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Tiemonium (often used in a form of iodide or methylsulphate salt) is a muscarinic acetylcholine receptor antagonist, which is available in Asia (mainly Bangladesh) for the alleviation of muscle spasms of the intestine, biliary system, uterus and urinary bladder in gastrointestinal, biliary, urinary and gynecological diseases.
Pharmacology:
Dosage & Administration
Tablet/Syrup:
- Adult: usual dose is 2-6 tablets or 3-9 teaspoonfuls syrup daily in divided doses.
- Children: 3 ml/kg or 6 mg/kg body weight daily in divided doses.
Injection: 1 injection 3 times daily, through Intravenous route slowly or Intramuscular route.
Suppository: 20 mg suppository two or three times daily, through rectal route.
Interaction
Tiemonium methylsulphate tablet should not be used with other drugs without prior consult of a registered physician to avoid possible drug interaction.
Contraindications
It should not be used in urethroprostatic disorder involving a risk of urine retension. It is contraindicated in patient with having risk of angle closure glaucoma.
Side Effects
Tiemonium Methylsulphate may have the risk of hypotension & tachycardia in certain individuals.
Pregnancy & Lactation
The results of animal studies of Tiemonium Methylsulphate did not reveal any teratogenic effects; no deformities have been reported up till now with normal use. In absence of sufficient data, prudence should be the rule for nursing mothers although no problems have been reported with normal use.
Precautions & Warnings
Caution should be taken during treatment of patients with disorders of the prostate. Caution should also be taken in case of chronic bronchitis, coronary insufficiency, ambient hyperthermia, renal & hepatic insufficiency. The risks of visual disturbances can make it dangerous to drive or use machines.
Use in Special Populations
- Paediatric use: safety and effectiveness of Tiemonium methylsulphate in paediatric patients have not been established.
- Geriatric use: Efficacy and safety were maintained with increasing age.
Overdose Effects
There is not available data regarding the overdose of Tiemonium methylsulphate tablet.
Therapeutic Class
Anticholinergics
Storage Conditions
Keep in a dry place, away from light and heat. Keep out of the reach of children.
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