Chlordiazepoxide + Clidinium + Dicyclomine

Dosage Forms Available

• Chlordiazepoxide + Clidinium + Dicyclomine can be taken orally (tablet or capsule) and intramuscularly (injection).

Age and Dose Restrictions

• This combination is intended for adults and children above the age of 6 months.

Contraindications

• This combination is contraindicated in individuals with a known hypersensitivity to any of its components.

• Patients with angle-closure glaucoma, prostatic hypertrophy, urinary retention, severe oesophagal reflux, gastrointestinal obstruction, myasthenia gravis, and certain cardiovascular conditions are advised not to take this combination.

Other Medications to Avoid

• This combination may interact with opioids (such as morphine and tramadol), barbiturates (like phenobarbital and secobarbital), CNS depressants (such as diazepam, phenobarbitol), antihistamines (like diphenhydramine, cetirizine), tricyclic antidepressants (like amitriptyline, nortriptyline), antipsychotics (like haloperidol, chlorpromazine), muscle relaxants (like carisoprodol, baclofen), and antifungals (ketoconazole, itraconazole).

Overdose and Missed Dose

• An overdose can result in severe drowsiness, confusion, respiratory depression, dry mouth, or blurred vision. Immediate medical attention is required.

• If a dose is missed, take it as soon as you remember. However, if it is closer to the time for the next dose, skip the missed one and return to your regular dosing schedule.

Management of Side Effects

Most side effects are temporary and harmless. They usually resolve upon discontinuation of the combination. However, if any severe side effects or worsening of symptoms occur, consult your doctor immediately.

• If you experience dry mouth, try chewing sugarless gum or sipping on water frequently.

• For combat constipation, consider increasing your fibre intake and drinking plenty of fluids.

Use in Driving and Operating Machinery

• This combination may cause drowsiness or blurred vision. It is advised not to drive or operate heavy machinery until you know how this medication affects you.

Use in Pregnancy and Lactation

• The safety of using this combination during pregnancy or while breastfeeding has not been established. It is advised to consult your doctor before using this combination when pregnant or breastfeeding.

Caution in Other Conditions

• Patients with autonomic neuropathy, ulcerative colitis, hepatic or renal impairment, overactive thyroid, high blood pressure, and psychiatric conditions should exercise caution when taking this combination.

Special Dietary and Lifestyle Recommendations

• Eating smaller, more frequent meals instead of three large meals a day might improve symptoms of irritable bowel syndrome.

• Regular physical activity can help regulate bowel movements and reduce stress.

• Avoiding foods and drinks that stimulate the intestines, such as caffeine, can help manage irritable bowel syndrome symptoms.