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glycopyrrolate-injection, Robinul (cont.)

SIDE EFFECTS: Flushing of the face, problems sleeping, headache, blurred vision, dizziness, drowsiness, increased sensitivity to light, constipation, dry mouth, decreased sweating, thirst or pain/redness/swelling at the injection site may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly. Tell your doctor immediately if any of these serious side effects occur: confusion, nervousness, fast/irregular heartbeat, difficulty urinating. Tell your doctor immediately if any of these unlikely but serious side effects occur: weakness, sexual function problems (e.g., impotence). An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include: rash, itching, swelling, severe dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: 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, asthma, enlarged prostate, a rapid heart rate due to heart failure or overactive thyroid, stomach/intestine problems (e.g., obstruction, ulcerative colitis, toxic megacolon), an ileostomy or colostomy, active severe bleeding, myasthenia gravis. Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, liver disease, disorders of the esophagus (e.g., reflux, hiatal hernia), heart problems (e.g., coronary artery disease, congestive heart failure, arrhythmias, hypertension), an overactive thyroid, nervous system disorders (e.g., autonomic neuropathy), any allergies. This drug may make you dizzy or drowsy or cause blurred vision; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. Caution is advised when using this drug in the elderly because they may be more sensitive to its effects. Caution is advised when using this drug in children because they may be more sensitive to its effects. A preservative (benzyl alcohol) which may be found in this product or in the liquid used to mix this product (diluent) can infrequently cause serious problems (sometimes death), if given in large amounts (more than 100 mg/kg daily) to an infant during the first months of life (neonatal period). The risk is also greater with low birth weight infants. Symptoms include sudden gasping, low blood pressure, or a very slow heartbeat. Report these symptoms to the doctor immediately should they occur. If possible, a preservative-free product should be used when treating neonates. This medication can reduce sweating which can lead to heat stroke in hot weather. Use caution engaging in strenuous activity in hot weather. Contact lens wearers may need to use appropriate lubricating solutions if this medication causes dry eyes. This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor. It is not known whether this drug passes into breast milk. Consult your doctor before breast-feeding.



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