digestive enzymes/anticholinergics - oral (cont.)

PRECAUTIONS: Before taking this medication, tell your doctor or pharmacist if you are allergic to digestive enzymes (e.g., pancrelipase), hyoscyamine, or phenyltoloxamine; or to pork protein; 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: sudden/severe swelling of the pancreas (acute pancreatitis), sudden worsening of long-term disease of the pancreas, glaucoma, difficulty urinating (e.g., due to blockage or enlarged prostate), intestinal movement/blockage disorder (e.g., paralytic ileus, achalasia, intestinal atony, pyloroduodenal stenosis), certain bowel disease (severe ulcerative colitis, toxic megacolon), myasthenia gravis.Before using this medication, tell your doctor or pharmacist your medical history, especially of: diarrhea, seizures, overactive thyroid (hyperthyroidism), high blood pressure, kidney disease, liver disease, breathing problems (e.g., asthma, chronic obstructive pulmonary disease-COPD), heart disease (congestive heart failure, coronary artery disease, fast/irregular heartbeat), esophagus/stomach problems (e.g., gastroesophageal reflux disease-GERD, ulcer).This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Avoid alcoholic beverages.This medication can decrease sweating. To prevent a serious reaction caused by too much heat (heatstroke), avoid becoming overheated in hot weather, in saunas, and during exercise/other strenuous activities.The elderly may be more sensitive to the effects of this drug, especially dizziness/drowsiness or confusion/excitement.Caution is advised when using this drug in children because they are more sensitive to the effects of antihistamines. This drug can cause excitement in young children instead of drowsiness.During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.Hyoscyamine passes into breast milk. It is not known whether the digestive enzymes or phenyltoloxamine pass into breast milk. Consult your doctor before breast-feeding.

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