Methscopalamine
Mechanism :
It is a quaternary ammonium derivative of scopolamine that exerts anticholinergic effects
Indication :
- Off-label: Peptic Ulcer Disease (adjunctive therapy)
Contraindications :
Hypersensitivity to methscopolamine, any component of the formulation, or related drugs; glaucoma; obstructive uropathy; obstructive disease of the GI tract; paralytic ileus; intestinal atony of elderly or debilitated patients.
Dosing :
Oral:
0.2 mg/kg/day OR 6 mg/m²/day every 8 hours.
Adverse Effect :
Allergic reaction, blurred vision, cycloplegia, mydriasis, headache, dizziness, drowsiness, palpitation, tachycardia, nausea, vomiting, taste loss, urinary retention.
Interaction :
Acetylcholinesterase Inhibitors: May diminish the therapeutic effect of Anticholinergic Agents.
Anticholinergic Agents: May enhance the adverse/toxic effect of other Anticholinergic Agents.
Glucagon: Anticholinergic Agents may enhance the adverse/toxic effect of Glucagon.
Opioid Analgesics: Anticholinergic Agents may enhance the adverse/toxic effect of Opioid Analgesics.
Potassium Chloride: Anticholinergic Agents may enhance the ulcerogenic effect of Potassium Chloride.