HYOSCYAMINE EXTENDED-RELEASE - ORAL

HYOSCYAMINE EXTENDED-RELEASE - ORAL

PHONETIC PRONUNCIATION: (hi-oh-SYE-uh-meen)

COMMON BRAND NAME(S): Levbid, Levsinex, Symax Duotab, Symax-SR

GENERIC NAME(S): hyoscyamine sulfate

Uses

USES: Hyoscyamine is used to treat a variety of stomach/intestinal problems such as cramps and irritable bowel syndrome. It is also used to treat other conditions such as bladder and bowel control problems, cramping pain caused by kidney stones and gallstones, and Parkinson's disease. In addition, it is used to decrease side effects of certain medications (drugs used to treat myasthenia gravis) and insecticides. This medication works by decreasing acid production in the stomach, slowing down the natural movements of the gut, and relaxing muscles in many organs (e.g., stomach, intestines, bladder, kidney, gallbladder). Hyoscyamine also lessens the amount of certain body fluids (e.g., saliva, sweat). This medication belongs to a class of drugs known as anticholinergics/antispasmodics.


How to use HYOSCYAMINE EXTENDED-RELEASE - ORAL

HOW TO USE: Take this medication by mouth, usually every 12 hours or as directed by your doctor. Swallow the extended-release capsules whole. Do not crush or chew extended-release capsules or tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing. Dosage is based on your medical condition and response to therapy. Do not increase your dose or take it more often than prescribed without consulting your doctor. Adults and children 12 years and older should not take more than 1.5 milligrams in 24 hours. Antacids may interfere with the absorption of this medication. Ask your doctor or pharmacist for more information. Drink plenty of fluids while taking this medication unless your doctor directs you otherwise. Inform your doctor if your condition persists or worsens.

Side Effects

SIDE EFFECTS: Dizziness, drowsiness, blurred vision, dry mouth, headache, trouble sleeping, constipation, flushing, dry skin, and decreased sweating may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. To relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water or use a saliva substitute. An empty medication shell may appear in your stool. This is harmless. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Tell your doctor right away if any of these unlikely but serious side effects occur: mental/mood changes (e.g., confusion, unusual excitement), fast/irregular heartbeat, difficulty urinating, decreased sexual ability, loss of coordination, slurred speech, vomiting. Get medical help right away if you have any very serious side effects, including: eye pain/swelling/redness, vision changes (such as seeing rainbows around lights at night). A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

PRECAUTIONS: Before taking hyoscyamine, tell your doctor or pharmacist if you are allergic to it; or to atropine; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: personal or family history of glaucoma (angle-closure type), enlarged prostate, urinary blockage problems, certain stomach/intestinal problems (e.g., slow gut, blockage, severe ulcerative colitis, infection), heart problems due to severe bleeding. Before using this medication, tell your doctor or pharmacist your medical history, especially of: overactive thyroid, other heart problems (e.g., coronary heart disease, congestive heart failure, fast heartbeat, arrhythmias), high blood pressure, kidney disease, heartburn problems (acid reflux, hiatal hernia), certain nervous system problem (autonomic neuropathy), myasthenia gravis. Contact lens wearers may need to use wetting eye drops since this medication can cause dry eyes. This drug may make you dizzy or drowsy or blur your vision. Alcohol or marijuana can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana. This drug may increase the risk for heatstroke because it decreases sweating. Avoid becoming overheated in hot weather, saunas, and during exercise or other strenuous activity. Older adults may be more sensitive to the side effects of this drug, especially confusion, drowsiness, unusual excitement, constipation, and difficulty urinating. Confusion and drowsiness can increase the risk of falling. Children may be more sensitive to the effects of this drug. Hyoscyamine should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. This drug passes into breast milk. Consult your doctor before breast-feeding.

Interactions

DRUG INTERACTIONS: See also How to Use section. Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Some products that may interact with this drug are: certain anti-arrhythmic drugs (e.g., disopyramide, quinidine), anticholinergic drugs (e.g., atropine, glycopyrrolate, scopolamine), antispasmodic drugs (e.g., clidinium, dicyclomine, propantheline), certain anti-Parkinson's drugs (e.g., benztropine, trihexyphenidyl), certain azole anti-fungal drugs (ketoconazole, itraconazole), belladonna alkaloids, bisphosphonate drugs (e.g., alendronate, risedronate), corticosteroids (e.g., prednisone), digoxin (slow-dissolving tablets), MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine), potassium tablets/capsules, pramlintide. Tell your doctor or pharmacist if you are taking other products that cause drowsiness such as opioid pain or cough relievers (such as codeine, hydrocodone), alcohol, marijuana, drugs for sleep or anxiety (such as alprazolam, lorazepam, zolpidem), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine). Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely. This product can affect the results of certain lab tests. Make sure laboratory personnel and your doctors know you use this drug.

Overdose

OVERDOSE: If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include hot/dry skin, fever, unusual excitement, fast/irregular heartbeat, seizures.

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HYOSCYAMINE ER 0.375 MG TAB

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LEVBID ER 0.375 MG TABLET

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Faq for HYOSCYAMINE EXTENDED-RELEASE - ORAL

Hyoscyamine extended-release is used to treat various gastrointestinal disorders such as irritable bowel syndrome (IBS), gastrointestinal spasms, and bladder control problems.

Hyoscyamine extended-release works by relaxing the smooth muscles in the stomach and intestines, reducing cramping and spasms.

Common side effects of hyoscyamine extended-release may include dry mouth, blurred vision, constipation, drowsiness, and dizziness.

Hyoscyamine extended-release should be taken as directed by your doctor. It is usually taken on an empty stomach, at least 30 minutes before meals. Swallow the tablet whole, without crushing or chewing it.

It is important to inform your doctor about all the medications you are currently taking, including over-the-counter drugs and herbal supplements, as hyoscyamine extended-release may interact with certain medications.

It is recommended to discuss the risks and benefits of using hyoscyamine extended-release during pregnancy or breastfeeding with your healthcare provider, as it may pass into breast milk or affect the baby.

Hyoscyamine extended-release is not recommended for use in children under the age of 2. For older children, the safety and effectiveness should be discussed with a pediatrician.

If you miss a dose, take it as soon as you remember. However, if it is close to the time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to make up for a missed dose.

If you suspect an overdose, seek medical attention immediately. Overdose symptoms may include dilated pupils, hot and dry skin, fever, fast or irregular heartbeat, hallucinations, and seizures.



Disclaimer

IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.