Generic Name: Scopolamine Brand Name(s): Generics only. No brands available.

Uses

What is scopolamine used for?

Scopolamine reduces the secretions of certain organs in the body, such as the stomach and intestines. Scopolamine also decreases nerve signals that trigger your stomach to vomit.

Scopolamine is used to prevent nausea and vomiting caused by motion sickness or from anesthesia given during surgery.

Scopolamine is also used to treat certain stomach or intestinal problems, muscle spasms, and Parkinson-like conditions.

How should I take scopolamine?

Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.

Take this medicine with a full glass of water.

You may take scopolamine with or without food.

If you take scopolamine to treat a Parkinson-like condition, you should not stop using this medicine suddenly. Stopping suddenly may make your condition worse.

How do I store scopolamine?

Scopolamine is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store scopolamine in the bathroom or the freezer. There may be different brands of scopolamine that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush scopolamine down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using scopolamine?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of scopolamine or other medications.
  • You have any other illnesses, disorders, or medical conditions.

You should not use this medicine if you are allergic to scopolamine or similar medications such as methscopolamine or hyoscyamine, or if you have:

  • Narrow-angle glaucoma
  • A blockage in your intestines
  • A severe breathing disorder
  • If you are unable to urinate

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using this medication during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking this medication. This medication is pregnancy risk category C, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from scopolamine?

Call your doctor immediately if you have:

  • Little or no urinating
  • Fast or pounding heartbeats
  • Confusion
  • Paranoia
  • Trouble swallowing

Common side effects may include:

  • Dry mouth, increased thirst
  • Dry skin
  • Constipation
  • Painful or difficult urination
  • Drowsiness
  • Dizziness
  • Feeling restless
  • Blurred vision, dilated pupils, your eyes may be more sensitive to light

Side effects may be more likely in older adults.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with scopolamine?

Scopolamine may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Products that may interact with this drug are: potassium tablets/capsules, pramlintide.

Does food or alcohol interact with scopolamine?

Scopolamine may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with scopolamine?

Scopolamine may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Health conditions that may interact with this drug are:

  • Glaucoma
  • An enlarged prostate, bladder obstruction, or urination problems
  • Problems with your esophagus, stomach, or intestines
  • Kidney disease
  • Liver disease
  • Heart disease, high blood pressure
  • Coronary artery disease (hardened arteries)
  • Overactive thyroid
  • Myasthenia gravis
  • Asthma or other breathing problems
  • A drug allergy
  • A history of head injury or brain tumor

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using this medication.

What is the dose of scopolamine for an adult?

For Nausea/Vomit

General antiemetic use: 0.3 to 0.65 mg administered IV, intramuscularly or subcutaneously every 6 to 8 hours as needed.

Post-operative nausea and vomiting use: apply one scopolamine 1.5 mg transdermal disc behind the ear the evening before the scheduled surgery. The disc should remain in place for 24 hours after surgery before discarding.

If using scopolamine transdermal on an obstetrics patient, apply the disc one hour prior to scheduled Cesarean section to limit exposure to the infant.

For Motion Sickness

Apply one scopolamine 1.5 mg transdermal disc behind the ear at least 4 hours prior to exposure every 3 days as needed.

For Parkinsonian Tremor

The recommended dose is 0.4 to 0.8 mg orally every 8 hours as needed.

What is the dose of Scopolamine for a child?

For Nausea/Vomiting

1 to 12 years: 6 mcg/kg/dose (maximum dose: 0.3 mg/dose) administered IV, IM or subcutaneous every 6 to 8 hours as needed.

For Motion Sickness

Greater than 12 years: apply one scopolamine 1.5 mg transdermal disc behind the ear at least 4 hours prior to exposure every 3 days as needed.

How is scopolamine available?

Scopolamine is available in the following dosage forms and strengths:

  • Tablet 1.5 mg; 1 mg/mL; 0.4 mg/mL; 0.4 mg

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of scopolamine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: July 23, 2017 | Last Modified: July 23, 2017