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   Clinibrax

Clinibrax
Oral


This medication is used along with medications that treat stomach ulcers. This combination product contains 2 medicines, chlordiazepoxide and clidinium. Chlordiazepoxide belongs to a class of drugs known as benzodiazepine anxiolytics. It works by relieving anxiety. Clidinium belongs to a class of drugs known as anticholinergics. It may help symptoms of cramping and abdominal/stomach pain by decreasing stomach acid, and slowing the intestines.This drug may also be used for relief of symptoms from irritable bowel syndrome.



 
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OverviewPhotosHow To UseSide EffectsPrecautionsMissed DoseDrug Interactions



Clinibrax

Uses
This medication is used along with medications that treat stomach ulcers. This combination product contains 2 medicines, chlordiazepoxide and clidinium. Chlordiazepoxide belongs to a class of drugs known as benzodiazepine anxiolytics. It works by relieving anxiety. Clidinium belongs to a class of drugs known as anticholinergics. It may help symptoms of cramping and abdominal/stomach pain by decreasing stomach acid, and slowing the intestines.This drug may also be used for relief of symptoms from irritable bowel syndrome.
Notes
  • Do not share this medication with others.
  • It is against the law.Laboratory and/or medical tests (e.g., blood counts, test for blood in your stools) should be performed periodically to monitor your progress or check for side effects.
  • Consult your doctor for more details.

Storage
  • Store at room temperature at 77 degrees F (25 degrees C) away from light and moisture.
  • Do not store in the bathroom.
  • Keep all medicines away from children and pets.

Overdose
  • Symptoms of overdose may include: restlessness, unusual behavior, excitability, fainting, slowed breathing, inability to move (paralysis), inability to wake up (coma).

How To Use
  • Take this medication by mouth, usually 3-4 times daily or as directed by your doctor.Dosage is based on your medical condition and response to therapy.Use this medication regularly to get the most benefit from it.
  • To help you remember, take it at the same times each day.This medication may cause dependence, especially if it has been used regularly for an extended time or if it has been used in high doses.
  • In such cases, withdrawal reactions (e.g., shakiness, sweating, nausea, seizures) may occur if you suddenly stop this drug.
  • To prevent withdrawal reactions when stopping extended, regular treatment with this drug, gradually reduce the dosage as directed.
  • Consult your doctor or pharmacist for more details, and report any withdrawal reactions immediately.Though very unlikely, abnormal drug-seeking behavior (addiction) is possible with this medication.
  • Do not increase your dose, take it more frequently, or take it for a longer time than prescribed.
  • Properly stop the medication when so directed.When used for an extended period, this medication may not work as well and may require different dosing.
  • Talk with your doctor if this medication stops working well.Inform your doctor if your condition persists or worsens after 7 days.

Side Effects
  • Drowsiness, blurred vision, dry mouth, dry eyes, constipation, or increased heartbeat may occur.
  • If any of these effects persist or worsen, tell your doctor or pharmacist promptly.To relieve dry mouth, suck on hard candy or ice chips, chew gum, drink water, or use a saliva substitute.To prevent constipation, maintain a diet adequate in fiber, and drink plenty of water.
  • If you become constipated while using this drug, consult your pharmacist for help in selecting a laxative (e.g., stimulant-type with stool softener).Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects.
  • Many people using this medication do not have serious side effects.Tell your doctor immediately if any of these unlikely but serious side effects occur: fast/irregular heartbeat, weakness, slurred speech, headache, mental/mood changes (e.g., nervousness, confusion, trouble thinking clearly, depression), loss of taste, nausea, vomiting, decreased sweating, reduced tolerance of heat/strenuous exercise, decreased ability to start urination, decreased sexual ability/desire.For more details about heat tolerance, see Precautions section.Tell your doctor immediately if any of these rare but very serious side effects occur: memory problems, signs of severe infection (e.g., fever, persistent sore throat, shaking chills), easy bruising/bleeding, signs of anemia (low red blood cells) (e.g., severe tiredness, weakness, fainting, pale lips/nails/skin, fast heartbeat at rest, fast breathing), signs of severe liver problems (e.g., appetite loss, persistent nausea, vomiting, stomach/abdominal pain, severe tiredness, dark urine, yellowing eyes/skin, aching muscles, joint pain).A very serious allergic reaction to this drug is rare.
  • However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching, swelling, severe dizziness, trouble breathing.If you notice other effects not listed above, contact your doctor or pharmacist.

Precautions
  • Before taking this product, tell your doctor or pharmacist if you are allergic to chlordiazepoxide or clidinium; or to other benzodiazepines (e.g., diazepam, lorazepam); or to other anticholinergics (e.g., atropine); or if you have any other allergies.This medication should not be used if you have certain medical conditions.
  • Before using this medicine, consult your doctor or pharmacist if you have: glaucoma, urine blockage due to enlarged prostate, blockage or narrowing in the stomach/intestines, severe slowing or stoppage of the intestines (e.g., intestinal atony, paralytic ileus), any condition that causes immobility (being bedridden), severe bleeding, a certain severe form of an intestinal disease (ulcerative colitis), a certain muscle disease (myasthenia gravis).Before using this medication, tell your doctor or pharmacist your medical history, especially of: mental/mood disorders (e.g., depression, psychosis, schizophrenia, thoughts of suicide), sleep apnea, previous heatstroke, liver problems, kidney problems, ulcerative colitis, heart disease (e.g., angina, previous heart attack, chronic heart failure, heart rhythm problems), overactive thyroid (hyperthyroidism), high blood pressure, nerve problems that cause slowing of the intestines (autonomic neuropathy), hiatal hernia with heartburn.This drug may make you dizzy or drowsy.
  • Use caution while driving, using machinery, or doing any activity that requires alertness.
  • Avoid alcoholic beverages.This drug may make you sweat less, causing you to be more likely to develop a severe condition caused by becoming overheated (heatstroke).
  • Use caution in hot temperatures and during strenuous exercise.
  • Drink plenty of fluids and dress lightly while in hot weather or when exercising.
  • Check carefully for signs of decreased sweating.
  • If this occurs, stop exercising and promptly seek cooler shelter.
  • Seek immediate medical attention if your body temperature is above normal or if you have mental/mood changes, headache, or dizziness.Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug, especially drowsiness, confusion, and urination problems.This medication is not recommended for use during pregnancy.
  • It may harm an unborn baby.
  • Consult your doctor for more details and to discuss reliable forms of birth control.
  • If you become pregnant while taking this medication, notify your doctor immediately.This medication passes into breast milk and may have undesirable effects on a nursing infant.
  • Consult your doctor before breast-feeding.
  • This medication may also decrease the amount of breast milk that you make.

Missed Dose
  • If you miss a dose, take it as soon as you remember.
  • If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule.
  • Do not double the dose to catch up.

Drug Interactions
  • Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them.
  • Do not start, stop, or change the dosage of any medicine before checking with your doctor or pharmacist first.This drug should not be used with the following medications because very serious interactions may occur: sodium oxybate, pramlintide.If you are currently using any of these medications listed above, tell your doctor or pharmacist before starting chlordiazepoxide/clidinium.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: alcohol, fluoxetine, nefazodone, fluvoxamine, cimetidine, certain mental/mood medications (e.g., clozapine, chlorpromazine), certain antidepressants (e.g., amitriptyline, nortriptyline, trazodone), certain antihistamines (e.g., diphenhydramine, chlorpheniramine).Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain ingredients that have similar side effects as this medication (e.g., drowsiness, dry eyes, dry mouth, constipation, urination problems).
  • Ask your pharmacist about using those products safely.Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as anti-seizure drugs (e.g., phenobarbital, carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem, secobarbital), muscle relaxants (e.g., methocarbamol), narcotic pain relievers (e.g., codeine).

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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgement of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.

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