Drugs >  Bethanechol
Bethanechol
Pronunciation
Brand Names
Foreign Brand Names
Therapeutic Categories
Reasons not to take this medicine
What is this medicine used for?
How does it work?
How is it best taken?
What do I do if I miss a dose?
What are the precautions when taking this medicine?
What are the common side effects of this medicine?
What should I monitor?
Reasons to call healthcare provider immediately
How should I store this medicine?
General statements

Pronunciation
(be THAN e kole)

Brand Names
Urecholine®

Foreign Brand Names
PMS-Bethanechol Chloride (Canada)

Therapeutic Categories
Cholinergic Agonist

Reasons not to take this medicine

  • If you have an allergy to bethanechol or any other part of the medicine.
  • If you have any of the following conditions: Blockage of the gastrointestinal tract, blockage of the urinary tract, over-active thyroid gland, ulcer disease, seizures, lung disease, a very slow heartbeat, low blood pressure, Parkinson's disease.


What is this medicine used for?

  • This medicine is used to treat patients who are unable to pass their urine. The urinary retention is not due to a blockage.
  • Another use is for the treatment of gastroesophageal reflux disease.


How does it work?

  • Bethanechol stimulates muscle contraction in the urinary tract and the stomach and intestines. This increases the flow through these systems.


How is it best taken?

  • Take on an empty stomach. Take 1 hour before or 2 hours after meals.
  • A liquid (solution) is available if you cannot swallow pills. Those who have feeding tubes can also use the liquid. Flush the feeding tube before and after medicine is given.


What do I do if I miss a dose?

  • Take a missed dose as soon as possible, but do not take near a meal. Can cause nausea and vomiting.
  • If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
  • Do not take a double dose or extra


What are the precautions when taking this medicine?

  • Use caution if you have a seizure history, a stomach ulcer or bleeding, any heart disease, lung disease, Alzheimer's disease, or Parkinson's disease. Talk with healthcare provider.
  • If you are 65 or older, you may have more side effects.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
  • Tell healthcare provider if you are pregnant or plan on getting pregnant.
  • Do not use if you are breast-feeding.


What are the common side effects of this medicine?

  • Belly pain, cramps, nausea, burping, increased spit, or diarrhea.
  • Headache. Mild pain medicine may help.
  • Flushing or sweating.


What should I monitor?

  • Watch for change in symptoms. Is condition better, worse, or about the same?
  • Follow up with healthcare provider.


Reasons to call healthcare provider immediately

  • Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat.
  • Passing out, fainting, dizziness, or lightheadedness.
  • Severe nausea, vomiting, or diarrhea.
  • Flushing or sweating that you are not able to tolerate.
  • Wheezing or difficulty breathing.
  • Any rash.
  • No improvement in condition or feeling worse.


How should I store this medicine?

  • Store tablets in a tight container at room temperature.
  • Refrigerate solution. Throw out after 30 days.


General statements

  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant).
  • Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).


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