Hyoscyamine Treatment Report

Category: Prescription Drugs

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Generic Name: Hyoscyamine

What is Hyoscyamine?

An example of Hyoscyamine

Hyoscyamine is an anticholinergic drug used in the treatment of gastrointestinal disorders including cramp, irritable bowel syndrome, and peptic ulcers; for rigidity, tremors, excess saliva in parkinsonism; as a drying agent in acute rhinitis.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
63 11 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_none
34 9 Efficacy_major Efficacy_moderate Efficacy_none Efficacy_cant_tell
14 1 Efficacy_slight
10 5 Efficacy_major Efficacy_moderate Efficacy_slight
6 0
4 2 Efficacy_moderate Efficacy_slight

See all 113 patients currently taking Hyoscyamine

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Reported Side Effects

Side effects as an overall problem

Severe
0
Moderate
3
Mild
5
None
22

Commonly reported side effects, conditions, and hospitalizations associated with Hyoscyamine

3
1
1
1
1
1
See all 9 reported side effects See top 6 reported side effects

Reported Dosages

Frequently reported dosages based on patients currently taking Hyoscyamine. See all 29 dosages

  0.125mg as needed 0.15mg as needed 0.125mg/5mL as needed 0.125 mg/5 mL daily 0.125 mg daily 0.25 mg daily 0.375 mg daily 0.5 mg daily 4 x 0.125 mg/5 mL daily 0.75 mg daily
  39 Number of Patients: 39 2 Number of Patients: 2 5 Number of Patients: 5 3 Number of Patients: 3 8 Number of Patients: 8 5 Number of Patients: 5 14 Number of Patients: 14 3 Number of Patients: 3 2 Number of Patients: 2 15 Number of Patients: 15  

Reported Stop Reasons

Why Patients Stopped Taking Hyoscyamine (multiple reasons could be selected)
Reason # Patients Percentage of patients
Did not seem to work 20   Did not seem to work: 43%
Other 14   Other: 30%
Course of treatment ended 8   Course of treatment ended: 17%
Side effects too severe 6   Side effects too severe: 13%
Doctor's advice 6   Doctor's advice: 13%
Expense 3   Expense: 7%
Change in health plan coverage 2   Change in health plan coverage: 4%

See all 44 patients who’ve stopped taking Hyoscyamine

Currently Taking Hyoscyamine

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0

Stopped Taking Hyoscyamine

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Hyoscyamine

Always
13 43%
Usually
14 47%
Sometimes
1 3%
Never
2 7%

Burden

Difficulty being on treatment

Burden of Hyoscyamine

Very
0 0%
Somewhat
2 7%
A little
4 13%
Not at all
24 80%

Cost

Paid out of pocket

Cost of Hyoscyamine

$200+
0 0%
$100-199
0 0%
$50-99
0 0%
$25-49
1 7%
< $25
14 93%

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5 patient evaluations for Hyoscyamine

Purpose: IBS (Irritable Bowel Syndrome) (Started Jan 05, 2012)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jan 16, 2012 0.75 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
Purpose: Bowel irritability (Started Jan 12, 2009)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jul 15, 2010 1.625 mg Daily ?Can't tell MildMildMildMildMild UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
Jan 18, 2009 1.625 mg Daily ?Can't tell MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Dry mouth (xerostomia)
  • Icon_thumb_off 0 helpful marks
Purpose: Bowel irritability (Started Jul 01, 2009)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Feb 01, 2010 0.375 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone UsuallyUsuallyUsuallyUsuallyUsually SomewhatSomewhatSomewhatSomewhatSomewhat
  • Icon_thumb_off 0 helpful marks
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What is hyoscyamine?

Hyoscyamine produces many effects in the body, including relief from muscle spasms.

Hyoscyamine also reduces the fluid secretions of many organs and glands in the body, such as the stomach, pancreas, lungs, saliva glands, sweat glands, and nasal passages.

Hyoscyamine is used to treat many different stomach and intestinal disorders, including peptic ulcer and irritable bowel syndrome. It is also used to control muscle spasms in the bladder, kidneys, or digestive tract, and to reduce stomach acid. Hyoscyamine is sometimes used to reduce tremors and rigid muscles in people with symptoms of Parkinson’s disease.

Hyoscyamine is also used as a drying agent to control excessive salivation, runny nose, or excessive sweating.

Hyoscyamine may also be used for other purposes not listed in this medication guide.


Precautions

Do not take this medication if you are allergic to hyoscyamine, or if you have:

  • kidney disease;
  • an enlarged prostate or problems with urination;
  • intestinal blockage;
  • severe ulcerative colitis, or toxic megacolon;
  • glaucoma; or
  • myasthenia gravis.

Before taking this medication, tell your doctor if you are allergic to any drugs, or if you have:

  • heart disease, congestive heart failure;
  • a heart rhythm disorder;
  • high blood pressure;
  • overactive thyroid; or
  • hiatal hernia with GERD (gastroesophageal reflux disease).

If you have any of these conditions, you may need a dose adjustment or special tests to safely take hyoscyamine.

FDA pregnancy category C. This medication may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

Hyoscyamine can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Avoid taking antacids at the same time you take hyoscyamine. Antacids can make it harder for your body to absorb hyoscyamine. If you use an antacid, take it after you have taken hyoscyamine and eaten a meal.

Hyoscyamine can cause side effects that may impair your vision, thinking, or reactions. Be careful if you drive or do anything that requires you to be awake and able to see clearly.

Avoid drinking alcohol. It can increase drowsiness and dizziness while you are taking hyoscyamine.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Because hyoscyamine reduces sweating, it can increase your risk of heat stroke.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include headache, dizziness, dry mouth, trouble swallowing, nausea, vomiting, blurred vision, hot dry skin, and feeling restless or nervous.

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using hyoscyamine and call your doctor at once if you have any of these serious side effects:

  • diarrhea;
  • confusion, hallucinations;
  • unusual thoughts or behavior;
  • fast, pounding, or uneven heart rate;
  • rash or flushing; or
  • eye pain.

Less serious side effects may include:

  • dizziness, drowsiness, feeling nervous;
  • blurred vision, headache;
  • sleep problems (insomnia);
  • nausea, vomiting, bloating, heartburn, or constipation;
  • changes in taste;
  • problems with urination;
  • decreased sweating;
  • dry mouth; or
  • impotence, loss of interest in sex, or trouble having an orgasm.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before taking this medication, tell your doctor if you are using any of the following drugs:

  • amantadine (Symmetrel);
  • haloperidol (Haldol);
  • an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate);
  • phenothiazines such as chlorpromazine (Thorazine), fluphenazine (Prolixin), mesoridazine (Serentil), perphenazine (Trilafon), prochlorperazine (Compazine), thioridazine (Mellaril), or trifluperazine (Stelazine); or
  • antidepressants such as amitriptyline (Elavil, Etrafon), amoxapine (Ascendin), clomipramine (Anafranil), desipramine (Norpramin), doxepin (Sinequan), imipramine (Janimine, Tofranil), nortriptyline (Pamelor), protriptyline (Vivactil), or trimipramine (Surmontil).

This list is not complete and there may be other drugs that can interact with hyoscyamine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Other Names

A-Spas S/L, Anaspaz, Cystospaz, Cystospaz-M, Donnamar, Hyosol, Hyospaz, Hyosyne, IB-Stat, L-hyoscyamine, Levbid, Levsin, Levsin SL, Levsinex SR, Spasdel, Symax Duotab, Symax SL, Symax SR, hyoscyamine, HyoMax DT, HyoMax FT, HyoMax SL, HyoMax SR, Nulev, NuLev, and Symax FasTab

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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