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At a glance

Bethanechol Chloride is a medicine used to treat acute postoperative and postpartum nonobstructive urinary retention and neurogenic atony of the urinary bladder.

Indications

Acute postoperative and postpartum nonobstructive urinary retention, Neurogenic atony of the urinary bladder.

Pharmacology

Bethanechol produces effects of parasympathetic stimulation. It increases detrusor tone, contracts bladder to initiate micturition, and stimulates gastric motility and tone. Not destroyed by cholinesterase, its effects are prolonged and predictable.

Dosage

Adults: 10-50 mg three or four times daily. Initial dose: 5-10 mg repeated hourly up to a maximum of 50 mg. Take on an empty stomach to avoid nausea.

Side effects

Abdominal discomfort, salivation, flushing (hot feeling), sweating. Large doses may cause headache, diarrhea, colicky pain, nausea, asthmatic attacks, and hypotension.

Use in pregnancy

Use during pregnancy only if clearly needed (animal studies not conducted).

Precautions & warnings

Caution required when used with other drugs (e.g., quinidine, procainamide, cholinesterase inhibitors, ganglionic blockers). If sphincter fails to relax, urine may reflux causing infection.

Overdose effects

Overdose may cause parasympathetic overstimulation (nausea, vomiting, diarrhea, hypotension). Consult a doctor if symptoms occur.

Storage conditions

Store below 30°C, away from light and moisture. Keep out of reach of children.

Bethanechol Chloride — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.