Bethanechol
Uses of Bethanechol
The main use of Bethanechol is in managing urinary retention situations that may occur due to surgery, childbirth or certain medications affecting bladder function. It belongs to the class of medicines called cholinergic agents.
Apart from aiding with urinary issues, it is also used in managing gastroesophageal reflux disease (GERD) and delayed gastric emptying. In some cases, it may be prescribed for other purposes as deemed appropriate by the treating doctor.
Side effects of Bethanechol
Abdominal cramps
Nausea and vomiting
Diarrhoea
Increased salivation
Sweating
How Bethanechol works
Bethanechol is categorised as a cholinergic agent or parasympathomimetic.
It stimulates the parasympathetic nervous system by acting like a neurotransmitter called acetylcholine. This action specifically targets a type of receptor found on the detrusor muscle of the bladder wall. When these receptors are activated, they cause the muscle to contract. This contraction increases the pressure within the bladder, which supports urination and helps to empty the bladder completely. In addition to its effect on the bladder, Bethanechol also increases the tone and movement of muscles in the gastrointestinal tract. It does this by binding to and activating muscarinic receptors, which play a key role in stimulating digestive processes.
Certified content
Written By
BDS, MDS
Reviewed By
Bachelor of Dental Surgery
Expert Advice
Dosage Forms Available
Bethanechol can be taken orally (tablet).
Age and Dose Restrictions
This medicine is meant for adults aged 18 and above.
Contraindications
Bethanechol is contraindicated in patients with known allergies to the medicine. It should not be taken by individuals with certain medical conditions such as peptic ulcer disease, intestinal or urinary obstruction, hyperthyroidism, epilepsy, parkinsonism, and certain cardiovascular disorders.
Other Medications to Avoid
Bethanechol can interact with anticholinergic medicines (such as atropine, glycopyrrolate, and propantheline) and cardiac glycosides (like digoxin).
Overdose and Missed Dose
An overdose of Bethanechol can lead to severe side effects like hypotension, bradycardia, bronchoconstriction, and seizures. In case of suspected overdose, immediate medical attention should be sought.
If you forget to take a dose of Bethanechol, take it as soon as you remember. However, do not double the dose to make up for a missed one.
Management of Side Effects
Most side effects of Bethanechol are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.
Drinking plenty of water may help manage side effects like dry mouth.
Resting in a dark and quiet room might help alleviate headaches.
Use in Driving and Operating Machinery
Bethanechol may cause side effects like dizziness or blurred vision which might affect your ability to drive or operate heavy machinery. It is advisable to avoid such activities if you experience these side effects.
Use in Pregnancy and Lactation
Bethanechol should only be used during pregnancy if the potential benefits justify the risks to the foetus. Consult your doctor before using this medicine while breastfeeding.
Caution in Other Conditions
Individuals with asthma or chronic lung diseases should exercise caution when taking Bethanechol, as it can potentially worsen these conditions.
Patients with renal or hepatic impairment may need dose adjustments when taking Bethanechol.
Special Dietary and Lifestyle Recommendations
If you're on Bethanechol for urinary retention, fluid intake should be adequate.
Limit consumption of caffeinated drinks, as they can stimulate the bladder.
Frequently asked questions
Can Bethanechol affect mood swings or emotions?
Bethanechol is not directly associated with affecting mood swings or emotions. However, if you experience any unusual changes in mood or behaviour while taking this medication, please consult your doctor.
Are there any natural alternatives to Bethanechol?
There are no known natural alternatives that can act exactly like Bethanechol. Always discuss with your doctor before starting or stopping any medication.
Is Bethanechol a vegetarian medicine?
Bethanechol is a synthetic medication and does not contain any animal-derived ingredients. However, the composition of the tablet or capsule might vary depending on the manufacturer.
Does Bethanechol have any impact on menstruation?
Bethanechol is not directly associated with affecting menstruation. If you notice any irregular changes in your menstrual cycle while taking this medication, please consult your doctor.
Does the use of Bethanechol require any specific medical tests or monitoring?
Yes, patients on Bethanechol therapy should be periodically monitored for clinical response and any adverse effects. Regular checks of vital signs such as blood pressure and heart rate are recommended.
Can I buy Bethanechol over the counter?
No, Bethanechol is a prescription medication and it should be used under the supervision of a doctor.
Is Bethanechol addictive?
Bethanechol is not known to cause addiction or dependency. It is a prescription medication and should be taken strictly as advised by your doctor.
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