Bethanechol Treatment Report

Category: Prescription Drugs

Most Popular Types: Urecholine, Duvoid

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What is Bethanechol?

An example of Bethanechol

This is a drug that affects the parasympathetic nervous system. It is used to relieve difficulties in urinating caused by surgery, drugs, or other factors. It stimulates a muscle in the bladder to help you urinate.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
26 8 Efficacy_major Efficacy_moderate Efficacy_slight Efficacy_cant_tell
9 2 Efficacy_moderate
3 2 Efficacy_major Efficacy_slight
1 0

See all 29 patients currently taking Bethanechol

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Reported Side Effects

Side effects as an overall problem

Severe
1
Moderate
1
Mild
5
None
5

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

1
1
1

Reported Dosages

Frequently reported dosages based on patients currently taking Bethanechol. See all 12 dosages

  20 mg daily 25 mg daily 30 mg daily 50 mg daily 60 mg daily 75 mg daily 90 mg daily 100 mg daily 200 mg daily 400 mg daily
  3 Number of Patients: 3 4 Number of Patients: 4 2 Number of Patients: 2 3 Number of Patients: 3 1 Number of Patients: 1 6 Number of Patients: 6 1 Number of Patients: 1 6 Number of Patients: 6 2 Number of Patients: 2 1 Number of Patients: 1  

Reported Stop Reasons

Why Patients Stopped Taking Bethanechol (multiple reasons could be selected)
Reason # Patients Percentage of patients
Did not seem to work 5   Did not seem to work: 45%
Doctor's advice 4   Doctor's advice: 36%
Side effects too severe 2   Side effects too severe: 18%
Course of treatment ended 2   Course of treatment ended: 18%
Expense 1   Expense: 9%
Other 1   Other: 9%

See all 11 patients who’ve stopped taking Bethanechol

Currently Taking Bethanechol

A bar graph

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

Stopped Taking Bethanechol

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 Bethanechol

Always
11 92%
Usually
1 8%
Sometimes
0 0%
Never
0 0%

Burden

Difficulty being on treatment

Burden of Bethanechol

Very
2 17%
Somewhat
0 0%
A little
2 17%
Not at all
8 67%

Cost

Paid out of pocket

Cost of Bethanechol

$200+
0 0%
$100-199
0 0%
$50-99
1 10%
$25-49
2 20%
< $25
7 70%

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3 patient evaluations for Bethanechol

  • wkikta
    Sex: M
    Data Quality: 2 stars
    MS: 12 yrs
    Type: Relapsing-Remitting
    Sensation: Moderate
    Overall: Mild
    Cognition: moderate
    Vision: mild
    Speech: mild
    Swallowing: moderate
    Upper limb: mild
    Walking: moderate
  • 2640-thumb
  • See wkikta's full Bethanechol history
Purpose: Bladder problems (Started Apr 17, 2007)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jun 17, 2011 75 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Jun 17, 2011
Advice & Tips
Worked fairly well. New Neuro-Urologist recommended stopping since it could toughen the bladder walls reducing capacity. Have seen some improvement since stopping.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
  • msmom
    Sex: F
    Data Quality: 0 stars
    MS: 18 yrs
    Type: Relapsing-Remitting
    Sensation: Severe
    Overall: Moderate
    Cognition: moderate
    Vision: none
    Speech: mild
    Swallowing: moderate
    Upper limb: moderate
    Walking: severe
  • 50275-thumb
  • See msmom's full Bethanechol history
Purpose: Bladder problems (Started Jan 21, 2010)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jan 21, 2010 100 mg Daily ?Can't tell NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways VeryVeryVeryVeryVery
  • Icon_thumb_off 0 helpful marks
Purpose: Neurogenic bladder (Started Apr 27, 2009)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Sep 11, 2009 50 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways A littleA littleA littleA littleA little
Side effects:
Dry mouth (xerostomia)
  • Icon_thumb_off 0 helpful marks

9 additional evaluations for Bethanechol are not currently shared publicly.

What is bethanechol?

Bethanechol stimulates your bladder to empty.

Bethanechol is used to treat urinary retention (difficulty urinating), which may occur after surgery, after delivering a baby, and in other situations.

Bethanechol may also be used for purposes other than those listed in this medication guide.


Precautions

Before taking this medication, tell your doctor if you

  • have uncontrolled hyperthyroidism (an overactive thyroid);
  • have stomach ulcers;
  • have asthma;
  • have recently had bladder or intestinal surgery;
  • have a blockage in your intestinal tract;
  • have a slow heart rate or low blood pressure;
  • have a disease or blockage of the arteries in your heart (coronary artery disease);
  • have epilepsy or any other seizure disorder; or
  • have Parkinson's disease.

You may not be able to take bethanechol, or you may require a lower dose or special monitoring during treatment if you have any of the conditions listed above.

Bethanechol is in the FDA pregnancy category C. This means that it is not known whether bethanechol will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant.

It is not known whether bethanechol passes into breast milk. Do not take this medication without first talking to your doctor if you are breast-feeding a baby.

Bethanechol may cause dizziness or fainting, especially when you rise from a sitting or lying position. Rise slowly to avoid becoming dizzy, falling, or hurting yourself.

Use caution when driving, operating machinery, or performing other hazardous activities. Bethanechol may cause dizziness. If you experience dizziness, avoid these activities.

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Instructions

Seek emergency medical attention.

Symptoms of a bethanechol overdose include abdominal discomfort, increased salivation or watering mouth, flushing or hot feeling of the skin, sweating, nausea, and vomiting.

Take the missed dose as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take only your next regularly scheduled dose. Do not take a double dose of this medication.

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Side Effects

If you experience any of the following serious side effects, stop taking bethanechol and seek emergency medical attention:

  • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives); or
  • shortness of breath, wheezing, or tightness in your chest.

Other, less serious side effects may be more likely to occur. Continue to take bethanechol and talk to your doctor if you experience

  • dizziness or drowsiness;
  • headache;
  • nausea, vomiting, diarrhea, or abdominal discomfort;
  • slow heartbeats followed by fast heartbeats;
  • flushing or warmth about the face;
  • sweating; or
  • tearing eyes.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before taking bethanechol, tell your doctor if you are taking any of the following medicines:

  • donepezil (Aricept);
  • tacrine (Cognex);
  • quinidine (Cardioquin, others); or
  • procainamide (Pronestyl, Procan SR).

You may not be able to take bethanechol, or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above.

Drugs other than those listed here may also interact with bethanechol. Talk to your doctor and pharmacist before taking or using any other prescription or over-the-counter medicines.

Other Names

Duvoid, Urecholine, and bethanechol

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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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