Generic Formulary
Genito Urinary System
Sub Group: 
International Brand Name: 
25 MG
Unit of Packing: 
In treatment of: 
Acute postoperative and postpartum non-obstructive(functional) Urinary retention;Neurogenic atony of the urinary bladder w/ retention;treatment of non obstructive urinary retention;gastricatony and retention;abdominal distension following surgery;congenital megacolon;gastro-oesophageal reflux disease
Adverse Effects: 
1. Blurred vision. 2. Vomiting. 3. Nausea. 4. Sweating. 5. Fluctuating abdominal pain (colic)
1. Hypersensitivity to the drug or its ingredient. 2. Blockage of the gut (intestinal obstruction). 3. Obstruction of the urinary tract (urethra). 4. Recent heart attack 5. Recent surgical procedure. 6 Bradycardia. 7.Hypotension. 8. Epilepsy. 9.Parkinsonism. 10.Peptic ulcer. 11.Vasomotor instability.
Special Precaution: 
1. Urinary retention, if the sphincter fails to relax as bethanechol contracts the bladder, urine may be forced up the ureter into the kidney pelvis 2. Bacteriuria, this may cause reflux infection.
Ganglion blocking compounds may cause severe fall in B.P. Cholinergic drugs: Additive effect may occur. Quinidine, Procainamide: May antagonize cholinergic effects of bethanechol.
Oral- Adults- 10-25mg 3-4 times daily either 1 hour before or 2 hours after meals

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