What happens if I miss a dose (Pamine, Pamine Forte)?
Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.
What happens if I overdose (Pamine, Pamine Forte)?
Seek emergency medical attention if you think you have used too much of this medicine.
Overdose symptoms may include muscle weakness or limpness, feeling restless or excited, unusual thoughts or behavior, numbness, warmth or tingling under your skin, or feeling like you might pass out.
What should I avoid while taking methscopolamine (Pamine, Pamine Forte)?
Methscopolamine can cause side effects that may impair your vision, thinking, or reactions. Be careful if you drive or do anything that requires you to be alert and able to see clearly.
Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression or anxiety can add to sleepiness caused by methscopolamine. Tell your doctor if you regularly use any of these medicines.
Avoid drinking alcohol. It can increase some of the side effects of methscopolamine.
Avoid becoming overheated or dehydrated during exercise and in hot weather. Methscopolamine can decrease perspiration and you may be more prone to heat stroke.
What other drugs will affect methscopolamine (Pamine, Pamine Forte)?
Many drugs can interact with methscopolamine. Below is just a partial list. Tell your doctor if you are using:
- digoxin (digitalis, Lanoxin);
- an antidepressant such as amitriptyline (Elavil, Etrafon), clomipramine (Anafranil), doxepin (Sinequan), imipramine (Janimine, Tofranil), and others;
- medicines to treat psychiatric disorders, such as chlorpromazine (Thorazine), haloperidol (Haldol), mesoridazine (Serentil), perphenazine (Trilafon), prochlorperazine (Compazine), thioridazine (Mellaril), or trifluperazine (Stelazine);
- atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
- bronchodilators such as ipratroprium (Atrovent) or tiotropium (Spiriva);
- glycopyrrolate (Robinul);
- mepenzolate (Cantil);
- bladder or urinary medications such as darifenacin (Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or solifenacin (Vesicare); or
- irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).
This list is not complete and there may be other drugs that can interact with methscopolamine. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.
Where can I get more information?
Your pharmacist can provide more information about methscopolamine.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
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