Premedication means taking a drug for anxiety relief before a dental appointment. You can take anti-anxiety medication the night before the appointment, an hour before going to bed. This will help with falling asleep and getting some rest.
Full Answer
What is propantheline used to treat?
Propantheline is used with other medication to treat ulcers. Propantheline is in a class of medications called anticholinergics. It works by slowing the movement of food through the stomach and intestines and decreasing the amount of acid made by the stomach.
What is the best way to take propantheline?
Swallow the tablets with a drink of water. You should take the tablets when your stomach is empty, which means taking your doses at least an hour before mealtimes, or waiting until two hours afterwards. This is because your body absorbs less propantheline when there is food in your stomach,...
How does propantheline interact with other medications or foods?
Using propantheline with other drugs that make you drowsy can worsen this effect. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures. Propantheline slows the digestive tract, which can make it harder for your body to absorb any medicines you take by mouth.
What are the contraindications for propantheline?
Propantheline should be used with caution in the elderly and in all patients with autonomic neuropathy, hepatic or renal disease, hyperthyroidism, coronary heart disease, congestive heart failure, cardiac tachyarrhythmias, hypertension, or hiatal hernia associated with reflux esophagitis, since anticholinergics may aggravate this condition.
When should propantheline be taken?
Propantheline comes as a tablet to take by mouth. Propantheline is usually taken four times a day, 30 minutes before meals and at bedtime. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take propantheline exactly as directed.
Does propantheline stop sweating?
Propantheline works by relaxing a type of muscle, called smooth muscle, in your gastrointestinal and urinary systems. As a secondary effect, propantheline causes a dry skin. This makes it helpful for people with gustatory sweating....About propantheline.Type of medicineAn antimuscarinic antispasmodicAvailable asTablets2 more rows•Sep 24, 2020
How does Propantheline bromide work?
Pro-Banthine tablets contain the active ingredient propantheline bromide which belongs to a group of drugs known as “antispasmodics”. They work by relaxing the muscles of the intestines. Pro-Banthine tablets are used to treat disorders in the gastrointestinal tract which involve muscle spasm.
When should I take Pro-Banthine?
Pro-Banthine is usually taken 3 or 4 times a day, 30 minutes before meals and at bedtime. Follow your doctor's instructions. Store Pro-Banthine at room temperature away from moisture and heat.
Which condition is not treated by propantheline?
You should not take propantheline if you have glaucoma, myasthenia gravis, a blockage in your stomach or intestines, a bladder obstruction, severe ulcerative colitis, or toxic megacolon.
Does propantheline cause weight loss?
There was a resumption of weight loss that has been sustained down to healthy weight range. Conclusion: In two patients with unsatisfactory weight loss after gastroplasty but no demonstrable surgical defect, adjuvant propantheline appeared to induce an excellent further weight loss.
How long does it take Pro-Banthine to work?
Uses of Pro-Banthine Tablet How long does it take for this medicine to take effect? The effect of this medicine can be observed within 30 to 45 minutes of administration of the dose.
What do anticholinergic drugs treat?
Anticholinergics are drugs that block the action of acetylcholine . Acetylcholine is a neurotransmitter, or a chemical messenger....Anticholinergics can treat a variety of conditions, including:urinary incontinence.overactive bladder (OAB)chronic obstructive pulmonary disorder (COPD)certain types of poisoning.
Can you drink alcohol while taking Pro-Banthine?
Alcohol may increase drowsiness and dizziness while you are taking propantheline. You should be warned not to exceed recommended dosages and to avoid activities requiring mental alertness. If your doctor prescribes these medications together, you may need a dose adjustment to safely take this combination.
Is propantheline safe in pregnancy?
US FDA pregnancy category C: Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.
How is propantheline metabolized?
Propantheline bromide is extensively metabolized in man primarily by hydrolysis to the inactive materials xanthene-9-carboxylic acid and (2-hydroxyethyl) diisopropylmethylammonium bromide. In a bioavailability study, peak plasma concentrations of Propantheline were achieved in about one hour, following a single oral dose.
How long does propantheline stay in your system?
The plasma elimination half-life of Propantheline is about 1.6 hours. Approximately 70% of the dose is excreted in the urine, mostly as metabolites. The urinary excretion of Propantheline is about 3% after oral tablet administration.
Does propantheline cause megacolon?
In patients with ulcerative colitis, large doses of Propantheline may suppress intestinal motility to the point of producing paralytic ileus and, for this reason, may precipitate or aggravate toxic megacolon, a serious complication of the disease.
Is propantheline safe for elderly?
Propantheline should be used with caution in the elderly and in all patients with autonomic neuropathy, hepatic or renal disease, hyperthyroidism, coronary heart disease, congestive heart failure, cardiac tachyarrhythmias, hypertension, or hiatal hernia associated with reflux esophagitis, since anticholinergics may aggravate this condition.
Is propantheline bromide soluble in water?
Propantheline bromide, a synthetic quaternary ammonium compound, occurs as white or nearly white crystals. It is odorless and has a bitter taste, and is very soluble in water and chloroform; practically insoluble in ether, acetone and ethyl acetate. It is designated chemically as (2-Hydroxyethyl) ...
Can anticholinergics delay absorption?
Anticholinergics may delay absorption of other medication given concomitantly. Excessive cholinergic blockade may occur if Propantheline is given concomitantly with belladonna alkaloids or synthetic and semisynthetic anticholinergic agents, narcotic analgesics such as meperidine, Type 1 antiarrhythmic drugs (e.g., disopyramide, procainamide, or quinidine), antihistamines, phenothiazines, tricyclic antidepressants, or other psychoactive drugs. Propantheline may also potentiate the sedative effect of phenothiazines. Increased intraocular pressure may result from concurrent administration of anticholinergics and corticosteroids.
Can propantheline be excreted in milk?
It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when Propantheline is administered to a nursing woman. Suppression of lactation may occur with anticholinergic drugs.
What to do if you are allergic to propantheline?
tell your doctor and pharmacist if you are allergic to propantheline, any other medications, or any of the ingredients in propantheline tablets. Ask your pharmacist for a list of the ingredients. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements,and herbal products you are taking ...
What is propantheline used for?
Propantheline is used with other medication to treat ulcers. Propantheline is in a class of medications called anticholinergics. It works by slowing the movement of food through the stomach and intestines and decreasing the amount of acid made by the stomach.
How often should I take propantheline?
Propantheline is usually taken four times a day, 30 minutes before meals and at bedtime. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take propantheline exactly as directed.
What is the phone number to call for poison control?
In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can't be awakened, immediately call emergency services at 911.
Can propantheline cause rash?
heart palpitations. eye pain. difficulty urinating. skin rash. itching. Propantheline may cause other side effects.
Does propantheline cause headaches?
Propantheline may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: dry mouth. increased sensitivity of your eyes to light. dizziness. nervousness. difficulty sleeping. headache. loss of sense of taste.
Can you drive a car with propantheline?
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking propantheline. you should know that this medication may make you drowsy. Do not drive a car or operate machinery until you know how this medication affects you. ask your doctor about the safe use of alcohol while you are taking this medication.
Why is propantheline less effective?
This is because your body absorbs less propantheline when there is food in your stomach, which means the medicine is less effective. If you forget to take a dose, do not take two doses together to make up for the missed dose - just continue with the next dose when it is due.
How many times should I take propantheline?
It is usual to be prescribed one tablet to take three times during the day and two tablets to take at bedtime. You should take propantheline when your stomach is empty - this means taking your doses at least an hour before meals or waiting until two hours afterwards. Common side-effects include dry mouth and blurred vision.
What is the name of the medication that is used to treat gastrointestinal spasms?
An antimuscarinic antispasmodic. Used for. Relief of symptoms caused by gastrointestinal spasm; urinary frequency; sweating induced by eating and drinking. Also called. Pro-Banthine®. Available as. Tablets. Propantheline is an antispasmodic medicine. It is prescribed for a number of separate conditions.
How many times should I take a syringe?
Take the tablets exactly as your doctor tells you to. It is usual to be prescribed one tablet to take three times during the day and two tablets to take at bedtime. Although this is the usual dose at the start of treatment, your doctor may later increase your dose up to a maximum of eight tablets a day. Swallow the tablets with a drink of water.
Why is a syringe prescribed?
It is prescribed for a number of separate conditions. It is prescribed to relieve the spasm-type pain that can be associated with some intestinal disorders. It is also prescribed to help prevent wetting (enuresis) in adults who have a problem with this.
What age can you get Down's syndrome?
If you have Down's syndrome. If you are less than 12 years old or over 65 years old. If you have been told you have nerve damage, a condition called autonomic neuropathy. If you have a condition that causes muscle weakness, called myasthenia gravis.
Can you take propantheline while pregnant?
Some medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking propantheline it is important that your doctor knows: If you are pregnant or breastfeeding. If you have prostate problems.
What is the treatment for teeth?
Orthodontic treatment is a way of straightening or moving teeth, to improve the appearance of the teeth and how they work. It can also help to look after the long-term health of your teeth, gums and jaw joints, by spreading the biting pressure over all your teeth.
What is the term for the appliance that holds teeth in place?
This is called the ‘retention' period, and the appliances that hold the teeth in place are called retainers . The retainers hold newly straightened teeth in position while the surrounding gum and bone settles. The retainers can be removable or fixed, depending on the original problem.
How long should you wear dental aligners?
The aligners should be worn for 22 to 23 hours a day for the best results. They can be easily removed for eating, drinking, brushing, and for cleaning in between your teeth. You need to have all your adult teeth before you can have this treatment.
What is a fixed brace?
So a fixed brace is used. This has brackets and bands which are temporarily stuck to the teeth. A flexible wire joins all the brackets and allows the teeth to be moved. You can't take the appliance out yourself, so it is called a fixed appliance.
Why is it important to follow instructions given by an orthodontist?
It is important to follow any instructions given by the orthodontist and to go to any appointments you have with them. The success of the treatment also depends on the commitment of the patient. For children's orthodontic treatment it is very important that the patient is as keen as the parent.
What are clear plastic aligners?
They are tough, clear plastic 'aligners' (moulds ) that are used to straighten teeth. Several sets of specially moulded, slightly different aligners are made for each patient. Each set is worn for two weeks before being replaced with the next one. They are made from clear plastic, so they are nearly invisible.
How to avoid braces?
Avoid snacks and drinks containing sugars, and fizzy drinks. Also, sticky and hard foods may damage your brace. Brush your teeth last thing at night and at least one other time during the day. Use a mouthwash if you need to.
What is the role of a hygienist in orthodontics?
Hygienists play a critical role in ensuring the ortho patient's success in completing treatment. For a hygienist in general practice, watching a patient undergo orthodontic treatment can actually be a fun and interesting process. Since many ortho patients are tweens or teens, you are working with them during an exciting period ...
What happens after orthodontic treatment?
After Treatment: Managing Any Surprises. Once orthodontic treatment is over, most patients are logically relieved and ready to enjoy their new smiles. One minor issue that the hygienist might notice at the patient's first visit after removal is excess bonding material remaining in the bracket area.
Why do people wear braces?
The patient's time wearing braces is the window when it is most necessary for the hygienist and patient to work together to help keep teeth healthy. Practices that follow CAMBRA protocols will recognize that most orthodontic patients are bumped into the high-risk category during this time, as the brackets and wires trap plaque and make it much harder to keep teeth clean.
What to do before braces?
Before Treatment: Lay the Groundwork. Before treatment starts, hygienists can begin stressing the importance of stepping up efforts to keep teeth clean even before patients have braces put on. When I know a patient is planning to get braces soon, I take the opportunity to talk with them (and their parents, if applicable) about ...
Can Clinpro 5000 toothpaste reverse lesions?
If patients are most interested in a cost-effective and easy-to-use treatment, they may simply continue with use of Clinpro 5000 toothpaste, which can help reverse the lesions. The completion of orthodontic treatment is an exciting time for almost any patient.
Can you see white spots after brackets are removed?
Despite the hygienist's advance warnings about decalcification, some hygiene-challenged patients may still be disappointed to see white spots once brackets are removed. However, the dental team has a number of tools that can help address this issue after orthodontic treatment is completed.
Does fluoride help with white spots?
The high concentration of fluoride helps remineralize teeth, and has also been shown in lab studies to help reverse white-spot lesions. Dietary counseling. While this is a typical part of the hygienist's routine with any patient, it can take on a bigger role with orthodontic patients.
How does bone resorb after tooth extraction?
Bone is a living tissue that continually reshapes itself in response to the stimulus of biting force or stress. Bone that normally supports the teeth slowly resorbs when the teeth are lost. Sometimes, if the bony housing surrounding a tooth is very thin, significant bone loss can occur after extraction. This process happens in just a matter of months, but can continue if steps are not taken to stop it. The surgeon removing a tooth may recommend a bone graft to preserve the socket bone if he is concerned that there will be too much bone loss. The reason for this consideration is that if there is insufficient bone through which to move the teeth, it can result in unsightly gum recession and root exposure following orthodontic treatment. Thus bone preservation following tooth extraction is critical to ensure that there is enough bone mass through which to move neighboring teeth for proper alignment.
What teeth are removed most often for orthodontic reasons?
The teeth most frequently removed for orthodontic reasons are the first bicuspid (premolar) teeth. These are the teeth right between the cuspid or eyeteeth (under the eyes) and the molar teeth (the biggest back teeth).
What is the first step in orthodontic treatment?
The first important phase of orthodontic treatment (“ortho” – to straighten, “dont” – tooth) is figuring out what needs to be done. Treatment often involves removing teeth to relieve crowding.
Can bone grafting be used as scaffolds?
The membranes, supported by bone grafting material, can be used as scaffolds to rebuild the bone in a socket shape. And better yet, with today's biotechnology, both graft and membrane are replaced with healthy bone, and the self-dissolving membranes don't have to be removed.
Is bone grafting safe for human use?
In fact, placing a small amount of bone grafting material (most often processed bone safe for human use), just enough to fill the empty socket, acts as a scaffold upon which the body builds its own bone, eventually replacing the grafted material.
Can a tooth socket collapse?
If you think of a tooth socket like an empty ice-cream cone, it is quite easy to collapse, especially where the bony walls are thinnest. This is especially so on the facial surfaces (the surfaces facing the cheeks and lips), where gum recession is likely to show.
Can you remove teeth while conserving bone?
Removing Teeth While Preserving Bone. Believe it or not , there is a real art and “feel” to tooth removal, and in experienced hands it can and should be done very carefully and atraumatically (“a” – without; “trauma” – damage).
Propantheline Description
Propantheline - Clinical Pharmacology
- Propantheline bromide inhibits gastrointestinal motility and diminishes gastric acid secretion. The drug also inhibits the action of acetylcholine at the postganglionic nerve endings of the parasympathetic nervous system. Propantheline bromide is extensively metabolized in man primarily by hydrolysis to the inactive materials xanthene-9-carboxylic ...
Contraindications
- Propantheline is contraindicated in patients with: 1. 1. Glaucoma, since mydriasis is to be avoided. 2. 1. Obstructive disease of the gastrointestinal tract (pyloroduodenal stenosis, achalasia, paralytic ileus, etc.). 3. 1. Obstructive uropathy (e.g., bladder-neck obstruction due to prostatic hypertrophy). 4. 1. Intestinal atony of elderly or debilitated patients. 5. 1. Severe ulcerative coliti…
Warnings
- In the presence of a high environmental temperature, heat prostration (fever and heat stroke due to decreased sweating) can occur with the use of Propantheline. Diarrhea may be an early symptom of incomplete intestinal obstruction, especially in patients with ileostomy or colostomy. In this instance treatment with this drug would be inappropriate and possibly harmful. With over…
Precautions
- General
Propantheline should be used with caution in the elderly and in all patients with autonomic neuropathy, hepatic or renal disease, hyperthyroidism, coronary heart disease, congestive heart failure, cardiac tachyarrhythmias, hypertension, or hiatal hernia associated with reflux esophagiti… - Information for Patients
Propantheline may produce drowsiness or blurred vision. The patient should be cautioned regarding activities requiring mental alertness, such as operating a motor vehicle or other machinery or performing hazardous work, while taking this drug.
Adverse Reactions
- Varying degrees of drying of salivary secretions may occur as well as decreased sweating. Ophthalmic side effects include blurred vision, mydriasis, cycloplegia, and increased ocular tension. Other reported adverse reactions include urinary hesitancy and retention, tachycardia, palpitations, loss of the sense of taste, headache, nervousness, mental confusion, drowsiness, …
Overdosage
- The symptoms of overdosage with Propantheline progress from an intensification of the usual side effects to CNS disturbances (from restlessness and excitement to psychotic behavior), circulatory changes (flushing, fall in blood pressure, circulatory failure), respiratory failure, paralysis, and coma. Measures to be taken are (1) immediate induction of emesis or lavage of t…
Propantheline Dosage and Administration
- The usual initial adult dose of Propantheline bromide tablets is 15 mg taken 30 minutes before each meal and 30 mg at bedtime (a total of 75 mg daily). Subsequent dosage adjustment should be made according to the patient’s individual response and tolerance.
How Is Propantheline Supplied
- Propantheline Bromide Tablets USP 15 mg tablets are supplied as white, film-coated tablets imprinted in black ink with product identification “54 303.” NDC 0054-4721-25: Bottles of 100 Tablets Store at 20° to 25°C (68° to 77°F). [See USP Controlled Room Temperature.] Dispense in tight, light-resistant container as defined in the USP/NF. Distr. by: West-Ward Pharmaceuticals C…