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.