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    Anticholinergics (Antispasmodics) for Irritable Bowel Syndrome

    Anticholinergics (Antispasmodics) for Irritable Bowel Syndrome

    Examples

    Generic Name Brand Name
    dicyclomine Bentyl
    hyoscyamine Anaspaz, Cystospaz, Levsin

    How It Works

    Antispasmodics relax the smooth muscles of the gut, helping to prevent or relieve painful cramping spasms in the intestines. These medicines can be taken as needed for cramps. They can also be taken 30 to 45 minutes before meals that you expect might cause symptoms or when symptoms would be inconvenient or bothersome.

    Why It Is Used

    Antispasmodics are used to relieve cramps or spasms of the stomach, intestines, or bladder.

    Do not use antispasmodics if you suffer from:

    How Well It Works

    Some studies suggest that antispasmodics improve symptoms of IBS and reduce pain. But studies on antispasmodics available in the United States have been less promising. Some studies show a benefit, and some don't. 1

    Side Effects

    Side effects may include drowsiness, dry mouth, blurred vision, or an inability to urinate. Antispasmodics may make constipation?often a main symptom of IBS?worse.

    See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

    What To Think About

    If constipation is your main symptom, antispasmodics may not work for you. In some cases, use of antispasmodics can make constipation worse.

    If you are pregnant, ask your doctor about taking antispasmodics. Some studies have suggested that some antispasmodics can increase the heartbeat of a fetus, and that some are related to birth defects, though they have not been proved to cause these defects.

    Complete the new medication information form (PDF) (What is a PDF document?) to help you understand this medication.

    References

    Citations

    1. American College of Gastroenterology (2009). An evidence-based systematic review on the management of irritable bowel syndrome. American Journal of Gastroenterology, 104(Suppl 1): S8?S35.

    Credits

    By Healthwise Staff
    E. Gregory Thompson, MD - Internal Medicine
    Arvydas D. Vanagunas, MD - Gastroenterology
    Last Revised April 26, 2012

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