Hyoscyamine is a generic prescription drug that treats a variety of medical problems, including digestive system illnesses, overactive bladder, Parkinson’s disease, and other issues. Hyoscyamine reduces muscle spasticity and contractions. As a widely used drug, hyoscyamine is available in a large variety of oral formats.
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Anaspaz, Hyosyne, Levbid, Levsin, Levsin SL, NuLev, Oscimin
Hyoscyamine sulfate
Reduces muscle activity, including muscle spasms in the digestive system and urinary tract. Dries and reduces secretions, such as reducing acid in the stomach, runny nose due to allergies, and sweating and salivation in Parkinson’s.
Gastrointestinal antispasmodic, antisecretory agent, anticholinergic
Tablet, chewable tablet, orally disintegrating tablet, sublingual tablet, extended-release tablet, oral solution (liquid), elixir (liquid), injectable
By mouth or injection
Hyoscyamine treats a wide range of medical conditions, including stomach ulcers, overactive bladder, gastrointestinal spasms, diverticulitis, intestinal swelling, diarrhea, irritable bowel syndrome, infant belly pain, runny nose, and Parkinson’s disease. Doctors may also use hyoscyamine injections before surgery, endoscopy, or radiological procedures.
Tablet, chewable tablet, orally disintegrating tablet, sublingual tablet
0.125 mg
Extended-release tablet
0.375 mg
Oral solution
0.125 mg/mL
Elixir
0.125 mg/5 mL
Injection
0.5 mg/mL
For adults and children 12 years of age and older: 0.125–0.250 (one to two tablets) of immediate-release hyoscyamine taken every four hours OR 0.375–0.75 (one to two tablets) mg extended-release tablets taken every 12 hours
For children 2–11 years of age: 0.0625–0.125 (one-half tablet to one tablet) of immediate-release hyoscyamine taken every four hours
Hyoscyamine Sulfate
15ml of 0.125mg/ml bottle
Hyoscyamine Sulfate
473ml of 0.125mg/5ml bottle
Hyoscyamine Sulfate
15ml of 0.125mg/ml ml of oral solution
Hyoscyamine Sulfate
0.125mg tablet
Hyoscyamine Sulfate
0.125mg tablet disintegrating
Hyoscyamine Sulfate
0.125mg tablet sublingual
Hyoscyamine Sulfate
1ml of 0.5mg/ml vial
Take this medicine as directed.
Take doses on an empty stomach 60 minutes before eating.
Swallow immediate-release hyoscyamine tablets whole with a drink of water.
Swallow extended-release hyoscyamine tablets whole with a drink of water. Do not chew or break the tablet.
Chewable tablets can be chewed or allowed to dissolve on the tongue.
Chewable tablets can be taken with or without water.
Orally disintegrating tablets can be swallowed or allowed to dissolve on the tongue.
Some orally disintegrating tablets can be taken sublingually. Ask the prescriber or pharmacist.
Orally disintegrating tablets can be taken with a drink of water.
Sublingual tablets should be placed under the tongue and kept there until completely dissolved.
Some sublingual tablets can be swallowed or dissolved on the tongue. Ask the pharmacist or prescriber.
Sublingual tablets can be taken with water.
Measure the oral solution or elixir with a marked measuring spoon, oral syringe, or medicine cup. If the medicine comes with a dropper, use the dropper to measure each dose.
Store hyoscyamine in a light-resistant closed container at room temperature.
Take a dose as soon as you remember.
If it is almost time for your next dose, wait until then and take a regular dose.
Do not take extra medicine to make up for a missed dose.
This medicine is not right for everyone.
Do not use it if you have:
Glaucoma
Urinary obstruction
Gastrointestinal obstruction
Intestinal paralysis
Known allergies to hyoscyamine
Some emergency and life-threatening medical conditions are also contraindicated:
Extreme colon swelling (toxic megacolon)
Uncontrolled bleeding with unstable cardiovascular status (low blood pressure, insufficient circulation, and rapid heart rate)
Tell any doctor or other healthcare provider who treats you that you are using this medicine.
The doctor may require follow-up visits to monitor your condition. Keep all appointments.
Tell the prescriber if you are pregnant, breastfeeding, or have:
Glaucoma
Trouble urinating
Digestive system problems
Heart disease
Heart failure
Heart rhythm abnormalities
High blood pressure
Kidney disease
Hiatal hernia associated with gastric reflux
Hyoscyamine can cause serious problems, including slowed gastrointestinal passage or psychosis.
This medicine may cause you to sweat less and overheat. Avoid hot temperatures.
This medicine may cause dizziness, drowsiness, or blurred vision. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
This medicine may reduce salivation, increasing the risk of dental cavities, gum disease, and yeast infections in the mouth.
Some drugs or supplements can affect how hyoscyamine works. Tell the prescriber about all prescription drugs, over-the-counter medications, and supplements being taken, particularly:
Other anticholinergic drugs
Drugs that treat muscle weakness
Narcotic pain medicine
Diarrhea treatments
MAO inhibitors (MAOIs)
Antihistamines
Phenothiazine drugs
Amantadine, cyclopropane, ketoconazole, metoclopramide, potassium chloride, quinidine
If you take an antacid, do not take it at the same time you take hyoscyamine. Take each hyoscyamine dose at least 60 minutes before a meal and at least two hours before taking an antacid.
Talk to a doctor if you notice any signs or symptoms of a possible serious side effect, including:
Blurred vision that does not improve
Fast heartbeat, dizziness
Hallucinations, confusion, disorientation, memory loss, decreased anxiety, insomnia, unusual mannerisms
Allergic reaction: Itching, hives, rash, facial, mouth, or throat swelling
Dry mouth
Dilated pupils, blurred vision
Drowsiness
Hyoscyamine, Memorial Sloan Kettering Cancer Center
Hyoscyamine ER hyoscyamine sulfate extended-release tablet prescribing information, DailyMed (NIH National Library of Medicine)
Hyoscyamine sulfate elixir/solution/tablet/orally disintegrating tablet/sublingual tablet prescribing information, DailyMed (NIH National Library of Medicine)
Hyoscyamine sulfate injection prescribing information, DailyMed (NIH National Library of Medicine)
Levsin SL drug summary, Prescriber’s Digital Reference (PDR)
NuLev hyoscyamine sulfate chewable tablet prescribing information, DailyMed (NIH National Library of Medicine)
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