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Introduction About HYOCIMAX S TABLET
HYOCIMAX S TABLET contains Hyoscyamine, which belongs to the group of medicines called Anticholinergic agents. It is used to manage the symptoms of functional intestinal disorders such as mild dysentery and diverticulitis (infection of the intestinal pouches). It is also used to control gastric secretion, spasms in internal organs and increased contractions and abdominal cramps associated with conditions such as cystitis (inflammation of the urinary bladder) and pylorospasm (abnormal contraction of the lower part of the stomach).
It is also used to provide symptomatic relief from biliary colic (blockade of the gall bladder duct), renal colic (pain in the kidney) and the common cold when used with appropriate analgesics. It is also used as adjunctive therapy to manage peptic ulcers, irritable bowel syndrome, acute enterocolitis (inflammation of the digestive tract) and other functional gastrointestinal disorders in affected individuals.
Functional intestinal disorders are common disorders that are generally characterised by persistent and recurring gastrointestinal symptoms such as abdominal pain, an inability to swallow and indigestion. A peptic ulcer is a condition that occurs when stomach acid damages the lining of the digestive tract. It is generally characterised by symptoms such as a burning sensation in the stomach, bloating and/or heartburn. Irritable bowel syndrome is a common disorder that affects the large intestine and is characterised by symptoms such as abdominal cramping, diarrhoea, constipation and bloating in affected individuals.
Before starting management with HYOCIMAX S TABLET, your doctor might advise you to take an echocardiogram (ECG) to access your heart rate. HYOCIMAX S TABLET is not recommended for use in patients with glaucoma (increased pressure in the eye), obstructive uropathy (hindered urine flow), myasthenia gravis (weak muscles), unstable cardiovascular status or myocardial ischemia.
Before taking HYOCIMAX S TABLET, inform your doctor if you have undergone an ileostomy (surgical removal of the ileum) or colostomy (surgical removal of the colon), a hiatal hernia associated with reflux oesophagitis (inflammation of the oesophagus followed by acid reflux) and coronary heart disease or congestive heart failure.
HYOCIMAX S TABLET should be used with caution in pregnant women. It is not recommended for use by breastfeeding women and children (aged below 12 years). The most common side effects of taking HYOCIMAX S TABLET are dryness of the mouth & eyes, decreased sweating, headache, visual blurring, constipation, urinary retention and/or impotence. Consult your doctor if any of your symptoms get worse.
Uses Of HYOCIMAX S TABLET
- Manage the symptoms of functional intestinal disorders such as mild dysenteries and diverticulitis
- Manage and controls gastric secretions, spasms in internal organs and increased contractions & abdominal cramps associated with conditions such as cystitis and pylorospasm
- Used with appropriate analgesics to provide symptomatic relief from biliary colic (pain in the liver or gall bladder), renal colic (pain in the kidney) and common cold in affected individuals
- As an adjunctive therapy to manage peptic ulcers, irritable bowel syndrome, acute enterocolitis and other functional gastrointestinal disorders in affected individuals
How HYOCIMAX S TABLET Works
HYOCIMAX S TABLET works by acting on the receptors that decrease acid production in the stomach and relaxes the muscles of the stomach, intestine, bladder, kidney and also slow down the movement of the digestive system. As a result, it manages the disorder of the digestive system and relieves pain involving the liver, kidney and gallbladder.
How to use HYOCIMAX S TABLET
Take HYOCIMAX S TABLET as advised by your physician. Swallow the medicine with or without water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending on your age, body weight and disease condition.
Side Effects Of HYOCIMAX S TABLET
Common
- dryness of the mouth and eyes
- decreased sweating
- headache
- visual blurring
- constipation
- urinary retention
- impotence
- pounding heart rate
- awareness of heartbeat
- anxiety
- restlessness
- agitation
- hallucinations
How To Manage Side Effects
Headache:
Rest and drink lots of water. Do not strain your eyes by watching the screen for a long time. Consult your doctor if the condition persists or gets worse.
Constipation:
Try to eat more high-fibre foods such as fresh fruit, vegetables and cereals. Drink plenty of water. Try doing exercise regularly (going for a daily walk or run). Consult your doctor if your symptoms get worse or persist.
Dry mouth:
Drink more and more cold water in regular sips during the day and keep some water by your bed at night. Take sips of cold, unsweetened drinks. Use lip balm on dried lips. Consult your doctor if your symptoms get worse or persist.
Warning & Precautions
Pregnancy
HYOCIMAX S TABLET should be used with caution in pregnant women only if recommended by your doctor. Consult your doctor before taking it.
Breastfeeding
HYOCIMAX S TABLET is not recommended for use in breastfeeding women as it can pass through the milk. Consult your doctor taking it.
Driving and Using Machines
Do not drive or operate any machines while taking HYOCIMAX S TABLET as it can cause drowsiness, dizziness and/or blurred vision.
Allergy
Do not take HYOCIMAX S TABLET if you are allergic to hyoscyamine or other ingredients in this medicine.
Heart Disease
HYOCIMAX S TABLET is not recommended for use in patients with unstable cardiovascular status and myocardial ischemia (reduced blood flow to the heart). HYOCIMAX S TABLET should be used with caution in patients with coronary heart disease, congestive heart failure and/or cardiac arrhythmias (irregular heartbeat). Consult your doctor before taking it.
Others
HYOCIMAX S TABLET is not recommended for use if you:
- have glaucoma (increased pressure in the eye)
- have obstructive uropathy (a condition marked by the hindrance of urine flow)
- have obstructive diseases of the gastrointestinal tract such as achalasia (difficulty in passing food from the oesophagus to the stomach), pyloroduodenal stenosis (obstruction in the stomach and intestine junction)
- have paralytic ileus (temporary paralysis of muscle contractions of the intestine)
- have intestinal atony (loss of muscle tone or strength of intestine), especially if you are an elderly or debilitated (weak) patient
- have severe ulcerative colitis (ulcers and inflammation of the intestine)
- have toxic megacolon (a severe complication of ulcerative colitis)
- have myasthenia gravis (autoimmune disorder causing severe muscle weakness)
Before taking HYOCIMAX S TABLET, inform your doctor if you:
- have undergone ileostomy (surgical removal of the ileum) or colostomy (surgical removal of the colon)
- have hiatal hernia associated with reflux oesophagitis (inflammation of oesophagus followed by acid reflux)
- have autonomic neuropathy (a condition causing damage to the nerves that control automatic body functions)
- have signs of hyperthyroidism (increased thyroid levels in the blood) such as unintentional weight loss, rapid heart rate
Use in Paediatrics:
HYOCIMAX S TABLET is not recommended for use in children (below 12 years of age). Consult your doctor before taking HYOCIMAX S TABLET.
Use in Geriatrics:
HYOCIMAX S TABLET should be used with caution in elderly patients (aged 65 years or above). Consult your doctor before taking HYOCIMAX S TABLET.
Interactions
A. Drug-Drug Interactions
Before taking HYOCIMAX S TABLET, inform your doctor, if you are taking any of the following medicine:
- other anticholinergics (medicines used to block the action of acetylcholine) Ex. atropine, dicyclomine
- antacids (medicines used to lower the acid secretion in the stomach) Ex. omeprazole
- antidiarrheals/adsorbent (medicines used to manage diarrhoea) Ex. aluminium silicate, bismuth subsalicylate
- antimyasthenics (a medicine used to manage myasthenia gravis) Ex. rituximab
- cyclopropane (a medicine used to anaesthetize the body)
- haloperidol (a medicine used to manage mental or mood disorders)
- ketoconazole (a medicine used to manage infections caused by fungi)
- metoclopramide (a medicine used to manage slow stomach emptying in diabetic patients)
- opioid/narcotic analgesics (medicines used to relieve pain) Ex. tramadol, oxycodone
- potassium chloride (a medicine used to manage low blood potassium levels)
Overdosage:
If you or anyone else accidentally takes too much of HYOCIMAX S TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are headache, nausea, vomiting, blurred vision, dilated pupils, hot dry skin, dizziness, dryness of the mouth, difficulty in swallowing, fever and CNS stimulation (such as depersonalization, dizziness, facial tics, headaches and sleeplessness).
Synopsis
| Drug | : | Hyoscyamine |
| Pharmacological Category | : | Anticholinergic/Antispasmodic agents |
| Therapeutic Indication | : | Manage symptoms of functional intestinal disorders, control gastric secretions, spasms in internal organs and increased contractions & abdominal cramps associated with conditions such as cystitis and pylorospasm, as an adjunctive therapy to manage peptic ulcer, irritable bowel syndrome, acute enterocolitis and other functional gastrointestinal disorders, with appropriate analgesics to provide symptomatic relief in biliary colic, renal colic and the common cold |
| Dosage Forms | : | Tablet, Injection |
More Information
- Keep the medicine out of reach from children
- Store HYOCIMAX S TABLET at room temperature between 20°-25°C
FAQs About HYOCIMAX S TABLET
What is the function of HYOCIMAX S TABLET?
HYOCIMAX S TABLET is used to reduce symptoms of functional intestinal disorders (such as mild dysentery) and is also used to control gastric secretions, spasms in internal organs and increased contractions and abdominal cramps associated with conditions such as cystitis. HYOCIMAX S TABLET is also used with appropriate analgesics to provide symptomatic relief from biliary colic (pain in the gall bladder), renal colic (kidney pain) and the common cold, which is also used as adjunctive therapy to manage peptic ulcer, irritable bowel syndrome and other functional gastrointestinal disorders in affected individuals.
What happens if you take more HYOCIMAX S TABLET than your required dose?
If you or anyone else accidentally takes too much HYOCIMAX S TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are headache, nausea, fever, vomiting, blurred vision, dilated pupils, dry hot skin, dizziness, dryness of the mouth, difficulty swallowing and CNS stimulation (depersonalization, dizziness, facial tics, headaches and sleeplessness).
What are the most frequent side effects of HYOCIMAX S TABLET?
The most common side effects associated with the use of HYOCIMAX S TABLET are dryness of the mouth and eyes, decreased sweating, headache, visual blurring, constipation, urinary retention and impotence. Consult your doctor if any of these symptoms worsen.
Who should avoid taking HYOCIMAX S TABLET?
HYOCIMAX S TABLET is not recommended for use in patients with glaucoma (increased pressure in the eye), obstructive uropathy (hindered urine flow), obstructive diseases of the gastrointestinal tract such as achalasia (difficulty in passing food from the oesophagus to the stomach), severe ulcerative colitis (intestinal ulcer), myasthenia gravis (weak muscles), an unstable cardiovascular status or myocardial ischemia (reduced blood flow to the heart) (reduced blood flow to the heart) [GBNKEYW] is not recommended for use in patients with the followingHYOCIMAX S TABLET is also not recommended for use in nursing mothers or children under the age of 12. However, consult your doctor before taking HYOCIMAX S TABLET.
How does HYOCIMAX S TABLET work?
HYOCIMAX S TABLET works by acting on the receptors that decrease acid production in the stomach and relaxing the muscles of the stomach, intestine, bladder and kidney, which also slow down the movement of the digestive system. As a result, HYOCIMAX S TABLET manages the disorder of the digestive system and relieves pain involving the liver, kidney and gallbladder.
What is a method of taking HYOCIMAX S TABLET?
Take HYOCIMAX S TABLET as advised by your physician. Swallow the medicine with or without water. Do not crush or chew the medicine. Your doctor will determine the correct dose and duration for you depending on your age, body weight and disease condition.
Is HYOCIMAX S TABLET safe to use in children and the elderly?
HYOCIMAX S TABLET is not recommended for use by children (below 12 years of age). HYOCIMAX S TABLET should be used with caution in elderly patients (those over the age of 65). Consult your doctor before taking the medicine.
Is HYOCIMAX S TABLET safe to be used by pregnant and breastfeeding women?
Yes, HYOCIMAX S TABLET can be used safely in pregnant women if prescribed by a doctor.HYOCIMAX S TABLET should not be used by breastfeeding women because it can pass through the milk. Before taking the medication, consult your doctor.
Is HYOCIMAX S TABLET safe for use by heart patients?
HYOCIMAX S TABLET is generally not recommended for use in patients with unstable cardiovascular status or myocardial ischemia (reduced blood flow to the heart). HYOCIMAX S TABLET should be used with caution in patients with coronary heart disease, congestive heart failure and/or cardiac arrhythmias (irregular heartbeat). Consult your doctor before taking HYOCIMAX S TABLET.
Is it safe to drive while taking HYOCIMAX S TABLET?
Do not drive or operate any machines while taking HYOCIMAX S TABLET, as it can cause drowsiness, dizziness and/or blurred vision.
References
1. Laurence Brunton. Treatment of Disorders of Bowel Motility and Bowel Flux; Anti-Emetics; Agents used in Biliary and Pancreatic Disease. Goodman and Gillman’s The Pharmacological Basics of Therapeutics. Twelfth Edition. 2011. Page – 1340.
2. Grace Juyun Kim, Kye Hwa Lee and Ju Han Kim. South Korean geriatrics on Beers Criteria medications at risk of adverse drug events. NIH National Library of Medicine. National Center for Biotechnology Information. PMC PubMed Central. March 2018. [Accessed on 11th August 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5854240/
3. Sundeep Grandhe; Mary Babos. Antisialagogues. NIH National Library of Medicine. National Center for Biotechnology Information. StatPearls. May 2022. [Accessed on 11th August 2022] https://www.ncbi.nlm.nih.gov/books/NBK542199/
4. Acella Pharmaceuticals, LLC. Dailymed. NIH U.S National Library of Medicine. [Revised in September 2021] [Accessed on 11th August 2022] https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8aab1dce-0699-4866-8707-33b4e2177bdd
Useful Diagnostic Tests
- Gastroscopy
- Endoscopic ultrasound
- ECC
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