uses of Glycopyrrolate

  • General Anaesthesia
  • Peptic ulcer disease

Benefits of Glycopyrrolate

General Anaesthesia
Glycopyrrolate is used before and during surgery to reduce secretions of the mouth, throat, or stomach, such as saliva, stomach acid, or to prevent problems related to heart rhythm during anesthesia, intubation, or surgery. It also helps decrease the unwanted effects that may be caused by certain medicines like, neostigmine, pyridostigmine, etc. It is given by a specialist doctor called an anesthetist in a hospital setup.

Peptic ulcer disease
Peptic ulcer disease is a condition in which painful sores or ulcers develop in the inner lining of the stomach or gut (intestine). Glycopyrrolate reduces the amount of acid your stomach makes which prevents further damage to the ulcer as it heals naturally. You may be given other medicines along with this medicine depending on what caused the ulcer.

Side effects of Glycopyrrolate

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 Licolate

  • Urinary retention
  • Blurred vision
  • Dilatation of pupil
  • Cycloplegia (paralysis of the ciliary muscle of the eye)
  • Ocular hyperemia
  • Slow heart rate
  • Palpitations
  • Reduced sweating

How to use Glycopyrrolate

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

How Glycopyrrolate works

Glycopyrrolate is an anticholinergic medication. It works by blocking the activity of a chemical messenger (acetylcholine) in the brain. This helps dry up secretions (saliva, stomach acid etc.) from glands before surgery, increases a low heart rate and reverses the unwanted effects of certain medicines used during surgery (muscle relaxants and anaesthetics). By lowering stomach acid content, it also helps treat peptic ulcers.

Quick tips

  • Glycopyrrolate is used before an operation, to reduce saliva and other secretions and to make the stomach contents less acidic.
  • It may also be used to reduce side effects of muscle-relaxing drugs and to prevent of slowing of heart beat during surgery.
  • It is given as an injection into a muscle or into a vein.
  • Use caution while driving or doing anything that requires concentration as Glycopyrrolate may cause dizziness and blurred vision.

Safety Advice

sdsPregnancySAFE IF PRESCRIBED

Can I take Glycopyrrolate if I’m pregnant?

Glycopyrrolate 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.

sdsBreastfeedingSAFE IF PRESCRIBED

Can I take Glycopyrrolate if I’m breastfeeding?

Glycopyrrolate is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby. Long-term use of Glycopyrrolate might reduce milk production.

sdsAlcoholCONSULT YOUR DOCTOR

Is drinking alcohol while taking Glycopyrrolate safe?

It is not known whether it is safe to consume alcohol with Glycopyrrolate. Please consult your doctor.

sdsDrivingUNSAFE

Can I drive after taking Glycopyrrolate?

Glycopyrrolate may cause side effects which could affect your ability to drive. Glycopyrrolate may affect vision and coordination. This may affect your driving ability.

sdsKidneyCAUTION

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

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

sdsLiverCONSULT YOUR DOCTOR

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

There is limited information available on the use of Glycopyrrolate in patients with liver disease. Please consult your doctor.

Frequently Asked Questions

Q. Is Glycopyrrolate a narcotic?

No, Glycopyrrolate is not a narcotic. It is given before surgery to reduce secretions in the mouth, throat, airways, and stomach. Doing this will reduce the formation of saliva and other secretions and ease the operation. Glycopyrrolate is also given before or during the surgery, to prevent slowness of the heart beat during surgery.

Q. Does Glycopyrrolate cause tachycardia?

Yes, Glycopyrrolate has its action on the heart which increases the heart rate (tachycardia). This property of the medication is utilized during surgery to prevent the fall of heart rate due to various other supplemental anesthetic medications.

Q. Can Glycopyrrolate cause constipation?

Yes, Glycopyrrolate can cause constipation because of its action on the intestine. It decreases the intestinal secretions and also decreases the gut motility which can result in constipation.

Q. Does Glycopyrrolate increase blood pressure?

Yes, Glycopyrrolate can sometimes lead to an increase in blood pressure. There are evidences where it has led to increased blood pressure. Therefore, when injected into a patient during a surgery, the heart rate and blood pressure are continuously monitored.

Q. I am on antidepressants currently. Can I take Glycopyrrolate?

No, some classes of antidepressant medicines can worsen the side effects of Glycopyrrolate and cause uneasiness for the patient. These antidepressant medicines may include tricyclic antidepressants (amitriptyline or imipramine), phenelzine, tranylcypromine, clozapine, etc. Therefore, do inform your doctor about your previous illness and the medicines you are taking before you take this medication. Your doctor may make the necessary adjustments.

References

Written By:

Dr Advikka Ridhy

Dr Advikka Ridhy

MBBS

RMO, Aster MIMS

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