Propa
Generic: Propantheline Bromide
Daily Dose:
Duration:
Alternatives (2)Cheaper & Alternative Brands (15 mg)
Same active generic (Propantheline Bromide), same form (Tablet), exact same strength (15 mg)
Clinical Prescribing Information
Medical monograph and safety information for healthcare professionals & patients.Indications & Clinical Uses
Prokind is indicated in the treatment of-
Adjunctive therapy in the treatment of peptic ulcer (gastric and duodenal)
Relief of the symptoms of gastritis (stomach upset, gastrointestinal bleeding, blood in vomit, blood in stool, persistent pain)
Symptomatic treatment of the diarrhoea related irritable bowel syndrome (irritable colon, spastic colon, acute enterocolitis, functional Gl disorders etc)
Urinary incontinence
Control of salivation and enuresis
Improves lactose intolerance
Prevents excessive sweating (Hyperhidrosis)
Dosage & Administration
The usual initial adult dose of Propantheline Bromide is 75 mg daily. One tablet 30 min before each meal (15 mg three times daily). Two tablets at bedtime Dosage adjustment should be made according to the patient's individual response and tolerance. But the maximum daily dosage should not exceed 120 mg.
Pediatric use: Safety and effectiveness in pediatric patients have not been established.
Contraindications
Propantheline Bromide is contraindicated in patients with-
Hypersensitivity to Propantheline bromide or other anticholinergic agents;
Glaucoma;
Obstructive disease of the gastrointestinal tract (pyloroduodenal stenosis, paralytic ileus etc.);
Obstructive uropathy (e.g. prostatic hypertrophy) intestinal atony of elderly;
Myasthenia gravis.
Side Effects & Adverse Reactions
The adverse effects of Prokind are usually dose-related and are usually reversible when the therapy is discontinued. Variable degrees of dry mouth, dry skin, mydriasis might be noted. Other reported adverse effects include urinary retention, nausea, vomiting, constipation, headache, nervousness, mental confusion etc.
Warnings & Precautions
Prokind should be used with caution in the elderly and in all patients with autonomic neuropathy, hepatic or renal disease, hyperthyroidism, coronary heart disease, congestive heart failure, cardiac tachyarrhythmias, hypertension, since anticholinergics may aggravate this condition.
Pharmacology & Mechanism of Action
Propantheline Bromide acts by dual mechanism of action.
Specific anticholinergic effect (antimuscarinic) at the acetylcholine-receptor sites
Direct effect upon smooth muscle (musculotropic).
This medication is a muscarinic antagonist having antispasmodic properties. It reduces the effect of acetylcholine, a chemical released from nerves that stimulates muscles, by blocking the receptors for acetylcholine on smooth muscle. It also has a direct relaxing effect on smooth muscle. In addition, Propantheline inhibits gastrointestinal motility and decreases gastric acid secretion and controls excessive pharyngeal, tracheal and bronchial secretions. Other secretions like pancreatic juice, sweat and saliva are also reduced.