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Buscopan: Uses, Side Effects, Dosage, Interactions And More

Buscopan

Buscopan: Uses, Side Effects, Dosage, Interactions And More
Buscopan starts relieving muscle spasms and pain within 15 minutes after oral intake. Hyoscine butylbromide, Buscopan's active ingredient, acts as an antispasmodic medication that relaxes tight muscles in your digestive system, bladder, and uterus. The World Health Organisation recognises Buscopan's value by including it in its List of Essential Medicines. The medicine works especially when you have irritable bowel syndrome symptoms. People needing faster relief can receive Buscopan through muscle or vein injection. This article covers everything about this accessible medication - from its mechanism of action to dosage guidelines and what it all means.

How Does Buscopan Work?

Buscopan operates unlike typical pain medications. This quaternary ammonium derivative stays out of your central nervous system. The medication directly relaxes smooth muscles in your gastrointestinal, biliary, and genitourinary tracts through its spasmolytic action. Your body responds to this peripheral anticholinergic action through two mechanisms: blocked ganglia within the visceral wall and anti-muscarinic activity. The medication's inability to cross the blood-brain barrier protects you from central nervous system side effects.

Uses of Buscopan

Buscopan excels at treating muscle spasms. Doctors prescribe it to:

  • Relieve abdominal cramps and spasms in the gut

  • Ease bladder spasms and urinary tract discomfort

  • Manage irritable bowel syndrome symptoms including pain, bloating, and bowel irregularities

  • Help with period pain

The medication proves most effective in the lower gastrointestinal tract compared to the upper regions.

How & When to Take Buscopan?

Adults and children over 12 should take one tablet three times daily for stomach cramps. The dosage can increase to two tablets four times daily if needed. 

Children between 6-11 years need one tablet three times daily.

Take Buscopan tablets whole with water and never break, crush or chew them. 

The tablets work with or without food since they rarely upset your stomach. 

Patients with doctor-diagnosed IBS should begin with one tablet three times daily and adjust as needed.

What Are the Side Effects of Buscopan?

The medication suits most people, but some side effects may occur:

Rare but serious side effects include:

  • Painful red eyes with vision loss

  • Difficulty urinating

  • Allergic reactions - breathing difficulties, swollen lips/mouth/throat, or sudden confusion.

Can I Take Buscopan Daily?

You should only take Buscopan every day if your doctor tells you to. Don't use it for more than two weeks without checking with a doctor. If your symptoms change, get worse, or stick around for over two weeks, see your doctor to make sure there's nothing else going on.

What Precautions Should Be Taken When Using Buscopan?

You should be careful with Buscopan. Do not take this medicine if you have:

  • Narrow-angle glaucoma (an eye problem)

  • Myasthenia gravis (a rare muscle weakness condition)

  • Intestinal blockage or paralytic ileus

  • Megacolon (very enlarged bowel)

You should talk to your doctor before taking Buscopan if you have:

  • Tachycardia or other heart problems

  • Thyroid issues

  • Problems urinating, especially when you have prostate problems

  • Constipation or fever

Limited information exists about Buscopan's effects on the foetus or its presence in breast milk, so use it carefully during pregnancy and breastfeeding.

What If I Missed a Dose?

Take the dose as soon as you remember it. Skip the missed dose and stick to your regular schedule if it's almost time for your next one. Never take two doses at once or an extra dose to make up for a missed one. An alarm might help you remember your medication schedule.

What If I Overdose?

One extra dose of Buscopan likely won't harm you, but ask your doctor if you're worried. Call emergency services right away if you take two or more extra doses.

Overdose symptoms may include drowsiness, dry mouth, urinary difficulties, reddening of the skin, decreased gastrointestinal movement, rapid heartbeat, and vision problems.

Drug Interactions

Buscopan can interact with many medications and affect how well they work:

  • Antidepressants such as amitriptyline

  • Antihistamines (allergy medications)

  • Asthma medications  like salbutamol, ipratropium, and tiotropium

  • Heart medicines such as quinidine or disopyramide

  • Mental health medications including clozapine or chlorpromazine

  • Motion sickness medicines like domperidone or metoclopramide

  • Other IBS remedies 

  • Parkinson's disease medication like amantadine

Dosage for Buscopan

Each Buscopan tablet has 10mg of hyoscine butylbromide. 

The dosage for stomach cramps or period pain is:

  • Adults and children over 12 years: 1 tablet three times daily, up to 2 tablets four times daily if needed

  • Children aged 6-11 years: 1 tablet three times daily

For doctor-diagnosed IBS:

  • Adults and children over 12 years: 1 tablet three times daily, up to 2 tablets four times daily if needed

Buscopan vs Dicyclomine 

Feature

Buscopan

Dicyclomine

Composition

Active ingredient is hyoscine butyl bromide

Active ingredient is dicyclomine hydrochloride

Uses

Painful stomach cramps linked to your digestive system, bladder, and uterus

Relieves abdominal pain and cramps caused by conditions like irritable bowel syndrome and intestinal spasms

Typical Dosage

1-2 tablets, up to 4 times daily

20-40mg, 4 times daily

Side Effects

Dry mouth

  • Constipation

  • Increased heartbeat 

  • Allergic reactions

  • Hot, flushed, dry skin

  • Confusion

  • Anxiety

  • Hallucination

Best For

Acute, self-limiting episodes with rapid onset

Daily symptoms, especially after meals

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FAQs

  1. What is Buscopan used for?

    Buscopan helps relieve painful stomach cramps, particularly those connected to irritable bowel syndrome (IBS). On top of that, it eases bladder cramps and period pain. 

  2. How does Buscopan work?

    This antispasmodic medicine relaxes the muscles in your digestive system and bladder. The medication targets smooth muscles in these areas and reduces wave-like contractions that cause pain. Pain from cramps usually eases within 15 minutes after you take it.

  3. How should I take Buscopan?

    Your doctor's advice or package instructions should guide your usage. Take the tablets whole with water - they shouldn't be broken, crushed or chewed. The medicine works well with or without food since it rarely causes stomach upset.

  4. Can Buscopan be taken during pregnancy or breastfeeding?

    Research about Buscopan's use during pregnancy remains limited, so doctors rarely recommend it despite no known harmful effects. Breastfeeding mothers can safely use it because very small amounts pass into breast milk.

  5. Is Buscopan safe to take with other medicines?

    Some medications and herbal remedies can interact with Buscopan. So, tell your doctor about all ongoing medicines.

  6. What are the common side effects of Buscopan?

    Side effects aren't common, but some people might experience dry mouth, constipation, or blurred vision.

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