Bethanechol

Brand Names

Duvoid, Urecholine

What is Bethanechol

Bethanechol is a medicine that is used to treat urinary retention (difficulty urinating), which may occur after surgery, after delivering a baby and in other situations. It stimulates your bladder to empty.


Side effects of Bethanechol

Side effects of Bethanechol are the followings:

  • dizziness or drowsiness;
  • headache;
  • nausea, vomiting, diarrhea or abdominal discomfort;
  • slow heartbeats followed by fast heartbeats;
  • flushing or warmth about the face;
  • sweating;
  • tearing eyes.

But if you have any of these serious symptoms it is necessary to visit your doctor immediately:

  • an allergic reaction (difficulty breathing, closing of your throat, swelling of your lips, tongue or face, hives);
  • shortness of breath, wheezing, or tightness in your chest.


Indication

Bethanechol is used to treat urinary retention (difficulty urinating), which may occur after surgery, after delivering a baby and in other situations.


Precautions

Before using Bethanechol you should inform your doctor if you have:

  • uncontrolled hyperthyroidism (an overactive thyroid);
  • stomach ulcers;
  • asthma;
  • recently had bladder or intestinal surgery;
  • a blockage in your intestinal tract;
  • a slow heart rate or low blood pressure;
  • a disease or blockage of the arteries in your heart (coronary artery disease);
  • epilepsy or any other seizure disorder;
  • Parkinson's disease.


Dosage forms

Usual adult dose for Urinary Retention

Oral: 10 to 50 mg 3 to 4 times a day. Subcutaneous: 2.5 to 5 mg 3 to 4 times a day. Doses up to 7.5 to 10 mg every 4 hours have been used for neurogenic bladder.

Usual pediatric dose for Urinary Retention

Oral: 0.6 mg/kg/day divided 3 to 4 times a day. Subcutaneous: 0.12 to 2 mg/kg/day divided 3 to 4 times a day.

Usual pediatric dose for Gastroesophageal Reflux Disease

Oral: 0.1 to 0.2 mg/kg/dose 30 minutes to 1 hour before meals and at bedtime to a maximum of 4 times a day.

Usual pediatric dose for Abdominal Distension

Oral: 0.6 mg/kg/day divided 3 to 4 times a day. Subcutaneous: 0.12 to 2 mg/kg/day divided 3 to 4 times a day.