Coliwin R Capsule (Chlordiazepoxide/Clidinium/Dicyclomine)

Description

Coliwin-R Capsule is a combination medicine which may be used to relieve cramps and abdominal pain associated with the gastrointestinal (the stomach and intestines) disorders such as irritable bowel syndrome, diverticulitis, enterocolitis, etc. when these digestive function disorders are associated with excessive tension and anxiety. It is also used to treat peptic ulcer disease characterized by abdominal pain, burning stomach pain, nausea, feeling fullness, bloating, etc.

Side effects

Major & minor side effects for Coliwin-R Capsule
Blurred vision
Constipation
Dry mouth
Urinary hesitancy
Dry mouth
Nervousness
Skin rash
Loss of appetite
Shakiness in the legs, arms, hands, or feet
Restlessness

Uses of Coliwin-R Capsule

What is it prescribed for?
Irritable bowel syndrome
This medicine may be used in the treatment of irritable bowel syndrome to relieve symptoms like the stomach and intestinal cramping.
Muscle spasm of gastrointestinal tract
This medicine may be used to relieve cramps and abdominal pain associated with the gastrointestinal (the stomach and intestines) disorders such as diverticulitis, enterocolitis (inflammation of the small intestine), etc. when these digestive function disorders are associated with excessive tension and anxiety.
Peptic Ulcer
This medicine is used to treat peptic ulcer disease characterized by abdominal pain, burning stomach pain, nausea, feeling fullness, bloating, etc.

When not to use?

Allergy
This medicine is not recommended for use in patients with a known allergy to clidinium, dicyclomine, chlordiazepoxide, rabeprazole, or any other inactive ingredients present along with the formulation.
Glaucoma
This medicine is not recommended for use in patients suffering from glaucoma since it may worsen the patient’s condition.
Bengin prostatic hyperplasia
This medicine is not recommended for use in patients suffering from enlargement of the prostate gland condition, since it may worsen the patient’s condition.
Severe respiratory insufficiency
This medicine is not recommended for use in patients suffering from severe respiratory insufficiency since it may worsen the patient’s condition.
Obstructive conditions
This medicine is not recommended for use in patients suffering from conditions like obstructive uropathy and obstructive gastrointestinal diseases due to the increased risk of worsening the patient’s condition.

Warnings

Warnings for special population
Pregnancy
This medicine is not recommended for use in pregnant women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine.
Breast-feeding
This medicine is not recommended for use in breastfeeding women unless absolutely necessary. All the risks and benefits should be discussed with the doctor before taking this medicine. Your doctor may prescribe a safer alternative based on the clinical condition.
General warnings
Impaired kidney function
This medicine should be used with extreme caution in patients with kidney diseases due to the increased risk of serious adverse effects. Close monitoring of kidney function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Liver Disease
This medicine should be used with extreme caution in patients with liver function impairment or active liver diseases due to the increased risk of severe adverse effects. Close monitoring of liver function is necessary while receiving this medicine. Report any symptoms such as nausea, fever, rashes, dark urine, etc. to the doctor on priority. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition.
Use in children
This medicine is not recommended for use in patients below 18 years of age unless directed by the doctor.
Seizures
This medicine should be used with extreme caution in patients suffering from seizure disorder due to the increased risk of recurrent seizures. Report any unusual symptoms to the doctor immediately. Close monitoring of the clinical condition, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
Driving or operating machinery
Use of this medicine may cause symptoms such as dizziness, blurred vision, confusion, drowsiness, etc. in some patients. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you experience any of these symptoms during treatment with this medicine.
Withdrawal symptoms
Abrupt discontinuation of this medicine may increase the risk of adverse effects, especially if you have been using a high dose for a long duration. A gradual dose reduction is recommended to avoid these reactions. Do not stop the use of this medicine without consulting your doctor.
Other medicines
Since this medicine may interact with other medicines and cause severe adverse effects, you are advised to report all your current medicines, including any herbs and supplements, to the doctor before beginning treatment with this medicine.
Lupus erythematosus
This medicine should be used with caution due to the increased risk of systemic and cutaneous lupus erythematosus. Report any symptoms such as extreme tiredness, painful joints, rashes and lesions on the skin, etc. to the doctor immediately. Replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Clostridium Difficile-associated diarrhea
This medicine may increase the risk of Clostridium difficile-associated diarrhea. This diagnosis should be considered if the patient’s diarrhea does not improve. Appropriate corrective measures or replacement with a suitable alternative may be necessary based on the clinical condition.

Dosage

Missed Dose
Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed one.
Overdose
Seek emergency medical treatment or contact the doctor in case of an overdose.

Interactions

All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol
Description
N/A
Instructions
Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of severe adverse effects such as confusion, dizziness, nausea, vomiting, weakness, fainting, etc. It is advised that you do not perform any activities that require high mental alertness such as driving a vehicle or operating machinery if you consume alcohol while taking this medicine.
Interaction with Medicine
Opioids
Antihypertensives
Ipratropium
Amitriptyline
Topiramate
Zonisamide
Potassium Citrate
Disease interactions
Gastrointestinal obstruction
Coliwin R medicine is not recommended for use in patients with gastrointestinal obstruction diseases such as paralytic ileus, stenosing peptic ulcer, pyloric obstruction, esophageal stricture or stenosis, etc. due to the risk of worsening of the patient’s condition. An alternative treatment option should be considered based on the clinical condition.
Glaucoma
This medicine is not recommended for use in patients with glaucoma due to the risk of worsening of the patient’s condition. An alternative treatment option should be considered based on the clinical condition.
Liver Disease
This medicine should be used with extreme caution in patients with liver diseases due to the increased risk of serious adverse effects. Close monitoring of liver function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Arrhythmias
This medicine should be used with extreme caution in patients suffering from irregular heartbeats due to the increased risk of worsening of the patient’s condition. Close monitoring of heart function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
Tardive Dyskinesia
This medicine should be used with extreme caution in patients with a history of Tardive Dyskinesia due to the increased risk of recurrent symptoms. Report any symptoms such as uncontrolled movements of the tongue, mouth, lips, jaw, hands, feet, etc. to your doctor immediately. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
Infectious Diarrhea
This medicine is not recommended for use in patients with infectious diarrhea due to the risk of worsening of the patient’s condition. An alternative treatment option should be considered based on the clinical condition.
Hypertension
This medicine should be used with caution in patients with high blood pressure due to the risk of worsening of the patient’s condition. Close monitoring of blood pressure is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be necessary based on the clinical condition of the patient.
Seizure disorders
Coliwin R medicine should be used with extreme caution in patients suffering from seizure disorder due to the increased risk of worsening of the patient’s condition. Report any unusual symptoms to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
Depression
Coliwin R medicine should be used with extreme caution in patients with a history of depression or other psychiatric disorders due to the increased risk of worsening of the patient’s condition. Report any unusual symptoms to the doctor immediately. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
Renal Dysfunction
Coliwin R medicine should be used with extreme caution in patients with kidney diseases due to the increased risk of serious adverse effects. Close monitoring of kidney function is necessary while receiving this medicine. Appropriate dose adjustments or replacement with a suitable alternative may be required based on the clinical condition of the patient.
Osteoporosis
Coliwin R medicine should be used with extreme caution in patients with osteoporosis due to the increased risk of osteoporosis-related fractures. Established treatment guidelines should be followed strictly in such patients. Replacement with a suitable alternative may be required based on the clinical condition.
Food interactions
Information not available.
Lab interactions
Information not available.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.

General Instructions

Take this medicine exactly as prescribed by the doctor. Do not take in larger or smaller quantities than recommended. Consult the doctor if you experience any undesirable side effects. Ensure that the treatment course is completed. Do not stop the use of this medicine without consulting your doctor.