Glycopyrronium Bromide (Glycopyrrolate) oral sol
Indications
Reduce chronic severe drooling, in children & adolescents aged 3 years and older.
Adult Dose
Oral
Adult >48 years :
15 ml 3 times daily at least 1 hour before or 2 hours after meals
Child Dose
Oral
Children (3-18 years) : 5-10 ml 3 times daily at least 1 hour before or 2 hours after meals
Administration
Administer 1 hr ac or 2 hr pc
High fat food reduces PO bioavailability
Contra Indications
Hypersensitivity to glycopyrrolate or other ingredients
Precautions
Pregnancy, lactation. CV disease, hyperthyroidism, hepatic or renal impairment. Enlarged prostate, diarrhoea, fever. May cause ileus or megacolon in patients with ulcerative colitis. Children and elderly.
Pregnancy-Lactation
Not Classi
Pregnancy category: B
Lactation: Excretion in milk unknown; use with caution
Adverse Effects
Frequency Not Defined
Anticholinergic symptoms (mydriasis, hyperthermia, tachycardia, cardiac arrhythmia)
Dry mouth
Dry skin
Anhidrosis
Flushing
Blurred vision
Cycloplegia
Photophobia
Palpitation
Xerophthalmia
Constipation
Urinary retention
Mechanism of Action
Glycopyrrolate is a competitive inhibitor of acetylcholine receptors that are located on certain peripheral tissues, including salivary glands. Glycopyrrolate indirectly reduces the
rate of salivation by preventing the stimulation of these receptors.