EMILIO AGUINALDO COLLEGE
School of Nursing
                                                                               DRUG STUDY
       Medication             Classification and         Indication          Mechanism of Action           Contraindications            Adverse Effects        Nursing Considerations
                                  Category
Generic Name:              Pregnancy Category:     Hyoscine butylbromide    Its anticholinergic        contraindicated in           -      tachycardia
Hyoscine n                 Category B2             (scopolamine             action exerts a            myasthenia gravis,           -      hypotension           -   Drug compatibility
Butylbromide                                       butylbromide)            smooth-muscle              mechanical stenosis in the   -      anaphylaxis               should be
                           There is limited data   [Buscopan/Buscapina]     relaxing/spasmolytic       gastrointestinal tract,                                       monitored closely
Brand Name:                from the use of         is an antispasmodic      effect. Blockade of the    paralytical or obstructive                                    in patients
Buscopan                   hyoscine                drug indicated for the   muscarinic receptors       ileus, megacolon and in
                                                                            in the GI tract is the                                                                   requiring
                           butylbromide in         treatment of abdominal                              patients who have
                                                                            basis for its use in the                                                                 adjunctive therapy
Dosage: 20 mg              pregnant women. As      pain associated with                                demonstrated prior
                                                                            treatment of                                                                         -   Avoid driving &
                           a precautionary         cramps induced by                                   hypersensitivity to               Side Effects
                           measure, it is                                   abdominal pain                                                                           operating
Route: IV/IM/SUBQ                                  gastrointestinal (GI)                               hyoscine butylbromide or
                           preferable to avoid                              secondary to                                                                             machinery after
                                                   spasms.                  cramping. Hyoscine         any other component of       -      abdominal                 parenteral
                           the use of
Frequency: 4 times daily                                                    butylbromide also          the products.                       fullness                  administration.
                           BUSCOPAN® during
                                                                            binds to nicotinic                                      -      constipation
                           pregnancy. There is                                                                                                                   -   Avoid strict heat
                                                                                                                                    -      urinary retention
                           insufficient                                     receptors, which                                                                     -   Raise side rails as a
                                                                                                                                    -      blurred vision
Pharmacokinetics           information on the                               induces a                                                                                precaution
                                                                                                                                    -      skin flushing
                           excretion of                                     ganglion-blocking                                                                        because some
                                                                                                                                    -      tachycardia
Onset: 30-60 mins          BUSCOPAN® and its                                effect.                                                 -      decreased                 patients become
Peak: 2 hrs                metabolites in                                                                                                  sweating                  temporarily
                           human milk.                                                                                              -      salivation                excited or
Duration: 30mins
                                                                                                                                                                     disoriented and
Half-life: 5hrs
                                                                                                                                                                     some develop
                                                                                                                                                                     amnesia or
EMILIO AGUINALDO COLLEGE
     School of Nursing
                               become drowsy.
                           -   Reorient patient,
                               as needed,
                               Tolerance may
                               develop when
                               therapy is
                               prolonged
                           -   Atropine-like
                               toxicity may cause
                               dose related
                               adverse reactions.
                               Individual
                               tolerance varies
                               greatly
                           -   Overdose may
                               cause curare-like
                               effects, such as
                               respiratory
                               paralysis. Keep
                               emergency
                               equipment
                               available.