Treatment of urinary tract infections
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Prototype Med
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Bethanechol (Urecholine)
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Treatment of urinary retention
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Hypotension, bradycardia
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Excessive gastric acid and salivation, diarrhea, fecal incontinence
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Bronchoconstriction
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Dizziness, fainting
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Monitor blood pressure, heart rate, and bowel elimination patterns
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Monitor respiratory status.
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Monitor for dizziness.
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For in-patient use, have a bedpan or urinal readily available and assist with ambulation.
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Take orally three to four times a day.
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Take 1 hr before or 2 hr after meals.
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Report dizziness, difficulty breathing, or fainting
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Increase fluid intake to maintain hydration.
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Do not engage in dangerous activities if dizziness occurs or tends to recur.
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Sit or lie down if feeling dizzy.
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Hypotension, Hyperthyroidism
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Low cardiac output, Asthma, chronic obstructive pulmonary disease
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Gastric ulcers, Intestinal obstruction, Recent intestinal surgery
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Urinary tract obstruction or bladder wall weakness
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Bacteremia
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History of syncope
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Cholinesterase inhibitors worsen cholinergic effects and increase the risk of toxicity
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Mecamylamine (Inversine) worsens abdominal symptoms and hypoten- sion.
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Procainamide (Pronestyl), quinidine, atropine, and epinephrine interfere with therapeutic effects.
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