Chlordiazepoxide Hydrochloride, Clidinium Bromide Oral capsule

What is this medicine?

CHLORDIAZEPOXIDE; CLIDINIUM (klor dye az e POX ide; kli DI nee um) is a stomach relaxant and a benzodiazepine. It is used to lower stomach acid in peptic ulcer disease. It is also used to treat problems of the intestines, like irritable bowel syndrome and enterocolitis.

This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care provider before I take this medicine?

They need to know if you have any of these conditions:

• glaucoma

• history of depression or other mental health condition

• history of a drug or alcohol abuse problem

• kidney disease

• liver disease

• trouble passing urine

• an unusual or allergic reaction to chlordiazepoxide, clidinium, other medicines, foods, dyes, or preservatives

• pregnant or trying to get pregnant

• breast-feeding

How should I use this medicine?

Take this medicine by mouth with a glass of water. Follow the directions on the prescription label. Take before meals and at bedtime. Take your doses at regular intervals. Do not take your medicine more often than directed. If you have been taking this medicine regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or you may get severe side effects. Ask your doctor or health care professional for advice. Even after you stop taking this medicine it can still affect your body for several days.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.

What may interact with this medicine?

• alcohol

• anticholinergic medicines like atropine, benztropine, bethanechol, flavoxate, hyoscyamine or scopolamine

• MAOIs like Carbex, Eldepryl, Marplan, Nardil, and Parnate

• medicines for depression, anxiety, or psychotic disturbances

• medicines for sleep

• phenothiazines like chlorpromazine, mesoridazine, prochlorperazine, thioridazine

• prescription pain medicines

• some medicines for seizures like carbamazepine, phenobarbital, phenytoin, primidone

• warfarin

This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medicine?

Visit your doctor or health care professional for regular checks on your progress. Your body can become dependent on this medicine. Ask your doctor or health care professional if you still need to take it.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this medicine affects you. To reduce the risk of dizzy and fainting spells, do not stand or sit up quickly, especially if you are an older patient. Alcohol may increase dizziness and drowsiness. Avoid alcoholic drinks.

Do not treat yourself for coughs, colds or allergies without asking your doctor or health care professional for advice. Some ingredients can increase possible side effects.

Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water may help. Contact your doctor if the problem does not go away or is severe.

What side effects may I notice from receiving this medicine?

Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

• changes in vision

• confusion

• depression

• feeling faint or lightheaded

• irregular heartbeat

• tremors, unusual movement of face, hands

• trouble passing urine or change in the amount of urine

• trouble walking

• unusual bleeding, bruising

• unusually weak or tired

• yellowing of the eyes or skin

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

• changes in menstrual cycle

• change in sex drive or performance

• constipation

• dry mouth

• nausea

• swelling of hands, feet

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medicine?

Keep out of the reach of children. This medicine can be abused. Keep your medicine in a safe place to protect it from theft. Do not share this medicine with anyone. Selling or giving away this medicine is dangerous and against the law.

Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Protect from light. Throw away any unused medicine after the expiration date.